“B-E-L-L-S W-A-R-N”
“B-E-L-L-S W-A-R-N”
Observe your resident daily for an INCREASE in these
symptoms, and report to primary nurse if present.
Observe your resident daily for an INCREASE in these
symptoms, and report to primary nurse if present.
B - Breathing (↑ difficulty at rest or basic care)
E - Exertion causes shortness of breath
L – Less stamina or endurance
L – Lethargy/fatigue /↓ alertness for > 24 hours
S - Swelling of legs or buttocks
B - Breathing (↑ difficulty at rest or basic care)
E - Exertion causes shortness of breath
L – Less stamina or endurance
L – Lethargy/fatigue /↓ alertness for > 24 hours
S - Swelling of legs or buttocks
W - Weight gain of >3 lbs/ 1 week, clothes tight
A - Abdominal symptoms
(↓appetite, fullness, bloating, pain)
R - Restlessness, anxiety, worry
N - Night time breathing change
(can’t lie flat, wakes short of breath)
W - Weight gain of >3 lbs/ 1 week, clothes tight
A - Abdominal symptoms
(↓appetite, fullness, bloating, pain)
R - Restlessness, anxiety, worry
N - Night time breathing change
(can’t lie flat, wakes short of breath)
Heart Failure Screening Tool for Direct Caregivers
Heart Failure Screening Tool for Direct Caregivers
2011 Leon Kraybill MD
2011 Leon Kraybill MD
PMDA: Pennsylvania’s Association for Long Term Care Medicine
PMDA: Pennsylvania’s Association for Long Term Care Medicine
www.pamda.org
www.pamda.org
“B-E-L-L-S W-A-R-N”
“B-E-L-L-S W-A-R-N”
Observe your resident daily for an INCREASE in these
symptoms, and report to primary nurse if present.
Observe your resident daily for an INCREASE in these
symptoms, and report to primary nurse if present.
B - Breathing (↑ difficulty at rest or basic care)
E - Exertion causes shortness of breath
L – Less stamina or endurance
L – Lethargy/fatigue /↓ alertness for > 24 hours
S - Swelling of legs or buttocks
B - Breathing (↑ difficulty at rest or basic care)
E - Exertion causes shortness of breath
L – Less stamina or endurance
L – Lethargy/fatigue /↓ alertness for > 24 hours
S - Swelling of legs or buttocks
W - Weight gain of >3 lbs/ 1 week, clothes tight
A - Abdominal symptoms
(↓appetite, fullness, bloating, pain)
R - Restlessness, anxiety, worry
N - Night time breathing change
(can’t lie flat, wakes short of breath)
W - Weight gain of >3 lbs/ 1 week, clothes tight
A - Abdominal symptoms
(↓appetite, fullness, bloating, pain)
R - Restlessness, anxiety, worry
N - Night time breathing change
(can’t lie flat, wakes short of breath)
Heart Failure Screening Tool for Direct Caregivers
Heart Failure Screening Tool for Direct Caregivers
2011 Leon Kraybill MD
2011 Leon Kraybill MD
PMDA: Pennsylvania’s Association for Long Term Care Medicine
PMDA: Pennsylvania’s Association for Long Term Care Medicine
www.pamda.org
www.pamda.org