✅ HOME CARE PLAN CHECKLIST FOR DONALD LANDMESSER

💊 Medications

  • Take all medications exactly as prescribed (especially Bumex, metolazone, and heart meds).

  • Watch for side effects like dizziness, very low urine output, or confusion.

  • Keep a medication chart to track what he takes and when.

🧂 Fluid and Salt

  • Low-sodium diet as advised—salt can worsen fluid buildup.

  • Track daily weight (same time each morning): sudden gain (2–3 lbs in 24 hrs or 5 lbs in a week) could mean fluid retention.

  • Follow any fluid restrictions his doctors recommend.

🫁 Breathing

  • Continue oxygen at 2L nasal cannula as needed.

  • Use inhalers and nebulizers (albuterol, levalbuterol, Advair) for COPD relief.

  • Watch for increased shortness of breath, especially at rest or when lying down.

🧻 Bowel Health

  • Constipation is common from opioids and fluid shifts.

  • Use Miralax, suppositories, and fiber per instructions.

  • Report abdominal pain, bloating, or no bowel movement for 2+ days.

💓 Monitoring

  • Watch for:

    • Swelling in legs or belly

    • Fatigue that’s worse than usual

    • New chest pain or pressure

    • Fast or irregular heartbeat

    • Dizziness or fainting

    • Confusion or agitation

    • Changes in urination

🧠 Appointments / Follow-ups

  • Heart failure follow-up with:

    • BWH heart failure clinic or

    • Milford clinic / Dr. Harold Moore

  • TAVR re-evaluation—ask when and what signs would qualify him.

  • GI follow-up after heart status stabilizes (for possible EUS/ERCP).