Managing Heart Disease at Home: A Complete Guide for Patients and Families

Managing Heart Disease at Home: A Complete Guide for Patients and Families

The chest tightness that won’t quite go away.

The shortness of breath when climbing a single flight of stairs.

The fatigue that makes even simple tasks feel overwhelming.

Heart disease doesn’t announce itself with fireworks. It creeps in gradually, stealing energy and independence piece by piece — until one day, you realize that life has become significantly harder than it used to be.

Heart disease remains America’s #1 killer:

  • 941,652 Americans died from cardiovascular disease in 2022
  • One person dies every 34 seconds from cardiovascular disease
  • 1 in 5 deaths in the United States is caused by heart disease
  • Heart disease kills more people than all cancers and accidents combined
  • $417.9 billion in annual healthcare costs and lost productivity

But here’s what the statistics don’t tell you: With proper management, lifestyle changes, and the right support, millions of Americans live well with heart disease for decades. Modern treatments have dramatically improved outcomes, and much of the day-to-day management happens at home — where the proper support can make all the difference.

This comprehensive guide explains how to manage heart disease at home, what to expect, and how professional caregiving can help you or your loved one live the fullest life possible.


Understanding Heart Disease

What Is Heart Disease?

“Heart disease” is an umbrella term for multiple conditions affecting the heart and blood vessels.

While people often use “heart disease” and “coronary artery disease” interchangeably, heart disease actually encompasses many different conditions — some present from birth, others develop over a lifetime.

The common thread: something prevents the heart from functioning as it should, whether that’s blocked arteries, damaged valves, irregular rhythms, weakened muscle, or structural abnormalities.


Types of Heart Disease

Coronary Artery Disease (CAD) — The Most Common Type

  • Affects approximately 20 million Americans
  • Caused by plaque buildup (atherosclerosis) in the arteries supplying the heart
  • Reduces blood flow to the heart muscle
  • Can lead to angina (chest pain), heart attacks, and heart failure
  • Killed 371,506 Americans in 2022 — the leading cause of heart disease deaths
  • About 1 in 20 adults (5%) aged 20 and older have CAD

Heart Failure

  • The heart can’t pump blood efficiently enough to meet the body’s needs
  • 6.7 million Americans currently live with heart failure
  • 1 in 4 people (24% lifetime risk) will develop heart failure
  • Often develops as a consequence of other heart conditions
  • Projected to affect 11.4 million Americans by 2050

Heart Arrhythmias

  • Abnormal heart rhythms — too fast, too slow, or irregular
  • Includes atrial fibrillation (AFib), the most common severe arrhythmia
  • AFib affects 6+ million Americans and increases stroke risk 5-fold
  • Can range from harmless to life-threatening

Heart Valve Disease

  • One or more heart valves don’t open or close properly
  • Can be present from birth or develop over time
  • May cause the heart to work harder, eventually weakening it
  • Affects approximately 2.5% of the U.S. population

Cardiomyopathy

  • Disease of the heart muscle itself
  • The heart becomes enlarged, thickened, or stiff
  • Can be inherited or caused by other conditions
  • Reduces the heart’s ability to pump blood effectively

Congenital Heart Disease

  • Heart defects present at birth
  • Affects about 1% of babies born each year
  • Advances in treatment mean most children now survive to adulthood
  • Adults with congenital heart disease require lifelong monitoring

Peripheral Artery Disease (PAD)

  • Narrowed arteries reduce blood flow to the limbs
  • Often affects the legs, causing pain with walking
  • Shares risk factors with coronary artery disease
  • Affects approximately 8-12 million Americans

Pericardial Disease

  • Inflammation or other problems with the sac surrounding the heart
  • It can cause chest pain and restrict heart function

Symptoms of Heart Disease

Heart disease symptoms vary depending on the specific condition, but common warning signs include:

Chest-Related Symptoms:

  • Chest pain, pressure, tightness, or discomfort (angina)
  • Pain that spreads to the neck, jaw, throat, shoulder, arm, or back
  • Chest discomfort during physical activity or emotional stress

Breathing and Energy:

  • Shortness of breath during activity or at rest
  • Difficulty breathing when lying flat
  • Unusual fatigue and weakness
  • Decreased ability to exercise

Heart Rhythm:

  • Heart palpitations (racing, fluttering, or pounding)
  • Irregular heartbeat
  • Slow heartbeat
  • Dizziness or lightheadedness
  • Fainting or near-fainting

Circulation Problems:

  • Swelling in legs, ankles, feet, or abdomen
  • Pain, numbness, weakness, or coldness in legs or arms
  • Leg pain when walking that improves with rest (claudication)

Other Warning Signs:

  • Unexplained weight gain (from fluid retention)
  • Persistent cough or wheezing
  • Loss of appetite or nausea
  • Confusion or difficulty concentrating

IMPORTANT: Heart disease symptoms often develop gradually. Many people dismiss early warning signs or attribute them to aging, stress, or being out of shape. Any persistent symptoms warrant medical evaluation.

