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.
Signs and Symptoms of Right Side Abdominal Pain. 1  Appendicitis - extreme pain in the lower right side, nausea, vomiting and low grade fever. 2  Gallstones - pain will be felt in the upper right side of the abdomen and will travel to the right upper back, shoulder and chest. In addition, nausea and vomiting are present. Ectopic pregnancy - pain in right side or left without any fever or vomiting.