Who is it for?
Who is the Transitional Heart Failure Clinic for?
- NYHA stage III or IV symptoms or Stage D HF.
- Moderate Frailty: Requires help with all IADLs (taking medications/ shopping) and some ADLs (bathing/ dressing). Equivalent to Clinical Frailty Scale ≥ 6 (see below)
- Unable to attend clinic visits in person
- Patient is not on dialysis
- Does not have a defibrillator (AICD), OR a documented plan in place to deactivate the AICD.
- 35 km from the QEII facility, or a maximum of 35 minutes by car.
- Patient & family are in agreement with a transition in care to palliation of symptoms.
- Primary goals of care: control symptoms, maximize function & maintain quality of life.