Heart Attack Warning Signs

Call 911 immediately if you experience:

Chest discomfort lasting more than a few minutes (pressure, squeezing, fullness, or pain)

Pain or discomfort in arms, back, neck, jaw, or stomach

Shortness of breath with or without chest discomfort

Cold sweat, nausea, or lightheadedness

Women may experience different symptoms: More likely to have shortness of breath, nausea/vomiting, and back or jaw pain — sometimes without chest pain.

Time is muscle: The faster treatment begins, the more heart muscle can be saved.


Heart Disease Statistics: 2024-2025 Update

Heart disease remains the leading cause of death in America — and the trends are concerning.

Deaths and Prevalence

Statistic Data
CVD Deaths (2022) 941,652
Deaths per day ~2,580 (1 every 34 seconds)
Percent of all deaths 1 in 5 (20%)
Coronary artery disease deaths (2022) 371,506
Americans with heart failure 6.7 million
Americans with coronary artery disease ~20 million

Lifetime Risk

  • Heart failure: 24% (1 in 4 people)
  • Coronary artery disease: Approximately 40% for men, 30% for women
  • Cardiovascular disease overall: Nearly 50% of adults have some form

Economic Impact

  • Annual cost: $417.9 billion (healthcare + lost productivity)
  • Heart failure alone: $31-39 billion annually
  • Projected 2050 CVD costs: Could reach $858 billion

Concerning Trends (2024-2025)

Rising risk factors:

  • Hypertension and obesity are projected to affect 180+ million Americans by 2050
  • Diabetes projected to affect 80+ million Americans by 2050
  • People with clusters of multiple risk factors have more than doubled since 1999-2002
  • Cardiovascular-kidney-metabolic syndrome — the combination of heart disease, kidney disease, diabetes, and obesity — dramatically increases risk

Disparities:

  • Black, American Indian, and Alaska Native individuals have the highest heart disease mortality rates
  • Heart disease mortality rates for Black individuals have risen faster than for any other group
  • Geographic clustering of deaths in Southern and Midwest states (Mississippi, Louisiana, Arkansas, Oklahoma, Texas, Kentucky, Tennessee, Indiana, Illinois, Wisconsin)

Age trends:

  • Average age of first heart attack: 65.6 years for men, 72.0 years for women
  • Heart disease is increasingly affecting younger populations
  • COVID-19 infection linked to increased cardiovascular risk for up to 3 years after illness

Risk Factors for Heart Disease

Risk Factors You Cannot Change

Age

Risk increases as you get older

Sex

Men have a higher risk at younger ages; women’s risk increases after menopause

Family history

Having a parent or sibling with early heart disease increases your risk

Race/ethnicity

Certain groups have higher rates of heart disease and its risk factors

Previous heart attack or stroke

Significantly increases risk of future events

Risk Factors You CAN Change

These modifiable risk factors are the targets of prevention and treatment:

High Blood Pressure (Hypertension)

  • The “silent killer” usually has no symptoms
  • Forces the heart to work harder
  • Damages blood vessel walls over time
  • Optimal: Less than 120/80 mmHg

High Cholesterol

  • LDL (“bad”) cholesterol builds up in artery walls
  • Low HDL (“good”) cholesterol reduces protection
  • High triglycerides contribute to plaque formation
  • Often has no symptoms until damage is done

Diabetes

  • High blood sugar damages blood vessels and nerves
  • Dramatically increases heart disease risk
  • Often occurs alongside obesity and high blood pressure

Obesity and Overweight

  • Increases strain on the heart
  • Associated with high blood pressure, diabetes, and cholesterol problems
  • Particularly harmful when fat is concentrated around the abdomen

Physical Inactivity

  • Contributes to obesity, high blood pressure, and diabetes
  • Regular activity strengthens the heart and improves circulation

Unhealthy Diet

  • High in saturated fat, trans fat, sodium, and added sugars
  • Low in fruits, vegetables, whole grains, and fiber
  • Contributes to obesity, high cholesterol, and high blood pressure

Smoking and Tobacco Use

  • Damages blood vessel walls
  • Promotes plaque buildup
  • Raises blood pressure and heart rate
  • Reduces oxygen in the blood
  • Leading cause of preventable death

Excessive Alcohol

  • Raises blood pressure
  • Contributes to weight gain
  • Can weaken the heart muscle (cardiomyopathy)

Chronic Stress

  • Raises blood pressure
  • May contribute to unhealthy coping behaviors
  • Associated with inflammation

Poor Sleep

  • Sleep apnea significantly increases cardiovascular risk
  • Chronic sleep deprivation affects blood pressure and metabolism

Life’s Essential 8: The American Heart Association’s Framework for Heart Health

In 2022, the American Heart Association updated its framework for optimal cardiovascular health from “Life’s Simple 7” to “Life’s Essential 8” — adding sleep health as a crucial component.

