Specialized End-of-Life Cardiac Program Available

In the United States, the most common type of heart disease is coronary artery disease (CAD), which can lead to a heart attack. You can greatly reduce your risk for CAD through lifestyle changes and, in some cases, medication.

During October, we will be sharing tips to help you prevent heart disease and live a heart smart life!

Raising Heart Awareness flyer

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Eating Healthy While Eating Out

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These days most people are so busy with work, kids, errands, and often caregiver responsibilities for a loved one that it is easier to let the priority of healthy eating slip to the bottom of the list.  It takes effort and commitment to change eating habits.  Change doesn’t typically happen overnight and that’s okay.  After all, it takes 21 days to form a new habit, so stick with it after a couple of weeks and you will have a higher success rate. Eventually, your new eating habits will become second nature, just as your old ones did. Eating healthier will improve your life as a whole. You will look better, feel better, and be healthier!  Don’t let the luxury of dining out be an excuse to eat unhealthy foods.  By thinking ahead and making smart choices, you can follow a low-saturated-fat, low-cholesterol diet almost anywhere you go!

When Ordering

  • Ask for it your way.
  • Ask about low-fat or fat-free choices.
  • Ask the server to make substitutions such as, steamed vegetables instead of french fries.
  • Pick lean meat, fish, or skinless chicken as a main dish. They are less fatty meats.
  • If an entrée fried, request it is broiled, baked, grilled, steamed, or poached.
  • Order vegetable side dishes and without sauce or butter.
  • Use a lemon to squeeze on your salad instead of their regular dressing. Or get dressing on the side and dip your fork as you eat.
  • If you can’t seem to find anything suitable for your eating plan, ask if the chef will make you a fruit or vegetable platter.

 Avoid It

  • Push the butter out of your way or ask that it be removed.
  • Order your dressings and sauces on the side so you can control how much you use.
  • Avoid fried appetizers and creamy soups. Begin your meal with broth-based soup like minestrone or gazpacho.
  • At salad bars, stay away from high-fat items like cheese, cream dressings, chopped eggs, croutons, olives, and bacon bits.
  • Ask that your food be made without butter or cream sauces. You’ll be surprised at how delicious meat, fish, and chicken can be when broiled “dry.”
  • Take the skin off chicken when it arrives, and remove visible.
  • Skip the desserts. If you have a sweet tooth order a side of fresh fruit.

 Ethnic Restaurants

  • At Oriental restaurants, order stir-fried chicken or a fish and vegetable dish. A steamed main dish is an even better choice.  Instead of fried rice, ask for steamed rice.
  • At Italian restaurants, choose red marinara sauces over white, creamy sauces. Try a fish dish or meatless pasta instead of entrees made with sausage or meatballs.  Eat plain Italian bread instead of buttery garlic bread.  Go easy on the grated parmesan cheese.
  • At Mexican restaurants, enjoy salsa or picante sauce, but limit guacamole, cheese, and sour cream. Opt for corn tortillas over flour and avoid refried beans.  Try soups, salads, or fresh seafood instead of fried foods.

(Adapted from the American Heart Association)

 

A Cardiac Program for Patients at End of Life

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Heart ‘n Home understands that you wish to remain at home and avoid numerous trips to the emergency room.  Our goal is to address your symptoms and concerns so that you can stay at home, comfortably. Heart ‘n Home has developed a unique Cardiac Program to meet your individual needs. The management of your cardiac disease takes a team effort and you are the key member on the team.  Our mission at Heart ‘n Home is to be your team and provide you with excellent care.

What you can expect from the Heart ‘n Home Cardiac Program:

• Regular visits from Nurses that are specialists in palliative and end-of-life care that can effectively anticipate, manage, and control your cardiac symptoms at home. The Heart ‘n Home Nurse will follow the direct orders of your physician.

• Patient education specifically designed for you and your family. If you have any questions about the contents of this booklet, please ask your Nurse.

• To be part of a team overseen by the palliative care certified Heart ‘n Home Chief Medical Officer. This team will work directly with your physician.

•  Medications given at the right amount to control symptoms and to have your medications arranged for and refilled as necessary.

• Additional support from a Heart ‘n Home Medical Social Worker, Hospice CNA, Spiritual Care Provider, and/or Volunteer at your request.

Coping with End Stage Heart Disease
Because your family and friends are affected by your illness, it is important to share your thoughts and feelings with them and ask for help when you need it. Sometimes just talking about your feelings with people who care about you can be beneficial.

Living with cardiac disease may mean dealing with a lot of different emotions. It is normal to have occasional feelings of frustration, sadness, depression, anxiety, and even anger. Many options are available to you, such as counseling and possibly medication, if needed, to help you better deal with these issues. If you are feeling stressed, talk to your Heart ‘n Home team. They can assist you in finding the best way to make you feel better.

Learn more about Congestive Heart Failure

Hospice Care for Patients with End-Stage Heart Disease

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Our Cardiac Program is designed to provide support developed with each individual’s needs in mind. Heart ‘n Home is on-call 24 hours a day, 7 days a week for our patients and families. Care is provided by Heart ’n Home staff including Medical Directors, Nurses, Medical Social Workers, Spiritual Care Providers, and Hospice CNAs. Our cardiac team can visit individuals in their home and develop a Plan of Care with the patients’ wishes and goals as the main focus.

Talk to your physician if you SAY YES to 3 or more of these signs or symptoms:

  • Hospital visit for heart failure in the past year.
  • Need help accomplishing activities of daily living.
  • Daily chest discomfort.
  • Experiencing swelling in feet and legs.
  • Shortness of breath, especially while lying down.
  • Frequent gain/loss of weight.
  • Tired most of the time.
  • Short of breath when doing daily chores.
  • Chest pain when doing daily chores.
  • Tired of going to the doctor’s office and hospital frequently.

With support from the Heart ‘n Home Cardiac Program, together we will strive to:

  • Increase patient and caregiver ability to manage patients illness at home.
  • Increase confidence of patient and caregiver to manage patient’s symptoms.
  • Develop a Plan of Care to monitor and manage symptoms, thereby reducing episodes of crisis.
  • Reduce emergency room and hospital visits.
  • Put patient goals and wishes first.

Learn more about understanding Congestive Heart Failure.

Contact your cardiac team at 1-800-HOSPICE (800-467-7423) to get the assistance needed to stay comfortable and in your home.

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