Outline:
Hour One I. Introduction II. Overview: What is heart failure? 1. Incidence 2. Causes 3. Treatment 4. Learning Engagement Activity: Questions (multiple-choice) III. Normal heart function 1. Anatomy 2. Right side of heart 3. Left side of heart 4. Heart valves 5. Anatomy of the heart with circulation 6. Layers of the heart a. Endocardium b. Myocardium c. Epicardium 7. Learning engagement: Order flow of blood through the heart IV. What happens with congestive heart failure (CHF) 1. Types of failure 2. Symptoms 3. Complications 4. Classes 1 -4 5. Acute heart failure 6. Learning Engagement Activity: drag and drop temporary and permanent causes V. Primary causes of CHF 1. Coronary artery disease 2. High blood pressure 3. Valve failure 4. Diabetes 5. Other causes: virus, bacteria, recreational drugs, stimulants VI. How CHF is diagnosed 1. Diagnosis of CHF a. Medical and family history b. Physical exam c. Blood test d. Diagnostic tests i. Blood test ii. Chest X-ray iii. ECG iv. Echocardiogram v. Stress test vi. Coronary angiogram vii. Myocardial biopsy VII. Treatment of heart failure, continued 1. Medications a. Diuretics (water or fluid pills) b. Potassium c. ACE inhibitors d. Angiotensin II receptor blockers (ARBs) e. Beta blockers f. Blood thinners g. Digoxin h. Nitrates i. Statins 2. Lifestyle measures a. Healthy eating plan b. Weight c. Physical activity d. Smoking/drugs e. Alcohol f. Learning engagement: True-false questions 3. Medical procedures and surgery a. Pacemaker b. Implantable cardioverter defibrillator c. myoectomy d. Heart pump e. Heart transplant 4. Goals of heart failure treatment a. Goals of treatment 5. Resident support a. Helping the resident to adapt b. Involving family c. Medications that may worsen CHF B. End-of-life issues 1. Long-term outlook 2. Planning for the future 3. Advance directive 4. Living will 5. Durable healthcare power of attorney 6. POLST 7. Learning engagement: match the terms C. Summary and conclusion D. Final exam (post-test)

Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington,  a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.  Disclosure: Cynthia McDaniel, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Holly Carlson, MS, RN, CCRN, was a subject matter expert for Relias. She has 25 years of healthcare experience in both acute and post-acute healthcare environments. Her experience includes leadership and management across the healthcare spectrum. She has owned and operated an assisted living business. Carlson's clinical practice includes acute care, long-term acute care, home health and hospice. Carlson has served for over a decade in various board positions for State Nursing Associations, including president. She has been a nurse planner for multiple continuing education events and has experience as a leader in the design and implementation of an ANCC-CNE accredited approver unit for a multi-state nursing consortium. Carlson is certified as Critical Care Registered Nurse.    Disclosure: Holly Carlson, MS, RN, CCRN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.