These eight factors, when optimized, dramatically reduce heart disease risk:

Four Health Behaviors

1. Eat Better

  • Emphasize fruits, vegetables, whole grains, lean proteins, nuts, and seeds
  • Choose non-tropical plant oils (olive, canola)
  • Limit processed foods, added sugars, sodium, and saturated fats
  • Follow Mediterranean, DASH, or plant-based dietary patterns

2. Be More Active

  • Adults: At least 150 minutes of moderate activity OR 75 minutes of vigorous activity per week
  • Children: 60 minutes of activity daily
  • Include muscle-strengthening activities
  • Reduce sedentary time

3. Quit Tobacco

  • Avoid all forms: cigarettes, e-cigarettes, cigars, pipes, hookah, and chewing tobacco
  • Exposure to secondhand smoke is also harmful
  • Quitting at any age provides benefits

4. Get Healthy Sleep (NEW)

  • Adults: 7-9 hours per night
  • Children: Age-appropriate amounts (more for younger children)
  • Quality matters as much as quantity
  • Screen for and treat sleep apnea

Four Health Factors

5. Manage Weight

  • Optimal BMI: Less than 25
  • Maintain a healthy weight through diet and activity
  • Focus on overall body composition, not just scale weight

6. Control Cholesterol

  • Know your numbers (especially non-HDL cholesterol)
  • Optimal levels vary based on individual risk
  • Diet, exercise, and medications as needed

7. Manage Blood Sugar

  • Fasting glucose under 100 mg/dL is optimal
  • Hemoglobin A1c under 5.7% indicates standard blood sugar control
  • Prediabetes and diabetes require active management

8. Manage Blood Pressure

  • Optimal: Less than 120/80 mmHg
  • Monitor regularly at home and at doctor visits
  • Lifestyle changes and medications as needed

Why Life’s Essential 8 Matters

Research shows that achieving higher scores on Life’s Essential 8:

  • Reduces cardiovascular disease risk by up to 80%
  • Reduces all-cause mortality significantly
  • Reduces risk of cancer, dementia, and other conditions
  • Benefits extend to all ages and populations

The sobering reality: Less than 1% of U.S. adults meet “ideal” criteria for all health behaviors.


Medical Treatment for Heart Disease

Medications

Heart disease treatment typically involves multiple medications working together:

Cholesterol-Lowering Medications:

  • Statins — First-line treatment; high-intensity therapy recommended for most heart disease patients
  • Ezetimibe — Added when statins alone aren’t enough
  • PCSK9 inhibitors — For very high-risk patients who need additional LDL lowering

Blood Pressure Medications:

  • ACE inhibitors and ARBs — Relax blood vessels; protect the heart and kidneys
  • Beta-blockers — Slow heart rate; reduce the heart’s workload
  • Calcium channel blockers — Relax blood vessels
  • Diuretics — Reduce fluid and blood pressure

Blood Thinners:

  • Aspirin — Low-dose daily for many heart disease patients
  • P2Y12 inhibitors (clopidogrel, ticagrelor) — Often used with aspirin after stents or heart attacks
  • Anticoagulants (warfarin, DOACs) — For atrial fibrillation and blood clot prevention

Heart Failure Medications:

  • SGLT2 inhibitors — NEW breakthrough; reduce hospitalizations 25-30%; now recommended across all types of heart failure
  • ARNIs (sacubitril/valsartan) — Superior to older medications for heart failure
  • Beta-blockers — Improve heart function over time
  • Mineralocorticoid receptor antagonists — Reduce fluid retention and improve survival

Other Medications:

  • Nitrates — Relieve angina by opening blood vessels
  • Ranolazine — For chronic angina
  • Colchicine — NEW: Reduces cardiac events in patients with prior heart attacks
  • GLP-1 receptor agonists — For patients with diabetes, reduce cardiovascular events

Procedures and Surgeries

Percutaneous Coronary Intervention (PCI/Angioplasty with Stenting)

  • Catheter-based procedure to open blocked arteries
  • Stents (small metal mesh tubes) keep arteries open
  • Often performed during or after heart attacks

Coronary Artery Bypass Grafting (CABG)

  • Open-heart surgery to bypass blocked arteries
  • Uses blood vessels from other parts of the body
  • Typically, for severe or complex blockages

