Services
Services: Clinical Specialties
Congestive Heart Failure Disease Management Specialty Team
his team was developed in response to high re-hospitalization rates and diminished quality of life for adult patients with congestive heart failure as their primary or co-morbid (dual) diagnosis.
Our Living with Heart Failure Program stabilizes patients after an emergency room or hospital stay and moves the patients and their family caregivers along a pathway that prepares them for self care and self-monitoring of their condition. Skilled home health care clinicians provide nursing, therapy services, and education.
Care Team
- An interdisciplinary cardiac team utilizing a disease management pathway
- Team consists of experienced cardiac home care nurse practitioner, nurses, physical therapists, and occupational therapists.
Services Provided
- Evidence based cardiopulmonary care pathways
- Intensive patient/caregiver education
- Telemonitoring for symptom management and education
- Laboratory services
- Long-term planning
Community Services Provided
- Telemonitoring available to community for a small monthly fee
- Lifeline coordinated through Norwell Visiting Nurse Association and Hospice to help provide peace of mind when a person is at home alone.
Telemonitoring
We are happy to offer telehealth monitoring with the Cardiocom monitor. This system allows patients to check their vital signs such as blood pressure, heart rate, body weight, oxygen saturation and blood glucose daily. The system can be customized to the patient’s specific needs and programmed to ask several disease related questions.
The data collected each day is transmitted via the telephone line to the Norwell VNA and Hospice telemonitoring specialty nurse for assessment. This allows for early intervention when a health problem is detected, providing patients and their families with increased peace of mind. Such monitoring also decreases both emergency room visits and hospitalizations.
