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Transcript of Heart Disease
Work & Stress
Job-related advice Mobility Dying Reducing anxiety / fear
Support Groups Sleeping Sexuality Returning to normal
Setting realistic aims
Dealing with complications The Scenario
Reading the labels
Healthy Diet Stress & the heart Dealing with Jim's needs
Shock and denial
Return to work Adequate Sleep!
Unplug Communication Devices
Quiet time Typical Signs & Symptoms Cardiac Rehabilitation There are 4 recognised phases of recovery following a heart attack Cardiac Rehabilitation Phase 2 - Early Post Discharge Period Cardiac Rehabilitation Long-term maintenance of lifestyle issues
CHD clinics / GP Practice
Exercise on prescription if required Cardiac Rehabilitation Phase 1: Inpatient Stage Cardiac Rehabilitation Phase 3 - Following Discharge Needs assessed by MDT:
Emotional Needs Early Post Discharge Care
Patient referred to Community Cardiac Team
Ensure home visit by specialist nurses
Continuation of holistic needs
Suitability for exercise assessment
Patient invited to cardiac exercise programme Formal outpatient cardiac rehab programme
Holistic programme compiled for patient
Exercise, education & relaxation Phase 4 - Moving On Stage Give an account of the pathophysiology of heart disease and relate this to the signs and symptoms of an MI Describe any risk factor modification and health promotion advice that Jim may need from a holistic perspective Question... Discuss the 4 stages of cardiac rehabilitation that Jim will progress through and the multidisciplinary team involvement at each stage Question.... Question.... Effects of tobacco smoke on the heart Smoking & Health Promotion Contact number
NRT Effects of obesity on the heart Alcohol & the heart Maintain level of fitness
Warm up / cool down BMI
Abdominal fat Health Promotion CHD occurs when there is a blockage in one or more of the coronary arteries. Angina
STEMI NSTEMI Coronary Heart Disease NSTEMI/STEMI CHD is a problem in Scotland and can be linked to the high incidence of:
Physical inactivity Prevalence Atherosclerosis is the main cause of CHD
A Staged process
MI Atherosclerosis Effects Continual use over prolonged period
Exceeding recommended limits
Benefits too (SIGN 97) Health Promotion Effects Reduce Intake