Table 3 Reported recommendations field in 10 selected clinical home care guidelines in HF patients

Adapting heart failure guideline for nursing care in home health settings (2014)

[27]

• Integrated, multi-disciplinary care (6 items)

• Patient and partner participation (4 items)

• Care plans with clear goals of care (6 items)

• Patient education(4 items)

• Self-care management (3 items)

• Appropriate access to care (3 items)

• Optimize treatment (4 items)

Practical guide on Home Health in HF patients (2012)

[19]

• HF Generic(Initial evalution, Serial clinical assessment of patient with HF, Nonpharmacologic Management and Health Care Maintenance in Patients With Chronic HF, Advance Directives and End-of-Life Care in HF) (50 items)

• HF w normal EF(12 items)

• HF with Red EF(63 items)

• HF co-morbidities(4 items)

• HF in minority pop(13 items)

Chronic heart failure in adults: diagnosis and management NICE (2018)

[28]

• Team working in the management of HF(9 items)

• Diagnosing HF(17 items)

• Giving information to people with HF(5 items)

• Treating HF with reduced ejection fraction(28 items)

• Treating HF with reduced ejection fraction in people with chronic kidney disease(3 items)

• Managing all types of HF(15 items)

- Pharmacological treatment

- Depression

- Lifestyle(Salt and fluid restriction, Smoking, Alcohol, Sexual activity, Air travel, Driving regulations)

• Monitoring treatment for all types of HF(5 items)

• Interventional procedures(4 items)

• Cardiac rehabilitation(1 item)

• Palliative care(5 items)

Guidelines for the prevention, detection and management of chronic heart failure in Australia (2018)

[29]

• Prevention of HF(3 items)

• Diagnosis and Investigations(4 items)

• Acute HF(9 items)

• Pharmacological Management of Chronic HF

- HF With Reduced Left Ventricular Ejection Fraction(3 items)

- Selected Patients with HF with Reduced Left Ventricular Ejection Fraction(7 items)

• Non-pharmacological management (Systems of Care to Reduce Rehospitalisation, Models of Care to Improve Evidence-Based Practice ,Multidisciplinary HF Disease Management Programs and Telemonitoring, Nurse-led Medication Titration Clinics, Non-pharmacological HF Management and Multimorbidity, Frequency of Follow-up, Self-management, Fluid Restriction and Daily Weighing, Sodium, Exercise Training and HF) (7 items)

• Devices, Surgery and Percutaneous Procedures(6 items)

• Comorbidities in HF(14 items)

• Chemotherapy-related Cardiotoxicity and HF(5 items)

• Treatment of HF With Recovered Ejection Fraction(1 item)

• Special Situations(Driving, Travel, Vaccination, Sex, Pregnancy, Contraception, Caffeine Intake) (8 items)

• Palliative Care in HF(1 item)

CCS Canadian Cardiovascular Society Guidelines for the Management of Heart Failure (2017)

[30]

• Prevention of HF and Asymptomatic LV Dysfunction

- Early detection of LVSD and prevention of HF(6 items)

- Preventing HF in patients with hypertension(2 items)

- Preventing HF in patients with diabetes(6 items)

• Diagnosis of HF(6 items)

• Biomarkers/NPs(5 items)

• Treatment

- Chronic HF

- HFrEF pharmacological treatment(20 items)

- HFpEF pharmacological treatment (4 items)

- Implantable cardiac devices(14 items)

- Advanced HF management strategies

- mechanical circulatory support(7 items)

- Exercise and rehabilitation (2 items)

- Important nonpharmacological and nondevice management options(3 items)

- Cardiovascular comorbidities(38 items)

- Noncardiovascular comorbidities(16 items)

- Acute HF(11 items)

- Special circumstances(27 items)

• Community Management of HF(8 items)

• Quality Assurance/Improvement(2 items)

Management of chronic heart failure SIGN (2016)

[31]

• Diagnostic investigations(2 items)

• Emotional wellbeing and health behavior change(7 items)

• Pharmacological therapies(20items)

• Interventional procedure(5 items)

• Post discharge care( Nurse-led follow, Role of pharmacists, Self-management) (3 items)

• Palliative care( Prognosis and identifying patients with palliative care needs, Quality of life, Symptom management, Rationalizing treatments) (4 items)

• Provision of information(Communication, Checklist for provision of information, Sources of further information) (3 items)

