Our unit patient population consists of advanced heart failure and stroke diagnoses including, advanced Heart Failure (HF), MI, Pre/Post Cardiac Catheterization and/or intervention, Pre/Post Pacer/ICD placement, Stroke patients post TNK after an ICU stay, those not eligible for TNK, ruling out for Stroke/TIA, and medical issues including COPD, Pneumonia, ACS, chest Pain and patients requiring inotropic or vasodilator support to enhance diuresis. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process.