(Coronary Disease and Congestive Heart Failure – CHF)
1 and 2 should be present; documentation of 3 – 7 will lend supporting criteria
- Has the physician verified that the patient is on optimal vasodilator and iuretic therapy?
- Does the patient have and ejection fraction of <20% or Class IV symptoms at rest?
- History of cardiac arrest (in any setting)
- History of unexplained syncope
- History of embolic CVA
- Concomitant HIV disease
- Symptomatic supraventricular or arrhythmia poorly controlled by medication
We develop an individualized Plan of Care – as patients with end stage heart disease progress daily living activities decline and anxiety, pain, skin care, nutrition, hydration, nausea, incontinence and weakness are common and need to be addressed.