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.
Lung cancer that has spread to the liver may not cause any symptoms, and is often discovered when a test, such as a CT scan, is done to look for spread of your cancer. When symptoms are present, they may include pain under your ribs on the right side of your body, loss of appetite, and nausea.