Coronary Heart Disease

SYMPTOMS
1. Palpatations
2. Sweating
3. Angina
4. Heart attack
5. Nausea
6. Breathlessness
7. Lightheadedness
CAUSES
1. Smoking
2. High blood pressure
3. High cholesterol levels
4. No exercise
5. Diabetes
6. Obesity
TREATMENT
1. Lifestyle changes
  1. Exercise and fitness
  2. Healthy eating
  3. Stop smoking
2. Medicines
  1. Antiplatelets
  2. Statins
  3. Beta blockers
  4. Nitrates
3. Surgery
  1. Coronary angioplasty
  2. Coronary artery bypass graft
  3. Heart transplant
POTENTIAL IMPACTS
1. Financial
  1. May need to take time off work to recover
2. Physical
  1. Difficulty managing diet changes
  2. Difficulty maintaining a diet programme
3. Emotional
  1. Anxious
  2. Worried
  3. Stessed
  4. Upset
4. Intellectual
  1. Unable to concentrate at work/school and learn like others.
5. Social
  1. Withdrawn from family/friends
PATIENT CENTRED APPROACH
1. 6) Care professionals try to recognize ways in which the patient can be responsible for their own healthcare
2. 1) Putting the patient at the centre of the care process
3. 2) Involving the patient in all decisions regarding treatment
4. 3) Showing the patient compassion as they may feel vulnerable
5. 4) Treating the patient with dignity and respect
6. 5) Supporting the patient to make health and/or lifestyle change
7. 7) Enabling the patient to make informed choices and give informed consent
PATIENT CARE PATHWAY
1. 1) CHD risk assessment (risk factors considered, age, type 2 diabetes, stroke)
2. 2) Screening blood tests
3. 3) Refer to cardiac rehabilitation team
4. 4) Treatment medication
5. 5) Lifestyle advice (smoking, exercise, health)
6. 6) Ongoing review
7. 7) If symptoms do not improve, assess surgical interventions
8. 8) Agree written care plan with patient
9. 9) Aftercare, ongoing review

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Coronary Heart Disease

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