Heart Failure Learning Assessment
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We want to give you the information that you need to understand your condition. Please tell us how you learn the best?
 reading
video
discussion
demonstration
other: _________________________.
On the grid below, please place a check mark in the column that best describes your learning needs.
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need to know about this before I go home |
I know some but would like more information on this |
I already know about this |
| What is Heart Failure (HF)? |
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| How does HF feel? |
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| What causes HF? |
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| What can I do about HF? |
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| How the heart works |
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| Tests for the heart |
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| My HF treatment plan |
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| 2 gram sodium diet |
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| Fluid limits |
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| Weight Control |
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| Keeping track of my weight |
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| Exercise |
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| Stopping Smoking |
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| Taking HF medicines |
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| ACE inhibitor |
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| Diuretic (“water pill”) |
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| Digoxin |
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| Spiritual strength |
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| Follow-up care |
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| When to call the doctor |
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Other:
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Back to What Happens Next?
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