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Heart Disease

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Diane Mooney

on 27 February 2013

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Transcript of Heart Disease

Jim is a 38 year old self-employed builder who has been admitted to CCU with a NSTEMI. He keeps active playing football, however he has numerous risk factors, including a family history of heart disease. He also has 4 children under the age of 10. Communication is key Coronary Heart Disease Health Promotion & Maintaining a healthy weight Autonomic Nervous System

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

Calorie Counting

Healthy Diet Stress & the heart Dealing with Jim's needs

Shock and denial

Family involvement

Return to work Adequate Sleep!

Forward Planning

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:

Input Care

Physical Needs

Psychological Needs

Social Needs

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

Smoking Cessation

NRT Effects of obesity on the heart Alcohol & the heart Maintain level of fitness

Family activities

Warm up / cool down BMI

Waist circumference

Apple shape

Abdominal fat Health Promotion CHD occurs when there is a blockage in one or more of the coronary arteries. Angina
Myocardial Infarction

STEMI NSTEMI Coronary Heart Disease NSTEMI/STEMI CHD is a problem in Scotland and can be linked to the high incidence of:

Poor diet
Physical inactivity Prevalence Atherosclerosis is the main cause of CHD

A Staged process

Risk factors

Inflammatory Response



MI Atherosclerosis Effects Continual use over prolonged period

Exceeding recommended limits

Benefits too (SIGN 97) Health Promotion Effects Reduce Intake

Family Activities
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