Heart Valve Surgery

  • Repair or replace damaged heart valves
  • Can be done through open surgery or minimally invasive approaches
  • Transcatheter valve replacement (TAVR) is an option for some patients

Implantable Devices:

  • Pacemakers — Regulate slow or irregular heart rhythms
  • Implantable cardioverter-defibrillators (ICDs) — Prevent sudden cardiac death
  • Cardiac resynchronization therapy (CRT) — Coordinates the heart chambers in heart failure

Advanced Therapies:

  • Left ventricular assist devices (LVADs) — Mechanical pumps for advanced heart failure
  • Heart transplant — For end-stage heart failure when other treatments fail

Cardiac Rehabilitation

Cardiac rehabilitation is one of the most underutilized but effective treatments for heart disease.

Programs typically include:

  • Supervised exercise training
  • Education on heart-healthy living
  • Nutritional counseling
  • Risk factor management
  • Stress management and psychosocial support

Benefits:

  • 21-34% lower mortality in patients who participate
  • Improved functional capacity
  • Better quality of life
  • Reduced hospitalizations
  • Effective whether delivered in-person or at home

Coverage: Medicare covers cardiac rehabilitation for qualifying conditions.


Managing Heart Disease at Home

Medical treatment provides the foundation, but day-to-day management occurs at home.

Medication Management

Taking medications correctly is essential — heart disease medications only work if taken as prescribed.

Challenges many patients face:

  • Multiple medications with different schedules
  • Side effects that may tempt skipping doses
  • Forgetting doses, especially when feeling well
  • Cost and access issues
  • Confusion about the purpose of each medication

Strategies for success:

Use a pill organizer — Weekly organizers with compartments for each day and time

Set reminders — Phone alarms, apps, or caregiver prompts

Take medications at the same time daily — Link to existing routines (meals, bedtime)

Keep a medication list — Include names, doses, timing, and purpose

Understand your medications — Know why you take each one and potential side effects

Never stop medications without talking to your doctor — Even if you feel fine

Report side effects — There are often alternatives if one medication causes problems

Coordinate refills — Don’t run out; consider automatic refills or 90-day supplies

Heart-Healthy Eating

Diet is one of the most powerful tools for managing heart disease.

Dietary patterns that protect the heart:

Mediterranean Diet:

  • Abundant fruits, vegetables, whole grains, legumes
  • Olive oil is the primary fat source
  • Fish at least twice weekly
  • Limited red meat
  • Moderate wine (optional)
  • Associated with 23% reduction in all-cause mortality and 27% reduction in cardiovascular mortality in older adults

DASH Diet (Dietary Approaches to Stop Hypertension):

  • Emphasizes fruits, vegetables, and whole grains
  • Includes low-fat dairy, lean proteins
  • Limits sodium, sweets, and red meat
  • Proven to lower blood pressure

Plant-Based Patterns:

  • Focus on vegetables, fruits, whole grains, legumes, and nuts
  • Limit or eliminate animal products
  • Associated with reduced cardiovascular risk

Key Principles for Heart-Healthy Eating:

Limit sodium — Less than 2,000 mg per day (about one teaspoon of salt)

  • Choose fresh or frozen foods over canned ones
  • Cook at home more often
  • Read labels carefully
  • Use herbs and spices instead of salt

Choose healthy fats

  • Emphasize olive oil, nuts, avocados, fatty fish
  • Limit saturated fat (red meat, full-fat dairy, butter)
  • Avoid trans fats (partially hydrogenated oils)

Eat more fiber

  • Fruits, vegetables, whole grains, legumes
  • Fiber helps lower cholesterol and blood sugar

Limit added sugars

  • Sugary drinks, desserts, and candy
  • Check labels for hidden sugars

Control portions

  • Especially important for weight management
  • Use smaller plates; measure portions

Eat plenty of fruits and vegetables

  • Aim for 4-5 servings of each daily
  • Variety of colors for different nutrients

Physical Activity

Exercise is medicine for heart disease — proven to improve symptoms, function, and survival.

Benefits of regular activity:

  • Strengthens the heart muscle
  • Improves circulation
  • Lowers blood pressure
  • Improves cholesterol levels
  • Helps control weight
  • Reduces stress and improves mood
  • Improves blood sugar control

Recommendations:

  • 150 minutes per week of moderate activity (brisk walking, swimming, cycling)
  • OR 75 minutes per week of vigorous activity
  • Muscle-strengthening activities 2+ days per week
  • Reduce sitting time throughout the day

Starting safely with heart disease:

Get clearance from your doctor — Ask about appropriate activity levels

Start slowly — Even 5-10 minutes is beneficial if you’re currently inactive

Increase gradually — Add time and intensity over weeks and months

Listen to your body — Stop if you experience warning symptoms

Consider cardiac rehabilitation — Supervised exercise with professionals

Find activities you enjoy — You’re more likely to stick with them

Warning signs to stop exercising:

  • Chest pain or pressure
  • Excessive shortness of breath
  • Dizziness or lightheadedness
  • Unusual fatigue
  • Irregular heartbeat
  • Nausea

Weight Management

Maintaining a healthy weight reduces strain on the heart and improves all cardiovascular risk factors.

