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unit3assignmentinstructions.docx
1AFTKFunctionalAssessmentScale314121.pdf
MN585_Assignment_Rubrics.docx
afibpt.docx
JACCAtrialFibrillationGuidelines.pdf

unit3assignmentinstructions.docx

I attached some info from a patient I had. You can use this info or just make something up. You can let me know what to write on the scoring documents and I can fill them if you are unable to do that

Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for afib management.

Select 1 individual age >64 years of age from your clinical rotation. Review the patient’s EMR. Please maintain HIPAA compliant documentation in your paper and upload it as a Word document.

· Assignment - (45 points) Assignment - Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for afib management. See attached PDF

· Web Resources for this Assignment (include your original scoring documents for these below so I know you scored them correctly. Do not simply submit the end score. Show your original work and how you derived the score.)

· ACC Atrial Fibrillation Guidelines: See the document at this link: https://www.acc.org/guidelines/hubs/atrial-fibrillation This guideline is also an attachment to this announcement.

· SAF Scale (Severity of Atrial Fibrillation Scale): https://www.acc.org/~/media/Files/Migration%20Content/Quality%20and%20Clinical%20Trials/AFib%20Toolkit/1%20AF%20TK%20Functional%20Assessment%20Scale%2031412.pdf?la=en

· Combo Calculator Here: https://www.chadsvasc.org/

· HAS-BLED Calculator: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6490831/ and https://pubmed.ncbi.nlm.nih.gov/31028853/

· Anticoagulation Calculation App: https://www.acc.org/anticoagevaluator

1AFTKFunctionalAssessmentScale314121.pdf

Severity of Atrial Fibrillation (SAF) Scale

Use this document to assess and record the symptoms and functionality of patients with atrial fibrillation (AF).

Patient Name: _________________________________

� Step 1 – Symptoms

Identify the presence of the following symptoms (check all that apply):

� Palpitation

� Dyspnea

� Dizziness, presyncope, or syncope

� Chest pain

� Weakness or fatigue

� Other: __________________________

� Step 2 – Association

Is AF, when present, associated with the above-listed symptoms? For example: Ascertain if any of the above

symptoms are present during AF and likely caused by AF (as opposed to some other cause).

� Yes

� No

� Step 3 – Functionality

Do the identified symptoms associated with AF (or the treatment of AF) affect the patient’s functionality (subjective

quality of life)? Refer to the table below for descriptions your patient might give.

� Yes

� No

Based on the responses above, assign an SAF Class as defined by the table below.

Mark

Box

SAF Class Definition

Class 0 Asymptomatic with respect to AF

Class 1 Symptoms attributable to AF have minimal effect on patient’s general QOL.

• minimal and/or infrequent symptoms, or

• single episode of AF without syncope or heart failure

Class 2 Symptoms attributable to AF have a minor effect on patient’s general QOL.

• mild awareness of symptoms in patients with persistent/permanent AF, or

• rare episodes (e.g. less than a few per year) in patients with paroxysmal or intermittent AF

Class 3 Symptoms attributable to AF have a moderate effect on patient’s general QOL.

• moderate awareness of symptoms on most days in patients with persistent/permanent AF, or

• more common episodes (e.g. more than every few months) or more severe symptoms, or

both, in patients with paroxysmal or intermittent AF

Class 4 Symptoms attributable to AF have a severe effect on patient’s general QOL.

• very unpleasant symptoms in patients with persistent/paroxysmal AF and/or

• frequent and highly symptomatic episodes in patients with paroxysmal or intermittent AF and/or

• syncope thought to be due to AF and/or

• congestive heart failure secondary to AF

Source: This document was adapted from the Canadian Cardiovascular Society Severity of Atrial Fibrillation (SAF) Scale, published in P. Dorian, P. G. Guerra, C. R. Kerr,

et al. Validation of a New Simple Scale to Measure Symptoms in Atrial Fibrillation: The Canadian Cardiovascular Society Severity in Atrial Fibrillation Scale. Circulation

Arrhythmia and Electrophysiology, 2009, 2;218-224. Available at http://circep.ahajournals.org/content/2/3/218.full.

unit3assignmentinstructions.docx

I attached some info from a patient I had. You can use this info or just make something up. You can let me know what to write on the scoring documents and I can fill them if you are unable to do that

Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for afib management.

Select 1 individual age >64 years of age from your clinical rotation. Review the patient’s EMR. Please maintain HIPAA compliant documentation in your paper and upload it as a Word document.

· Assignment - (45 points) Assignment - Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for afib management. See attached PDF

· ACC Atrial Fibrillation Guidelines: See the document at this link: https://www.acc.org/guidelines/hubs/atrial-fibrillation This guideline is also an attachment to this announcement.

· Combo Calculator Here: https://www.chadsvasc.org/

· HAS-BLED Calculator: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6490831/ and https://pubmed.ncbi.nlm.nih.gov/31028853/

· Anticoagulation Calculation App: https://www.acc.org/anticoagevaluator

1AFTKFunctionalAssessmentScale314121.pdf

Severity of Atrial Fibrillation (SAF) Scale

Use this document to assess and record the symptoms and functionality of patients with atrial fibrillation (AF).

Patient Name: _________________________________

� Step 1 – Symptoms

Identify the presence of the following symptoms (check all that apply):

� Palpitation

� Dyspnea

� Dizziness, presyncope, or syncope

� Chest pain

� Weakness or fatigue

� Other: __________________________

� Step 2 – Association

Is AF, when present, associated with the above-listed symptoms? For example: Ascertain if any of the above

symptoms are present during AF and likely caused by AF (as opposed to some other cause).

