Careful management of a heart condition or recovery from a cardiac procedure can have a significant effect on long-term quality of life. UHS Home Care’s Heart at Home program educates and empowers cardiac patients to manage their symptoms and heal safely, reducing the likelihood of repeated hospital readmission and loss of independence. Most Heart at Home patients have a diagnosis of hypertension, coronary artery disease, atrial fibrillation, angina or congestive heart failure, or have recently had a cardiac procedure or surgery.
Within 48 hours of admission to the program, the patient receives a home visit from members of the Heart at Home team. The team is managed by a registered nurse care manager in conjunction with the referring physician, and includes physical therapists, an occupational therapist, dietitians, social workers and home health aides. Together, they help patients to identify and eliminate barriers to recovery, review medications and offer suggestions or modifications to nutrition, exercise and lifestyle. Heart at Home may also include remote telemonitoring of vital signs, a customized rehabilitation plan and referral to the Mended Hearts support group.