Strategies:

  • Combine healthy eating with regular physical activity
  • Set realistic goals (1-2 pounds per week is sustainable)
  • Focus on lifestyle changes, not quick fixes
  • Consider working with a registered dietitian
  • Discuss newer weight-loss medications with your doctor if appropriate

Stress Management

Chronic stress contributes to heart disease through multiple pathways.

Stress management techniques:

  • Regular physical activity
  • Relaxation techniques (deep breathing, meditation, yoga)
  • Adequate sleep
  • Social connections
  • Time in nature
  • Limiting news and social media consumption
  • Professional counseling when needed

Sleep

Sleep is now recognized as a key component of cardiovascular health.

Recommendations:

  • 7-9 hours per night for adults
  • Consistent sleep schedule
  • Dark, quiet, cool bedroom
  • Limit screens before bed
  • Avoid caffeine and alcohol close to bedtime

Sleep apnea and heart disease:

  • Very common in heart disease patients
  • Significantly worsens cardiovascular outcomes
  • Often undiagnosed
  • Treatable with CPAP or other therapies
  • Ask your doctor if you snore, feel tired despite sleeping, or wake gasping

Smoking Cessation

Quitting smoking is the single most important thing a smoker can do for heart health.

Benefits begin immediately:

  • Heart rate and blood pressure drop within 20 minutes
  • Carbon monoxide levels normalize within 12 hours
  • Circulation improves within weeks
  • Heart attack risk drops significantly within 1 year
  • Risk continues to decline over time

Resources:

  • 1-800-QUIT-NOW (free counseling and support)
  • Nicotine replacement therapy (patches, gum, lozenges)
  • Prescription medications (varenicline, bupropion)
  • Support groups and counseling
  • Mobile apps

Monitoring and Follow-Up

Regular monitoring helps catch problems early.

Keep all medical appointments — Don’t skip follow-ups, even if you feel fine

Monitor blood pressure at home — Record readings to share with your doctor

Weigh yourself regularly — Sudden weight gain may indicate fluid retention

Know your numbers — Blood pressure, cholesterol, blood sugar

Track symptoms — Note any changes to discuss with your doctor

Get recommended tests — Blood work, ECGs, stress tests, imaging as directed

Stay current on vaccinations — Flu, pneumonia, COVID-19 (heart disease increases infection risk)


How Home Care Helps Manage Heart Disease

Living with heart disease presents daily challenges that can make independence difficult.

Fatigue makes everything harder—shortness of breath limits activity. Managing multiple medications is confusing. Preparing heart-healthy meals takes energy you don’t have. And attending frequent medical appointments requires transportation.

Professional home care provides the support that enables successful heart disease management.

Medication Management Support

Medication reminders — Ensuring all doses are taken correctly and on time

Pill box organization — Setting up weekly medication organizers

Pharmacy coordination — Picking up prescriptions and managing refills

Side effect monitoring — Noticing changes that should be reported to the doctor

Medication list maintenance — Keeping an updated list for medical appointments

Heart-Healthy Meal Preparation

Low-sodium cooking — Preparing delicious meals without excess salt

Meal planning — Creating weekly menus following dietary guidelines

Grocery shopping — Selecting appropriate foods and reading labels

Portion control — Preparing appropriate serving sizes

Special diet accommodation — Diabetic, low-cholesterol, or other restrictions

Hydration support — Ensuring adequate fluid intake

Daily Monitoring

Weight tracking — Daily weigh-ins to catch fluid retention early

Blood pressure monitoring — Regular checks and recording readings

Symptom observation — Noting changes in energy, breathing, or swelling

Activity monitoring — Tracking how much activity is tolerated

Early warning recognition — Knowing when to call the doctor

Physical Activity Support

Walking companionship — Safe exercise with someone present

Exercise encouragement — Motivation to stay active

Activity pacing — Helping balance rest and activity

Post-rehabilitation support — Continuing exercises from cardiac rehab

Safety during activity — Monitoring for warning signs

Personal Care Assistance

Heart disease symptoms make basic self-care exhausting. Caregivers help with:

