Congestive Heart Failure Clinical Pathway Program

Care Resource CHF Program combines our unique Residentialist service with other skilled services to help you manage your disease at home. 

What is Congestive Heart Failure?

Congestive Heart Failure, or CHF, is a condition where the heart is not pumping as well as it should.  The weakened heart causes a build up of fluid in the body.  Typically, CHF is a gradual progression of symptoms over time.  CHF can be caused by different conditions, including coronary artery disease, previous heart attacks, high blood pressure, an enlarged heart, and diseases or infections affecting the heart or heart valves.   

What are the Symptoms of CHF that I will feel?

When the heart is not pumping as adequately as it should, the blood flow slows down and fluid will accumulate in the body.  This can lead to swelling of the feet and legs, swelling of the abdomen, weight gain, decreased urination, shortness of breath, and difficulty breathing when laying down.  Because there is less blood flowing to tissues and organs can mean less oxygen, leading the patient to feel tired and weak, even without over exertion. 

What can I do to Manage Congestive Heart Failure?

Talk to your doctor about your condition.  Let them know you would like to consider Care Resource's Residentialist Program for home management of your CHF.  Once accepted to service, you will meet with a Care Resource Residentialist Nurse Practitioner in your home who will preform a complete assessment, review your medication, and customize the Congestive Heart Failure Clinical Pathway to your specific needs to help you manage your disease and prevent exacerbations at home. 

Residentialist Program for CHF Management

Through our unique Residentialist Program, we are pairing Care Resource Nurse Practitioners with home care patients in the Rhode Island and Southeastern Massachusetts area to effectively manage CHF, reduce hospital readmissions, and eliminate unnecessary ER visits. 

This program includes:

  • Residentialist (Nurse Practitioner) to make patient home visits, lead the Care Resource clinical team, perform medication reconciliation, and collaborate with the patient's cardiologist and primary care physician for ongoing communication
  • 9 Week clinical pathway roadmap for patients, caregivers, and physicians
  • Patient monitoring and reporting back to Physicians
  • Weekly assessments and progress reports
  • Scheduled Skilled Nursing, Physical Therapy, Nurse Practitioner, Occupational Thearpy*, and HHA* visits (*when applicable)
  • Tele-health monitoring
  • 24-7 on call nursing and pharmacy support

As an integrated Home Infusion Therapy Provider and Medicare Certified Home Health Agency featuring a Residentialist, Care Resource can also provide infusion therapy to patients at home, such as Lasix, Dobutamine, hydration, and antibiotics. 

Care Resource has partnered with Philips Lifeline, the oldest and largest medical alert provider in North America, to help manage and monitor its homecare patients. We offer 24/7 monitoring, personal emergency response service (PERS), and risk assessment. The Lifeline medical alert service is free for 60 days and includes a wearable PERS device with Auto Alert fall detection and 24/7 access to help, even if the patient cannot push the button.  This helps reduce emergency room visits and hospital readmissions, improves quality of care and safety, and allows for constant reassessment of patient risk to improve their outcomes. 

To learn more about how we may help you or your patients, or to make a referral, call Care Resource today at 877-431-0000.