• Implementing the guideline(4 items)

ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure (2016)

[32]

• Diagnosis(3 items)

• Cardiac imaging and other diagnostic tests(10 items)

• Delaying or preventing the development of overt HF or preventing death before the onset of symptoms(1 item)

• Pharmacological treatment of HF with reduced ejection fraction(6 items)

• Non-surgical device treatment of HF with reduced ejection fraction(3 items)

• Treatment of HF with preserved ejection fraction(3 items)

• Arrhythmias and conductance disturbances

• Co-morbidities(17 items)

• Acute HF(7 items)

• Mechanical circulatory support and heart transplantation(2 items)

• Multidisciplinary team management(Organization of care, Discharge planning, Lifestyle advice, Exercise training, Follow-up and monitoring, The older adult, frailty and cognitive impairment and end-of-life care) (7 items)

AHA /

ACCFGuideline for the Management of Heart Failure (2013) [33]

• Initial and Serial Evaluation of the HF Patient (5 items)

• Treatment of Stages A to D (4 items)

- Stage A(Recognition and Treatment of Elevated Blood Pressure, Treatment of Dyslipidemia and Vascular Risk, Obesity and Diabetes Mellitus, Recognition and Control of Other Conditions That May Lead to HF)

- Stage B(Management Strategies for Stage B)

- Stage C(Nonpharmacological Interventions(Education, Social Support, Sodium Restriction, Treatment of Sleep Disorders, Weight Loss, Activity, Exercise Prescription, and Cardiac Rehabilitation), Pharmacological Treatment for Stage C)

- Stage D(Definition of Advanced HF, Important Considerations in Determining If the Patient Is Refractory, Water Restriction, Inotropic Support, Mechanical Circulatory Support, Cardiac Transplantation)

• The Hospitalized Patient(Inpatient and Transitions of Care) (9 items)

• Important Comorbidities in HF(Atrial Fibrillation, Anemia,Depression,Other Multiple Comorbidities) (4 items)

• Surgical/Percutaneous/Transcatheter Interventional Treatments of HF(1 item)

• Coordinating Care for Patients With Chronic HF(Systems of Care to Promote Care, Coordination for Patients With Chronic HF, Palliative Care for Patients With HF) (3 items)

HFSA Comprehensive Heart Failure Practice Guideline (2010) [34]

• Development and Implementation of a Comprehensive HF Practice Guideline

• Conceptualization and Working Definition of HF

• Prevention of Ventricular Remodeling, Cardiac Dysfunction, and HF(4 items)

• Evaluation of Patients for Ventricular Dysfunction and HF(21 items)

• Management of Asymptomatic Patients With Reduced Left Ventricular Ejection Fraction(7 items)

• Nonpharmacologic Management and Health Care Maintenance in Patients With Chronic HF(19 items)

• HF in Patients With Reduced Ejection FractionDisease Management, Advance Directives, and End-of-Life Care in HF(41 items)

• Electrophysiology Testing and the Use of Devices in HF(17 items)

• Surgical Approaches to the Treatment of HFEvaluation and Management of Patients With HF and Preserved Left Ventricular Ejection Fraction(12 items)

• Evaluation and Management of Patients With Acute Decompensated HF(7 items)

• Evaluation and Therapy for HF in the Setting of Ischemic Heart Disease(10 items)

• Managing Patients With Hypertension and HF(26 items)

• Management of HF in Special Populations(16 items)

• Managing Patients with Hypertension and HF (6 items)

• Management of HF in Special Populations (11 items)

• Myocarditis: Current Treatment (2 items)

• Genetic Evaluation of Cardiomyopathy(8 items)

ICSI Palliative Care for Adults (2020)

[35]

• Initiate Palliative Care Discussion (2 items)

• Assess Patient’s Palliative Care Needs Based on the Following Domains of Palliative Care(4 items)

• Begin Advance Care Planning Process(2 items)

• Physical Aspects of Care

• Cultural Aspects of Care

• Psychological and Psychiatric Aspects of Care

• Social Aspects of Care

• Spiritual Aspects of Care

• Ethical and Legal Aspects of Care (1 items)

• Develop or Revise Palliative Care Plan and Establish Goals of Care through the Process of Shared Decision-Making (1 items)

• Does Patient Meet Hospice Criteria? (1 items)

• Care for the Dying Patient (1 items)

• Grief and Bereavement