Presentation on theme: "Heart Talk: Living with Heart Failure"— Presentation transcript:
1Heart Talk: Living with Heart Failure Education for patients, families and caregivers
2An accompanying patient booklet can be downloaded for free at www An accompanying patient booklet can be downloaded for free at Search for it and more under “Heart Talk”
3What is Heart Failure? Weakness of the heart muscle Sometimes also called:Congestive heart failurePulmonary edemaFluid on lungsRetention of fluid
4Common Symptoms of Heart Failure Hard time breathingSwollen ankles, legs, or abdomen (edema)Feeling weak and tired
5Heart Failure Can Be Treated MedicationsProceduresSurgery
6Heart Failure is Chronic It requires lifelong treatment.
7Heart Failure is Common More than 5 million Americans have Heart Failure.1American Heart Association Heart and Stroke Statistical Update. Dallas, TX: American Heart Association; 2008.77
86 Tips for Staying Healthy Following these tips and doing what your doctor tells you will help keep you healthy
96 Tips to Stay Healthy Take Medications as Ordered by Your Doctor Go to Doctor AppointmentsMonitor (watch) Your Symptoms and WeightAdapt Diet (eating) and Fluids (drinking)Get Exercise as DirectedLimit Alcohol, Caffeine and Tobacco9
11What You Need to Know Take Medications as Ordered Medications for heart failure are necessary even when you are feeling well.
12How to Keep Healthy Take Medications as Ordered Go over your list of medications with your doctor or nurseMake sure you understand how and when to take themAsk about side effects (reactions) or possible problems with taking medications with other medications and/or vitamins
13How to Keep Healthy Take Medications as Ordered Know how to refill your prescriptionsCall your doctor’s office a few days before you run out of your pillsMake sure you have a way to get yourmedicationsHow will you get to the pharmacy?possibly add - Will your pharmacy deliver?
14How to Keep Healthy Take Medications as Ordered Bring your medications or a list of your medications to all of your doctor appointmentsTell your doctor about any side effects or reactionsDo we want to instruct patients on how to read a prescription label… how to know if you have refills left?14
15What You Need to Know Take Medications as Ordered Patients who take their medicines live longer, feel better, and spend less time in the hospital.
17What You Need to Know Doctor Appointments Heart failure is not simpleThe doctor needs to see you often to keep you well
18How to Keep Healthy Doctor Appointments Set up an appointment with your doctor before you leave the hospital or other facilitySet it up on the best day and time for youMake sure you have a ride to your appointments
19How to Keep Healthy Doctor Appointments Bring a friend or family memberBring all medications or a medication list to all appointmentsAsk questions!Your doctor wants to make sure you take care of yourself
20What You Need to Know Doctor Appointments Patients who go to doctor appointments live longer, feel better, and spend less time in the hospital.
22Monitor Symptoms Common heart failure symptoms: Hard time breathing Swollen ankles, legs, or abdomen (edema)Feeling weak and tired
23Monitor WeightWhen your body holds extra fluid (water), your weight goes upWeight gain from fluid can start up to two weeks BEFORE symptomsBy weighing yourself every day, you can avoid getting sick
24How to Keep Healthy Watch Your Symptoms and Weight Get a scale if you don’t have oneMake sure you can read the numbersWrite your weight down every dayBring the weight chart to your doctor appointments
25How to Keep Healthy Watch Your Symptoms and Weight Weigh yourself every morning at about the same time:After urinatingBefore having anything to drinkIn the same amount of clothingUse the same scale
26How to Keep Healthy Watch Your Symptoms and Weight Tell your doctor if you gain:3 pounds in one day5 pounds in one week
33Salt and Water Salt = Sodium High salt intake will make the body hold extra fluid (water)Extra fluid leads to swelling and heart failure symptomsEating a low salt diet helps patients stay well
34How to Keep Healthy Eating and Drinking Do not add salt to any mealsTry to eat less than 2000 mg of sodium a dayOne teaspoon of salt = 2300 mg of sodiumIf you don’t buy and cook your own food, speak to the person who does
35Reading a Label Check to see how many servings are listed on the label Eating more than one serving size increases salt intake more than what is listed on the label
36Common Food Salt Sources Canned foodsFrozen dinnersDeli meatsHot dogs
37Other Food Salt Sources Sea saltAdobo seasoningSalad dressingsCheesesSoy sauceJar tomato/pasta saucePicklesSausages and KielbasaHam and BaconFrench fries
38How to Keep Healthy Eating and Drinking If you do eat salt, tell your doctorMedications may need to be adjustedMore doctor visits may be neededYou may need to talk with a diet specialistAsk about a diet specialist
39How to Keep Healthy Eating and Drinking Eating out: choose heart healthy foodsBaked or broiled foodsSalad dressing, sauce or gravy on the sideSafe dishes: baked chicken or fish, steamed vegetables
40What You Need to Know Eating and Drinking By avoiding salt in your diet, you can live longer, feel better, and spend less time in the hospital
41Fluid RestrictionSometimes doctors will limit the amount of liquids patients can have every dayFoods that count as liquids are: yogurt, pudding, ice cream, and gelatinSome fruits have liquid: 1 orange or ½ Grapefruit = 4 ounces of fluidFluid Restriction means……
42Fluid Restriction Space your liquids out over the day Save liquids to take your medicinesSome patients can take their medicine with applesauce instead of a drink
43Tips to Battle ThirstUse ice chips or freeze juice in an ice cube trayRinse the mouthUse a lemon wedge, gum, frozen grapes, strawberries or hard candy
45Exercise and ActivityAlways check with your doctor. Your doctor can tell you what is good for you:Exercise: Most of the time is safe and good for youSex and driving: Most of the time is safe for youAsk your doctor about what activities are safe for you
47Alcohol and CaffeineYou should check with your doctor about alcohol and caffeine useAlcohol is usually okay in moderationLess than 2 drinks per day for menLess than 1 drink per day for womenCaffeine is usually okay in moderationLess than 1 or 2 cups per day
48Tobacco If you smoke, please STOP! Bad for anyone, but especially for those with heart failureMakes the heart work harderCan lead to heart attacksAsk your doctor or nurse about help to quit smoking
496 Tips to Stay Healthy Take Medications as Ordered by Your Doctor Go to Doctor AppointmentsMonitor (watch) Your Symptoms and WeightAdapt Diet (eating) and Fluids (drinking)Get Exercise as DirectedLimit Alcohol, Caffeine and Tobacco49
50Credits The Hospital of Central Connecticut Shelley Dietz RN, MBA QualidigmAnne Elwell, RN, MPHMichelle Pandolfi, MSW, LNHAUniversity of Connecticut Heath CenterWendy Martinson RN, BSNJason Ryan, MD, MPH
51Special Thanks to:David Lazauski for sharing his experience as a patient living with heart failure University of Connecticut Health Center Dr. Jason Ryan for his dedication to teaching us all how to live well with heart failure
52This material was prepared in collaboration with Qualidigm, the Medicare Quality Improvement Organization for Connecticut, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Pub #CT The views and opinions expressed here do not reflect the policy or position of the Centers for Medicare and Medicaid Services, nor of Qualidigm. Examples and information provided are for educational purposes only and should not be construed as medical advice. Any person with questions or concerns relating to any medical condition or treatment should consult with a qualified health care professional.