SNF PEPPER Reports Available for Download. To obtain your SNF's PEPPER, the Chief Executive Officer, President, or Administrator of your SNF should: 1. Review the Secure PEPPER Access Guide. 2. Visit the Secure PEPPER Access page at PEPPERresources.org. 3. Review the instructions and obtain the information required to authenticate access. 4. Click on the button to Access the Secure Portal. 5.
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: Shortness of breath (dyspnea) when you exert yourself or when you lie down.
Since the blood is coming to the right side of the heart from the body this is where blood can pool. Signs & Symptoms of Right Side Heart Failure: 1  Swelling in the feet, ankles and legs. 2  Distended abdomen or bloating. 3  Fatigue. 4  Shortness of breath, especially while walking or bending over to put on one's shoes.ince the blood is coming to the left side from the lungs, this is where the blood can get pooled. Signs & Symptoms of Left Side Heart Failure: 1  Shortness of breath, especially while walking or bending over to put on one's shoes. 2  Fatigue. 3  Dizziness, lightheadedness.