heart disease
TRANSCRIPT
© 2014 Griswold International, LLC
The Griswold Solutions SeriesTM
Older Adults and HeartDiseaseGetting to theHeart of the Matter
© 2014 Griswold International, LLC
AmericanHeartMonthProclamation2014
“Maintaining a strong heart is key to a
long and healthy life. The number one killer of American men and
women, cardiovascular disease is responsible for one out of every four deaths in the United States. During
American Heart Month, we renew our fight, both as a Nation and in each of our
own lives, against the devastating epidemic of heart disease.”
President Barack Obama
© 2014 Griswold International, LLC
The American Heart Association reports that the number of Americans with heart disease has increased to an estimated 16.3 million, more than half of whom are 65 or older.
16,300,000
© 2014 Griswold International, LLC
Our Goals for Today• Learn about the nature and impact of heart disease in older adults
• Understand how to diagnose and treat heart disease in older adults
• Learn from the stories and experiences of an experienced cardiac nurse
• Access a Fight Heart Disease Toolkit that offers innovative tools/resources for clients and their family/professional caregivers
© 2014 Griswold International, LLC
Presented by:
Dianne J. Kelly, RNCardiac Cath Lab Assistant ManagerOur Lady of Lourdes Medical Center
Chris Kelly, MEd Director of Learning & DevelopmentGriswold Home Care
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Thank you for your courage, energy, and dedication!
Professional CaregiversHealthcare Providers
Family Caregivers Older Adults Livingwith Heart Disease
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Brainwriting is…• a fun, engaging way to brainstorm• sharing as many ideas as possible within a short timeframe Brainwriting Process• Listen for our questions• When prompted, enter your solutions using the webinar chat function• Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes• Peer-to-peer learning and sharing• A publication that benefits others who are living with heart disease Important• Avoid sharing any information that you would not want others to see
BRAIN WRITINGSolutions
Orange Arrow Button: Minimizes or expands the GoToWebinar control panel.
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Learn about Heart Disease
• Heart disease – also called cardiovascular disease and coronary artery disease is a term used to describe several conditions
• The most common cause of heart disease is plaque buildup in the walls of the arteries of the heart
Normal Artery
NormalBlood Flow
Artery WallNarrowed Artery
AbnormalBlood Flow
Artery Wall
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Other Forms of Heart Disease
• Heart failure
• Arrhythmia –or irregular heartbeat
• Heart valve problem
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Heart Disease Risk Factors
Tool: NIH Heart DiseaseRisk Factors http://1.usa.gov/1fwFpIe
High bloodpressure
High cholesteroldiet
Smoking Beingoverweight
Diabetes
Being physicallyinactive
Having a familyhistory of earlyheart disease
Age (55 orolder forwomen)
- Lou Gehrig
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http://bit.ly/N6VJsc http://bit.ly/1cWg3CQ
Watch, Learn and Live
Heart Attack Heart Failure
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Symptoms of Heart Failure
Shortness of breath (also called dyspnea) – especially while lying flat
Waking up tired
Persistent coughing or wheezing
Swelling of the legs (also called Peripheral edema)
Feeling anxiousand restless
© 2014 Griswold International, LLC
Symptoms of a Heart Attack
Chest pain(also called “angina”)
Pain in jaw, arm,back and/or neck
Pallor (gray orpale skin tone)
Indigestionor nausea
Shortness of breath
Breaking out in a cold sweat
© 2014 Griswold International, LLC
Diagnosing Heart Disease
A Physical Exam
ExerciseStress Test(or treadmill)
Echocardiogram(ultrasound of heart)
Blood tests
Imaging: ChestX-ray, CT Scan
CardiacCatheterization
An Electrocardiogram (ECG or EKG) - a medical device thatmakes a graphicalrecord of the heart's electrical activity.
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Medical Treatments
Medication
Angioplasty/Stent Surgery
Aspirin (thins blood)
Beta blockers(control heartrate/blood pressure)Statins (Lowercholesterol)ACE Inhibitors(control blood pressure)
Diuretics (preventexcess fluid in the body)Calcium channel blockers(control blood pressure/rhythm)NitratesAnti-Platelet(prevents platelets fromclumping together
Coronary arterybypass (fixesmultiple blockages)
(Insert a balloon inblocked artery andmetal “scaffold” tokeep it open)
© 2014 Griswold International, LLC
Non-Medical Treatments
Eating healthy foods
Stress reduction
Staying active
Smoking cessation
Tools:AHA Nutrition/Stay Active Center
http://bit.ly/1cuJtLM http://bit.ly/1bPna5A
© 2014 Griswold International, LLC
Heart Health Care Team
Cardiologist
CardiothoracicSurgeon
NursePractitioner
(NP)
Physician’sAssistant (PA)
CardiacNurse
Cardiovascular/RadiologicalTechnologist
ExercisePhysiologist
CardiacRehab
Therapist
Dietician
Non-medicalhome care
© 2014 Griswold International, LLC
“Despite clear benefits of Cardiac Rehab in older adults…the vast majority of older patients do not
participate…the cumulative effect of these factors is abysmally poor Cardiac
Rehab use rates among older adults.”
Excerpt from the “Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults: A Scientific Statement from the American Heart Association.”
CardiacRehab forOlder Adults
http://bit.ly/1ebrExDSource:
© 2014 Griswold International, LLC
Tool: What is Cardiac Rehab?http://bit.ly/1ezjmiU
About Cardiac Rehabilitation
• Help people recover from heart attacks/surgery and heart procedures such as stent and angioplasty
• Provide education and counseling services
• Help people to stay active and fit
• Reduce cardiac symptoms
• Improve overall health and quality of life
• Reduce the risk of future heart problems
Cardiac rehab can …
© 2014 Griswold International, LLC
Living withHeart Disease
Fight Heart DiseaseAction Plan and Toolkit
© 2014 Griswold International, LLC
Emotional challenges(anxiety, depression)
Fear of death(“Walking time bomb”)
Isolation Family stress
Physical pain,discomfort and fatigue
Financial challengesdue to medical billsand lost wages
Heart disease in older adults can cause:
Living with Heart Disease
© 2014 Griswold International, LLC
Fighting Heart Disease Action Plan
Work with your care team Join a support group
Keep your appointments Ask about cardiac rehab
Follow treatment planas prescribed Quit smoking
Get involved (Advocacy) Relaxation (Tai Chi,Meditation, Massage)
Eat healthy foods Stay active
© 2014 Griswold International, LLC
Key Takeaways
Surround yourself with an expert, supportive cardiaccare team
Emotional issues are common but can be overcomethrough education, support and advocacy
Lifestyle changes and treatment can preventworsening symptoms
Get involved, and fight back!
It is important to recognize andtreat heart disease in older adults
http://bit.ly/1b2N7Ol
© 2014 Griswold International, LLC
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