By Catriona Jennings, Alison Mead, Jennifer L Jones, Annie Holden, Susan Connolly, Kornelia Kotseva, David Wood
Heart problems is the most reason behind demise throughout Europe, accounting for over 4 million deaths every year. the most targets of preventive cardiology are to extend the period and increase the standard of a patient's lifestyles, and this indispensible guide offers sensible recommendation on the best way to constitution and run a preventive cardiology programme, addressing the prevention of heart problems in scientific perform via way of life, possibility issue and healing administration of sufferers.
The process defined during this handbook is for sufferers with atherosclerotic heart problems, these at excessive possibility of constructing heart problems and in addition for his or her households to supply the proper aid. it's written by way of the multidisciplinary group who coordinated the EUROACTION demonstration venture in preventive cardiology in eight international locations in Europe, and offers a entire way of life and cardiovascular hazard issue administration technique for all excessive threat sufferers and their households. it really is directed at medical professionals, nurses, dietitians and physiotherapists, actual task experts and different disciplines fascinated with the preventive and rehabilitative care of those sufferers.
The guide takes the pro in the course of the sufferer and relations pathway - from sufferer identity, recruitment of sufferer and relatives, entire evaluation of way of life and cardiovascular hazard components, to administration of way of life switch: preventing smoking, making fit foodstuff offerings, turning into bodily lively, attaining a fit weight and form and administration of blood strain, blood lipids and blood glucose to fit degrees. A programme version is defined including either staff and person one-to-one methods to care. The position of every member of the multi-disciplinary group is defined including the instruments on hand to accomplish way of life and danger issue swap.
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Additional info for Preventive Cardiology: A practical manual
Example text
No Non-smoker Quit Go to last question Now Go to next question Do you intend to quit in 6 months and have you tried to quit for at least 24 hours in the last year? No Pre-contemplation Yes Go to next question If YES, are you ready to quit within 1 month? Yes Preparation No Contemplation If you quit, did you quit within the last 6 months? Yes Action No Maintenance Is the patient ready to stop smoking? Stage of change Non smoker Pre-contemplation Ask about smoking status on ongoing basis Contemplation Preparation Action Maintenance Arrange follow-up 45 46 CHAPTER 4 Multidisciplinary Assessment • Dependence on nicotine: How physically dependent is the patient/ partner on nicotine?
Identifying specific staff at the source referral sites who will liaise with the co-ordinating nurse on the preventive cardiology programme. • Good communication between the co-ordinating nurse and the referral source. • Clear division of responsibilities for those professionals who will play a part in the referral pathway. IT IS IMPORTANT TO . . • Involve others who are delivering care to the same priority groups; for example, existing cardiac rehabilitation programmes or diabetes services. • Join forces with these groups to ensure the provision of integrated care and no duplication of services.
2 The logistics of the multidisciplinary family assessment. • Once the initial assessment is complete, the next stage is to agree goals for lifestyle change and other cardiovascular risk factors with the patient and their partner according to the problems you have identified together during the assessment, and according to their expectations and their priorities. Goal setting is described in more detail in Chapter 5. 1 Outcome measures • Proportions of patients achieving national lifestyle, risk factor and therapeutic targets for cardiovascular disease prevention: • smoking • diet/nutrition • physical activity • overweight/obesity • blood pressure • blood lipids and glucose • diabetes • prophylactic drug therapies • compliance with therapies • Psychosocial • health-related quality of life • risk perception • illness perception • functional limitation • Return to work • Service use 41 42 CHAPTER 4 Multidisciplinary Assessment Assessment of lifestyle The next three sections of this chapter are devoted to describing methodologies for assessing lifestyle habits (smoking, diet, and physical activity).
