Dan Weiss from the School of Nursing publishes “Pilot Implementation of a Low-Literacy Zone Tool for Heart Failure Self-management”

Dr. Daniel Weiss is a lecturer in the School of Nursing and a coordinator for Palliative Care and his research article titled “Pilot Implementation of a Low-Literacy Zone Tool for Heart Failure Self-Management” was recently featured in the December 2019 edition of HPNA’s Journal of Hospice and Palliative Nursing.”
Abstract from Article:
Heart failure affects 6.5 million Americans, with 1 million hospitalizations annually, a 22% readmission rate, and $31 billion in health care costs. Palliative care decreases symptom burden, readmissions, and costs. Many elderly patients have difficulty recognizing and reporting heart failure symptoms to their providers in a timely manner. Self-management tools with color-coded zones (green = ‘‘all clear,’’ yellow = ‘‘caution,’’ red = ‘‘take action’’) help patients recognize and respond to heart failure symptoms and reduce readmissions. The purpose of this quality improvement project was to develop, implement, and evaluate a low-literacy zone tool for heart failure self-management with home-based palliative care patients. An interdisciplinary palliative care team developed this zone tool. Health literacy was prescreened with the Newest Vital Sign instrument. Nurses provided the zone tool to patients and caregivers and instructed them in use of this tool for daily self-monitoring. In postimplementation surveys, participants rated the zone tool as easy to understand and helpful in recognizing and reporting symptoms. This project demonstrated feasibility of a new zone tool for heart failure self-management, resulting in a practice change for this home-based palliative care program. The interdisciplinary team eventually developed similar zone tools for cancer, cirrhosis, chronic obstructive pulmonary disease, dementia, and frailty self-management.
In addition to being employed at Cal State San Marcos since 2015, Weiss has worked for the past 21 years as a full-time Clinical Nurse at Sharp HospiceCare and Sharp Hospice’s Transitions Program (home-based palliative care). He earned his Doctor of Nursing Practice (DNP) degree at CSU Fullerton in 2017 and previously completed his MS in Nursing from Pace University (NY) and BA in Urban Studies from the University of Minnesota.  Weiss is a Certified Hospice & Palliative Nurse (CHPN) and a member of the Hospice & Palliative Nurses Association (HPNA).
To learn more about this article please visit the Journal of Hospice and Palliative Nursing website or contact Dr. Dan Weiss for more info.

Marilyn Huerta

Public Affairs Communication Specialist II
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