Presentation on theme: "HeartWise: Be Sweet to your February 12, 2015 12:15-12:45."— Presentation transcript:
HeartWise: Be Sweet to your February 12, 2015 12:15-12:45
From St. David’s School of Nursing… Dinorah Martinez-Anderson, MSN,APRN,FNP-C Marylyn Kajs-Wyllie MSN,APRN, CNS, CNRN Pamela Willson, PhD,APRN, FNP-C,FAANP
Objectives Identify personal cardiovascular risk factors. Identify your readiness to take actions to reduce cardiovascular risks. Make a personal action plan to manage a risk factor(s).
KNOW YOU NUMBERS 4 There are 3 important numbers that can save your life. 1.Key to Heart Health- Blood Pressure 2.Predictor of Heart Attack- Cholesterol 3.Connection to Heart Disease- Waist Size http://www.webmd.com/heart/features/do-you-know-your-heart-numbers?page=2
Check your Knowledge 5 What is an ideal Blood Pressure?
Blood pressure measures the force of blood pushing outwards on your arterial walls. It's written as two numbers, such as 112/78 mm Hg. High Blood Pressure means the pressure in your arteries is elevated. The top, systolic, number is the pressure when the heart beats. The bottom, diastolic, number is the pressure when the heart rests between beats. http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=highbp Ideal blood pressure is ≤ 120/80 mm Hg
Pre-Hypertension are blood pressures of 120-139 mm Hg systolic and/or 80- 89 mm Hg diastolic. Hypertension are blood pressures of 140 mm Hg systolic and/or 90 mm Hg diastolic or higher. High blood pressure increases the risk for heart attack, angina, stroke, kidney failure and peripheral artery disease (PAD) and death. http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=highbp 7
Check your Knowledge 8 What is an ideal Cholesterol level?
Cholesterol is a waxy substance produced and released into the bloodstream by cells in the liver. The body uses cholesterol to form cell membranes, aid in digestion, convert Vitamin D in the skin and develop hormones. These particles are called lipoproteins. The most important are the HDL, LDL, and Triglycerides. http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=chlscr Ideal Total Cholesterol ≤ 200 mg/dl 10
High density lipoproteins (HDL) are called “good” cholesterol because they remove cholesterol from the bloodstream and the artery walls. A higher HDL score is desirable and will improve your overall cholesterol score. Remember HIGH=FAST=GOOD http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=chlscr Women ≥50 mg/dl Men ≥ 40 mg/dl 11
Low density lipoproteins (LDL) are considered “bad” cholesterol. While they carry needed cholesterol to all parts of the body, too much LDL in the system can lead to coronary artery disease, due to the buildup of LDL deposits in the artery walls. Remember LOW=SLOW=BAD http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=chlscr <100 mg/dl If Diabetic <70 mg/dl 12
Triglycerides are a type of fat that is packaged with cholesterol when the lipoproteins form in the liver cells. Triglycerides are stored in fat all over the body and can be an energy source, like carbohydrates. Your cholesterol scores will show a measurement for triglycerides. A score higher than normal may mean you have a higher chance of developing coronary artery disease. http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=chlscr ≤ 150 mg/dl 13
Waist circumference (distance around the waist) is a common measure used to check for fat held around the stomach. Having extra body fat around the stomach—more than 35 in. (88 cm) for women and more than 40 in. (102 cm) for men—increases your risk for cardiovascular disease, diabetes, metabolic problems, high blood pressure, and abnormal cholesterol. How to measure waist circumference: Place a tape measure around your body at the top of your hipbone. This is usually at the level of your belly button http://www.webmd.com/diet/waist-measurement Ideal measurement: Women ≤35 inches Men ≤40 inches 14
Concerns Problems Risk FactorProblem with self- management InactivityCan’t find time to exercise Eating too much saltDon’t know how much salt is in my food
Readiness Statement Strongly Disagree UnsureAgreeStrongly Agree I really want to take action to manage my risk factors. 01 23 4 At times, I feel overwhelmed about the actions I need to take to manage my risk factors. 43 2 1 0 At times, I wonder if my actions will really improve my health. 43 2 1 0 I know my risk of for cardiovascular disease will increase if I don’t take action to manage my risk factors. 01 23 4 I often think about actions I can take to manage my risk factors. 01 23 4 I’m not just thinking about taking action to manage my risk factors, but I’m already doing something about it. 01 23 4 It is important that I communicate what I want to do to manage my stroke risk factors with my health care team and care givers. 01 23 4 Modified from: Prochaska, DiClemente & Norcross. (1992). In search of how people change. Am Psychol, 47(9),1102-4.
Action Planning Funding: Co-Investigator. Willson, P. PI: Anderson, J., Kent, T. Feasibility of implementing VTEL self-management to prevent stroke (VSTOP) (H-27145). NINR $100,000. [Baylor &VHA IRB] 2010-2013.
What is a Action Plan? Something YOU want to do for yourself Something you can ACHIEVE Something VERY SPECIFIC Something that ANSWERS THESE QUESTIONS: What? How Much? When? How Often? Something you have a CONFIDENCE LEVEL of 7 or more on a 1 – 10 scale of accomplishing
Risk Factor Self-Assessment Tools Heart Attack: know your numbers http://www.heart.org/HEARTORG/Conditions/HeartAttack/HeartAtt ackToolsResources/Heart-Attack- RiskAssessment_UCM_303944_Article.jsp Blood Pressure- know your numbers http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/ WhyBloodPressureMatters/Assess-Your-High-Blood-Pressure- Related-Risks_UCM_301829_Article.jsp Diabetes- know your numbers http://www.heart.org/HEARTORG/Conditions/Diabetes/DiabetesTo olsResources/My-Diabetes-Health Assessment_UCM_313901_Article.jsp 19
References Anderson, J.A., Godwin, K.M., Petersen, N.J., Willson, P.C. (2013). A pilot test of videoconferencing to improve access to a stroke risk-reduction programme for Veterans. Journal of Telemedicine and Telecare, 19(3), 135 – 141. Anderson, J. A., Willson, P., Godwin, K. M., Petersen, N. J., & Kent, T. (2014). Use of a Clinical Video Teleconference (CVT) Technology Model to Implement Patient Self- Management to Prevent Stroke. The Internet Journal of Advanced Nursing Practice. 13(1).
Thank You & Your Thanks You! Contact Us at: Dinorah email@example.com Marylyn firstname.lastname@example.org Pamela Willson, PhD, APRN, FNP-BC, CNE, FAANP email@example.com 21