Bathing and showering — Safely, with rest breaks as needed

Dressing — Including support stockings for swelling

Grooming — Personal hygiene tasks

Mobility assistance — Safe transfers and walking support

Energy conservation — Pacing activities throughout the day

Light Housekeeping

When you’re fatigued and short of breath, household tasks become impossible:

Laundry — Including changing bed linens

Light cleaning — Maintaining a safe, clean environment

Kitchen cleanup — Dishwashing and sanitizing

Organization — Keeping spaces clear to prevent falls

Meal cleanup — So you can rest after eating

Transportation

Doctor appointments — Cardiology, primary care, specialists

Cardiac rehabilitation — Getting to and from exercise sessions

Lab appointments — Blood work monitoring

Pharmacy visits — When prescriptions need pickup

Social outings — Maintaining connections and quality of life

Companionship and Emotional Support

Heart disease takes an emotional toll. Depression affects up to 40% of heart patients and worsens outcomes.

Conversation and company — Reducing isolation

Emotional support — Understanding and encouragement

Social engagement — Activities that improve mood and outlook

Cognitive stimulation — Games, reading, discussions

Respite for Family Caregivers

Family members providing heart disease care experience significant stress:

Breaks for family caregivers — Time to rest and recharge

Peace of mind — Knowing their loved one is safe

Prevention of caregiver burnout, which affects everyone

Why Home Care Makes a Difference

Research shows:

  • Proper self-care management reduces hospitalizations
  • Medication adherence improves outcomes and survival
  • Social support reduces depression and enhances recovery
  • Adequate nutrition supports healing and energy
  • Regular monitoring catches problems before they become crises

Home care provides the structure and support that makes excellent self-care possible — especially for those living alone, whose family members work, or who need more help than family can provide.


Living Well with Heart Disease

A heart disease diagnosis changes your life — but it doesn’t have to end it.

Millions of Americans live active, fulfilling lives for years and even decades after diagnosis. The keys are:

Partner with your healthcare team — Take an active role in your care

Take medications as prescribed — They work only if you take them

Follow lifestyle recommendations — Diet, exercise, and healthy habits make a real difference

Monitor your condition — Know your numbers and warning signs

Get support when needed — You don’t have to do this alone

Stay positive but realistic — Hope is powerful medicine


We Can Help

At All Heart Home Care, we understand the daily challenges of living with heart disease — and we’re here to help.

Our caregivers provide:

Medication reminders and organization — Ensuring you take the proper medications at the correct times

Heart-healthy, low-sodium meal preparation — Delicious food that follows your dietary guidelines

Daily monitoring — Weight, blood pressure, and symptom tracking

Personal care assistance — Bathing, dressing, grooming support

Light housekeeping — Maintaining a clean, safe home

Transportation — To medical appointments, cardiac rehab, pharmacy

Exercise companionship — Safe walking and activity support

Companionship — Emotional support and social engagement

Respite care — Giving family caregivers essential breaks

Our rates begin at $37/hour, with transparent pricing and no hidden fees.

Call us at (619) 736-4677 for a free consultation.

Because living well with heart disease is possible — with the proper support by your side.


Resources

Heart Disease Information:

Life’s Essential 8:

Smoking Cessation:

Cardiac Rehabilitation:

  • Ask your doctor about Medicare-covered cardiac rehab programs

Emergency:

  • Call 911 for heart attack warning signs

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About the author

Eric Barth, co-founder and CEO of All Heart Home Care San Diego

Eric Barth

CEO, All Heart Home Care

Eric Barth is the founder and CEO of All Heart Home Care™, an award-winning San Diego agency dedicated to providing compassionate, personalized in-home care for seniors. As the writer behind the All Heart Home Care blog, Eric shares insights and stories drawn from years of hands-on experience leading one of San Diego’s most trusted home care teams.

Additional FAQ's on Digital Home Care System

Yes. HITRUST CSF Certified security—same gold standard hospitals use. More secure than paper.

Extremely rare (99.9% uptime), but caregivers can work in offline mode if connectivity is temporarily lost. Care continues without interruption. Documentation syncs automatically when connection returns.

Caregivers document throughout their shift in real-time. Notes are typically finalized and visible in Family Room within minutes of the caregiver clocking out.

We can set up Family Room accounts for as many family members as you want—local siblings, children in other states, anyone you authorize. Everyone sees the same information. No limit on number of accounts.

Yes. Family Room includes secure document storage. Upload medical records, insurance cards, POLST forms, medication lists, doctor’s instructions, photos—anything important. All authorized family members can access these documents. No more searching for forms.

We update the digital care plan immediately, and all caregivers receive instant notification of changes. This is one of the biggest advantages over paper—updates reach everyone simultaneously, not gradually over days or weeks.

Absolutely. Family Room is a tool for families who want it, not a replacement for human connection. We’re always reachable by phone at (619) 736-4677. Many families use both—portal for quick updates, phone calls for detailed conversations.

