Table 4.

Behavior and Knowledge Requirements to Reach Goal

Daily Self Assessment & Having a Plan	Call sequence	Call on day
BEHAVIOR – Verify the patient:	Focus on during 1st & 2nd call,	Day 3 par & Day 7
• weighs self daily and at the correct time
• records weight on the Daily Water Pill Plan (Figure 4)	Review on all calls
• assess symptoms of heart failure (SOB, edema, dizziness)
• takes the correct dose of diuretic according to their weight
• phones doctor when appropriate
Medication Adherence
KNOWLEDGE – Verify the patient knows:	3rd call	Day 10 (and Day 14 if need it)
• his/her fluid pill
• What to do if they have side effects from their medications
• That they still need to take their medications even if they feel good
• what to do if they are unable to pay for their medications
• how many refills they have left
• how to get refills
• what to do if they are out of pills
• the importance of having a successful system for taking their medication
• to take all their medications to their doctors appointments and reviews them with the doctor
Salt Avoidance
KNOWLEDGE – Verify the patient knows:	4th call	Day 17 (and Day 21 if need it)
• what sodium is
• why salt is bad for someone with heart failure
• ways to eat less salt
• how to tell whether something has too much salt
• which foods are good choices based on reading nutrition labels and knowing how much sodium per serving a food has
• which foods out of a list of 20–30 common foods are good choices
• if foods that say "lower sodium" or "reduced sodium" are OK
• what foods could be substitutes for high sodium foods
Exercise
KNOWLEDGE – Verify the patient knows:	5th call	Day 24 (and Day 28 if need it)
• that it is safe for someone with heart failure to exercise
• how exercise helps people with heart failure
• when it is not safe to exercise