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.
Congestive heart failure can affect the right side, left side or both sides of the heart. When the right side of the heart begins to function less efficiently, it is unable to pump much blood into the vessels of the lungs.hen the left side of the heart fails, it is unable to pump blood to the body efficiently. Blood begins to back up into the vessels in the lungs and the lungs become stressed. Breathing becomes faster and more difficult.