We train every caregiver on the WellSky mobile app before their first shift. The app is intuitive—designed specifically for caregivers, not engineers. If someone can text and use GPS navigation, they can use our caregiver app. And we provide ongoing support.

Yes. The Family Room care calendar shows upcoming shifts with caregiver names and times. You’ll know exactly who’s coming and when. No more surprise caregiver switches.

Use the two-way messaging feature in Family Room. Send your message, and the caregiver receives an instant notification on their mobile app. They’ll see it and can respond or confirm receipt immediately.

Yes. All notes are searchable. Want to see every mention of “appetite” from the past month? Type it in the search bar and find all relevant notes instantly. No more flipping through pages of handwritten entries.

You can access the complete care history from the day Family Room access began. Review notes from last week, last month, or since care started. Historical data helps identify patterns over time.

Family members cannot delete caregiver documentation—that’s protected and maintained by All Heart for record-keeping purposes. You can delete your own uploaded documents, but we can often recover those if needed within a certain timeframe.

With your authorization, we can provide limited Family Room access to healthcare providers. This allows better coordination between home care and medical teams. You control exactly who has access and what they can see.

Family Room works both ways. You can access it through any web browser (Chrome, Safari, Firefox, Edge) on your computer, or download the mobile app for easier access on your phone or tablet. Your choice.

All authorized Family Room users see the same care information—we can’t create different access levels for different family members. However, you (as the primary contact) control who gets Family Room access in the first place. If family dynamics are challenging, you decide who receives login credentials.

The messaging system shows when messages are delivered and read. You’ll see confirmation that the caregiver received and opened your message. For critical information, you can also call our office to ensure the message was received.

Yes. You can print individual shift notes, date ranges, or specific types of documentation (like Change of Condition reports) directly from Family Room. Useful for doctor appointments or insurance purposes.

If your loved one transitions to hospice, hospital, or another care setting, we can maintain your Family Room access for a transition period so you have complete records. After care ends, we provide a final data export if requested, then access is closed according to your wishes and legal requirements.

Yes. Family Room is accessible from anywhere with internet connection. If you’re traveling abroad, you can still check on your loved one’s care. The system works globally.

Family Room doesn’t support selective information sharing—all authorized users see the same care documentation. For private family communications, you’d need to use personal email, phone, or text outside the Family Room system.

Change of Condition reports automatically alert you when caregivers document significant health changes. For custom alerts (like specific behaviors or situations), talk to our office—we may be able to add special flags to your loved one’s care plan that trigger notifications.

We typically set up Family Room access during your initial care planning meeting, before the first caregiver shift. You’ll have login credentials and a brief tutorial on how to use the portal. Most families are viewing their first shift notes within 24 hours of care beginning.

Complete Security & Privacy Information

HITRUST CSF Certification - What This Means

HITRUST CSF (Common Security Framework) is the most rigorous security certification in healthcare. It's harder to achieve than HIPAA compliance alone. This certification requires:

Why it matters: If it’s secure enough for hospital patient records, it’s secure enough for your loved one’s care information.

Bank-Level Encryption Explained

Data in Storage (At Rest):

Data in Transmission (In Transit):

What this means: Even if someone intercepted the data (extremely unlikely), they would only see scrambled, unreadable information.

Strict Access Controls

Who Can See What

Family Member Access:

Caregiver Access:

Staff Access:

Audit Trail:

HIPAA Compliance - Federal Protection

The Health Insurance Portability and Accountability Act (HIPAA) establishes federal standards for protecting health information. Our compliance includes:

Privacy Rule Compliance:

Security Rule Compliance:

Breach Notification:

Business Associate Agreements:

Continuous Backup & Disaster Recovery

Automated Backups:

Redundancy:

Disaster Recovery Plan:

What this guarantees: Your loved one’s care information is never truly lost. Even if an entire data center were destroyed, complete backups exist elsewhere.

99.9% Uptime Guarantee

What “99.9% uptime” means:

Monitoring:

If the system goes down:

Multi-Factor Authentication (Optional)

For families who want extra security, we can enable multi-factor authentication (MFA):

Mobile Device Security

Caregiver Phones:

Your Devices:

Security Incident Response

In the extremely unlikely event of a security concern:

Digital vs. Paper Security Comparison

Security Concern
Paper Binders
WellSky_Color

Who can read it?

Anyone who enters the home

Only authorized users

Can it be lost?

✔︎ — permanently

— backed up continuously

Can it be damaged?

✔︎ — spills, fires, floods

— stored digitally

Is access tracked?

✔︎ Access logged & audited

Encryption protection?

✔︎ — bank-level encryption

Updates reach everyone?

