Care Pathway

Living well with heart or lung disease starts with the right support

Ongoing management for CHF, COPD, and cardiovascular conditions — focused on keeping you stable, educated, and out of the emergency room.

Heart failure and chronic lung disease are the leading causes of preventable hospital readmissions in the United States. The pattern is predictable: a patient goes home, misses early warning signs, and ends up back in the ER within 30 days. Our heart and lung program breaks that cycle. We teach patients to monitor their own condition — daily weights, fluid tracking, breathing techniques — and we back that up with regular nursing visits, medication management, and a 24/7 RN on call. The result isn't just fewer ER visits; it's patients who feel confident managing their condition day to day.

Is this right for you?

You might need this care path if…

You've been diagnosed with congestive heart failure, COPD, or another chronic cardiac or pulmonary condition

You were recently hospitalized for a heart failure exacerbation or COPD flare-up

Managing medications, fluid restrictions, or oxygen equipment feels overwhelming

You want to reduce emergency room visits and hospitalizations

Your cardiologist or pulmonologist has recommended home health monitoring

The journey

What to expect

A thorough baseline assessment of cardiac and respiratory status within 48 hours of starting care

Weekly nursing visits focused on vital signs, medication review, weight trends, and symptom assessment

Education on self-monitoring techniques you can use every day between visits

A personalized emergency action plan — what to do when symptoms change

Close coordination with your cardiologist or pulmonologist on every change in condition

Your care team

Services in This Care Path

Each service below plays a specific role in your heart & lung journey. Click through for full details on what each discipline provides.

Congestive Heart Failure Care

Daily weight monitoring, fluid management, medication oversight, and early detection of decompensation to prevent readmission.

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COPD Management

Breathing techniques, inhaler and nebulizer management, oxygen therapy, and exacerbation prevention planning.

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Cardiovascular Care

Blood pressure management, cardiac medication review, risk factor reduction, and post-cardiac surgery recovery support.

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Respiratory Care

Oxygen equipment management, airway clearance techniques, and pulmonary rehabilitation exercises at home.

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4 coordinated services. One care plan. One team.

Every discipline working together toward your recovery goals.

Looking for something specific?

Related care at home

Flu & Fever Treatment at Home COPD Flare-Up Care at Home Care After ER Discharge Care After Hospital Discharge Pneumonia Recovery at Home Urgent Care at Home Same-Day Medical Care at Home Avoid an Unnecessary ER Visit

Ready to get started?

Contact us today to discuss whether our heart & lung care path is right for you or your loved one. A nurse is always available to answer questions.