1. Help Your Heart! http://apps.appypie.com/html5/help-your-heart! Making Heart Failure Self-Care More Manageable MARGARET M. KERPER TEMPLE UNIVERSITY

2. Overview  Heart Failure affects 5.8 million people in the United States.  670,000 new cases are diagnosed yearly (Chen,Yehle, Plake, Murawski, & Mason, 2011).  Mortality rate about 50% within 5 years of diagnosis ( Yancy et al., 2013)  Medication alone cannot control the disease.  Life style changes are essential!

3. Required Regimen  Daily Weights  Salt restrictions, learning to read labels  Maintain fluid restriction  Change eating habits they may have had for a lifetime  Monitor numerous symptoms and report changes to medical provider  Remember follow-up appointments with PCP, cardiology, testing  Medication regimens (Yancy et al., 2013)

4. Problem  Patients remember less than half of the information their medical provider tells them  Almost half of what they do remember is incorrect (Kessels, 2003)  Heart Failure itself can cause additional cognitive decline that interferes with a person’s ability to self care (Hajduk et al., 2013)  How is a patient supposed to remember all of these requirements?  They could read the information given to them at the hospital or provider’s office  What if they leave the house? Will they carry it with them?

5. Help Your Heart! Touch a button, and all the Heart Failure information a patient needs is available at their fingertips!

6. 6 Basic Rules Basic Heart Failure Rules Patients can review these whenever they need a reminder. The app can be downloaded by family members and other caregivers, so they know what is needed wherever they may be.

7. Salt Information Reminders about sodium intake, how to read labels, and how to identify safe foods are found under the Low Salt and Reading Labels buttons

8. Warning Signs/Emergency The early signs of fluid retention are listed under the Warning Signs button, so that patients can easily check their symptoms Symptoms that require Emergency Room Treatment are listed under their own button

9. Helpful Links Recipes links the patient NHLBI and AHA websites, where healthy, low salt recipes can be found. Videos link the patient to professionally produced education from reliable sources.

10. Encouragement and Lifelines Tools contains a pedometer to encourage the patient to walk (the best exercise for heart failure)and a note pad where they can keep count of their daily steps, salt, and other reminders. The contact page keeps all their health-related numbers in one place, with one-touch dialing.

11. Solution: Help my Heart!  Patients and caregivers now have a portable, reliable assistant to help them manage a complicated disease.  Educational reminders about how to maintain the proper diet, how to shop and read labels  Links to healthy recipes available anywhere a patient might shop  Videos for easy review and reinforcement of learning  Immediate access to warning signs and emergency symptoms  Direct contact with healthcare providers in one place

12. References American Association of Heart Failure Nurses. (2012). Heart failure patient education. Retrieved from https://www.youtube.com/watch?v=3IZfGGWEtf4&index=1&list=PLIBLYXsYpFN6n_Ntx431Cw4fwxNSd1Ubg Chen, A. M., Yehle, K. S., Plake, K. S., Murawski, M. M., & Mason, H. L. (2011). Health literacy and self-care of patients with heart failure. The Journal of Cardiovascular Nursing, 26(6), 446-451. doi:10.1097/JCN.0b013e31820598d4 Dietz, S., Elwell, A., Pandolfi, M., Martinson, W. & Ryan, J. (2012). Heart talk video for patients. Retrieved from http://youtu.be/XJ52cxQqMSo Hajduk, A. M., Lemon, S. C., McManus, D. D., Lessard, D. M., Gurwitz, J. H., Spencer, F. A.,... Saczynski, J. S. (2013). Cognitive impairment and self-care in heart failure. Clinical Epidemiology, 5, 407-416. doi:10.2147/CLEP.S44560 Kessels, R. P. (2003). Patients' memory for medical information. Journal of the Royal Society of Medicine, 96(5), 219- 222. Mather, P., Galvao, M. & Tsai, E. (2013). LIving with heart failure-A guide for patients. Retrieved from https://www.youtube.com/watch?v=tP79YHgMmMg Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E.,Jr, Drazner, M. H.,... Wilkoff, B. L. (2013). 2013 ACCF/AHA guideline for the management of heart failure: A report of the american college of cardiology foundation/american heart association task force on practice guidelines. Journal of the American College of Cardiology, 62(16), e147-239. doi:10.1016/j.jacc.2013.05.019