— printing/distribution delays

✔︎ — instant notification

Survives disasters?

✔︎ — redundant backups

HIPAA compliant?

— difficult to prove

✔︎ — certified & audited

Can be accidentally discarded?

✔︎

— requires a password

Verdict: Digital is significantly more secure than paper in every measurable way.

Common Security Questions

"What if I forget my password?"

Secure password reset process via email or phone verification. We verify your identity before resetting access.

"Can hackers access the system?"

Multiple layers of security make unauthorized access extremely difficult. Regular penetration testing simulates attacks to identify and fix vulnerabilities before hackers can exploit them.

"What if my phone is stolen?"

Change your password immediately from any other device. The thief would still need your password to access Family Room.

"Can All Heart staff see my credit card information?"

No. Payment processing is handled by a separate, PCI-compliant payment processor. We never see or store your full credit card number.

"What happens to the data if I stop using All Heart?"

Your data is retained according to legal requirements (typically 7 years for healthcare records), then securely deleted. You can request a copy of your data at any time.

This isn’t just secure—it’s among the most secure systems available in healthcare.

Your information is safer in our digital system than it ever was in a paper binder sitting on a kitchen counter.

Complete Care Plan Contents:

Care Goals & Priorities

Emergency Contact Information

Medical Conditions & Health History

Mental Health & Cognitive Status

Medications & Supplements

Mobility & Transfers

Personal Care Routines

Meal Preparation & Dietary Needs

Daily Routines & Schedules

Activities & Engagement

Home Environment Details

Transportation & Driving

Additional Important Information

This comprehensive information ensures every caregiver provides consistent, personalized care from day one.

Tracking health changes that matter.

The Change of Condition form documents significant shifts in your loved one’s health—new symptoms, changes in mobility, behavioral differences, or improvements in their condition. This isn’t about minor day-to-day variations; it’s about meaningful changes that physicians, families, and caregivers need to know about.

Why have a separate form for this?

Instead of searching through weeks of caregiver narratives to find when symptoms started or conditions changed, this form puts all significant health changes in one easy-to-reference place. When doctors ask “when did the difficulty walking begin?” or family members want to understand the progression of a condition, you’ll have clear, dated documentation right at your fingertips.

What gets documented:

Each entry includes:

Why this form matters:

Early detection changes outcomes. When caregivers notice something different—increased confusion, difficulty walking, loss of appetite, or even positive improvements like better mobility—documenting it immediately allows for faster responses.

Your family stays informed about meaningful health changes. Physicians receive accurate updates during appointments instead of relying on memory. Incoming caregivers know exactly what’s changed and what new precautions or assistance your loved one needs.

One form. Complete health timeline. Better care.

Whether tracking a temporary change after a fall or documenting the progression of a chronic condition, the Change of Condition form creates a clear health timeline. This helps everyone—doctors, family members, and our San Diego caregiver team—understand how your loved one’s needs are evolving and respond appropriately.

Proactive monitoring isn’t just good practice. It’s essential senior care.

How the Caregiver Narrative works.

Each caregiver documents their shift using a simple timeline format that captures the essential details of your loved one’s day. This structured approach ensures consistency across all caregivers and makes information easy to find.

What we document in every narrative:

Narrative Format:

Each entry follows this structure:

Why this format works:

This timeline approach provides clear, chronological documentation that’s easy for incoming caregivers to read and understand. Instead of wondering what happened during the previous shift, they can see exactly what your loved one ate, how they felt, what activities they enjoyed, and any health changes observed.

One record. Every shift. Complete continuity.

Whether care is short-term, long-term, or evolving, the Caregiver Narrative ensures nothing gets missed and nothing gets repeated. Your family can review the journal at any time during visits, or we can share photos of recent narratives with long-distance family members who want to stay connected and informed.

Complete transparency and peace of mind, right when you need it.

Your loved one's complete care roadmap, now available digitally.

The All Heart Customized Care Plan is completed during your initial assessment and tailored to your loved one’s specific needs, preferences, mobility level, and safety requirements.

Now fully digital and accessible on every caregiver’s phone.

We’ve gone paperless. Your care plan is accessible through our digital platform—caregivers reference it anytime, anywhere. Updates happen in real-time, so when something changes, every caregiver sees it immediately.

What's included:

Care goals, emergency contacts, medical conditions, mental health & cognitive status, medications & supplements, mobility & transfers, personal care routines, meal prep & dietary needs, daily routines, activities & engagement, and home environment details.

One plan. Every caregiver. Consistent care.

This digital approach ensures every San Diego caregiver has the same accurate, up-to-date information from day one—promoting safety, continuity, and person-centered care.

See how we organize care information. This form becomes your loved one’s digital care roadmap.