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Services
Congestive Heart Failure Disease Management Specialty Team
This 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
Through the use of new, in-home telemonitoring technology, Norwell VNA and Hospice can monitor patients in the comfort of their homes. The Honeywell HomMed Health Monitoring System allows patients to check their vital signs daily, allowing irregularities to be caught before they become full-fledged problems. Considered part of the Norwell VNA and Hospice “standard of care”, the telemonitoring device is about the size of an alarm clock and collects a variety of vital signs – such as heart rate, blood pressure, oxygen saturation and body weight – in just three minutes time. The system can also be programmed to ask up to 10 “yes/no” questions in 11 languages. The data collected is transmitted via a telephone line for assessment by the Norwell VNA and Hospice Telemonitoring specialty nurse. The daily monitoring devices helps eliminate the two or three-day gaps of information that typically occur between home visits, providing patients and their families with increased peace of mind and allows for early intervention when a health problem is detected. This decreases both emergency room visits and hospitalizations. |
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