Transitions of Care: Heart Failure Part 2

Course overview

This course will continue to highlight nursing interventions to improve outcomes for SNF residents with heart failure (HF) with a focus on self-care education, discharge planning, and quality transitions of care. Educational interventions will focus on individual resident and caregiver ability to provide self-care and prevent unnecessary hospitalization following discharge. The course will also focus on unique resident goals for HF management, including preferences for end-of-life care. The quality discharge plan will include sharing of clinical data at the time of transition from the SNF. The course will conclude with Part II of the case study of a complex resident with heart failure. This course will assist the SNF to advance their reputation in the community and overall performance scores by providing quality care to residents with HF.