� Yes

� No

� Step 3 – Functionality

Do the identified symptoms associated with AF (or the treatment of AF) affect the patient’s functionality (subjective

quality of life)? Refer to the table below for descriptions your patient might give.

� Yes

� No

Based on the responses above, assign an SAF Class as defined by the table below.

Mark

Box

SAF Class Definition

Class 0 Asymptomatic with respect to AF

Class 1 Symptoms attributable to AF have minimal effect on patient’s general QOL.

• minimal and/or infrequent symptoms, or

• single episode of AF without syncope or heart failure

Class 2 Symptoms attributable to AF have a minor effect on patient’s general QOL.

• mild awareness of symptoms in patients with persistent/permanent AF, or

• rare episodes (e.g. less than a few per year) in patients with paroxysmal or intermittent AF

Class 3 Symptoms attributable to AF have a moderate effect on patient’s general QOL.

• moderate awareness of symptoms on most days in patients with persistent/permanent AF, or

• more common episodes (e.g. more than every few months) or more severe symptoms, or

both, in patients with paroxysmal or intermittent AF

Class 4 Symptoms attributable to AF have a severe effect on patient’s general QOL.

• very unpleasant symptoms in patients with persistent/paroxysmal AF and/or

• frequent and highly symptomatic episodes in patients with paroxysmal or intermittent AF and/or

• syncope thought to be due to AF and/or

• congestive heart failure secondary to AF

Source: This document was adapted from the Canadian Cardiovascular Society Severity of Atrial Fibrillation (SAF) Scale, published in P. Dorian, P. G. Guerra, C. R. Kerr,

et al. Validation of a New Simple Scale to Measure Symptoms in Atrial Fibrillation: The Canadian Cardiovascular Society Severity in Atrial Fibrillation Scale. Circulation

Arrhythmia and Electrophysiology, 2009, 2;218-224. Available at http://circep.ahajournals.org/content/2/3/218.full.

unit3assignmentinstructions.docx

I attached some info from a patient I had. You can use this info or just make something up. You can let me know what to write on the scoring documents and I can fill them if you are unable to do that

Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for afib management.

Select 1 individual age >64 years of age from your clinical rotation. Review the patient’s EMR. Please maintain HIPAA compliant documentation in your paper and upload it as a Word document.

· Assignment - (45 points) Assignment - Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for afib management. See attached PDF

· ACC Atrial Fibrillation Guidelines: See the document at this link: https://www.acc.org/guidelines/hubs/atrial-fibrillation This guideline is also an attachment to this announcement.

· Combo Calculator Here: https://www.chadsvasc.org/

· HAS-BLED Calculator: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6490831/ and https://pubmed.ncbi.nlm.nih.gov/31028853/

· Anticoagulation Calculation App: https://www.acc.org/anticoagevaluator

1AFTKFunctionalAssessmentScale314121.pdf

Severity of Atrial Fibrillation (SAF) Scale

Use this document to assess and record the symptoms and functionality of patients with atrial fibrillation (AF).

Patient Name: _________________________________

� Step 1 – Symptoms

Identify the presence of the following symptoms (check all that apply):

� Palpitation

� Dyspnea

� Dizziness, presyncope, or syncope

� Chest pain

� Weakness or fatigue

� Other: __________________________

� Step 2 – Association

Is AF, when present, associated with the above-listed symptoms? For example: Ascertain if any of the above

symptoms are present during AF and likely caused by AF (as opposed to some other cause).

� Yes

� No

� Step 3 – Functionality

Do the identified symptoms associated with AF (or the treatment of AF) affect the patient’s functionality (subjective

quality of life)? Refer to the table below for descriptions your patient might give.

� Yes

� No

Based on the responses above, assign an SAF Class as defined by the table below.

Mark

Box

SAF Class Definition

Class 0 Asymptomatic with respect to AF

Class 1 Symptoms attributable to AF have minimal effect on patient’s general QOL.

• minimal and/or infrequent symptoms, or

• single episode of AF without syncope or heart failure

Class 2 Symptoms attributable to AF have a minor effect on patient’s general QOL.

• mild awareness of symptoms in patients with persistent/permanent AF, or

• rare episodes (e.g. less than a few per year) in patients with paroxysmal or intermittent AF

Class 3 Symptoms attributable to AF have a moderate effect on patient’s general QOL.

• moderate awareness of symptoms on most days in patients with persistent/permanent AF, or

• more common episodes (e.g. more than every few months) or more severe symptoms, or

both, in patients with paroxysmal or intermittent AF

Class 4 Symptoms attributable to AF have a severe effect on patient’s general QOL.

• very unpleasant symptoms in patients with persistent/paroxysmal AF and/or

• frequent and highly symptomatic episodes in patients with paroxysmal or intermittent AF and/or

• syncope thought to be due to AF and/or

• congestive heart failure secondary to AF

Source: This document was adapted from the Canadian Cardiovascular Society Severity of Atrial Fibrillation (SAF) Scale, published in P. Dorian, P. G. Guerra, C. R. Kerr,

et al. Validation of a New Simple Scale to Measure Symptoms in Atrial Fibrillation: The Canadian Cardiovascular Society Severity in Atrial Fibrillation Scale. Circulation

Arrhythmia and Electrophysiology, 2009, 2;218-224. Available at http://circep.ahajournals.org/content/2/3/218.full.

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