HIGHLIGHTS
SUMMARY
Multidisciplinary management of patients has been recommended in HF guidelines and it can improve caring outcomes. A multidisciplinary team often consists of nurses, physicians, specialists in cardiology, in addition to physiotherapists, dieticians and social workers can provide standardized home care for HF patients by supporting person-centered care and self-management services. All general HF guidelines can be applied to HF care at home, depending on the clinical characteristics and the need for interprofessional HF training as well as more attention to home care planning and advanced care. The first step in improving the . . .
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