heart disease

© 2014 Griswold International, LLC

The Griswold Solutions SeriesTM

Older Adults and HeartDiseaseGetting to theHeart of the Matter


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


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


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


Presented by:

Dianne J. Kelly, RNCardiac Cath Lab Assistant ManagerOur Lady of Lourdes Medical Center

Chris Kelly, MEd Director of Learning & DevelopmentGriswold Home Care


Thank you for your courage, energy, and dedication!

Professional CaregiversHealthcare Providers

Family Caregivers Older Adults Livingwith Heart Disease


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

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About Heart Disease“The Silent Killer”


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


Other Forms of Heart Disease

• Heart failure

• Arrhythmia –or irregular heartbeat

• Heart valve problem


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


http://bit.ly/N6VJsc http://bit.ly/1cWg3CQ

Watch, Learn and Live

Heart Attack Heart Failure


RecognizingHeart Disease


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


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


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.


TreatingHeart Disease


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)


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


Heart Health Care Team

Cardiologist

CardiothoracicSurgeon

NursePractitioner

(NP)

Physician’sAssistant (PA)

CardiacNurse

Cardiovascular/RadiologicalTechnologist

ExercisePhysiologist

CardiacRehab

Therapist

Dietician

Non-medicalhome care


“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:


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 …


Living withHeart Disease

Fight Heart DiseaseAction Plan and Toolkit


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


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


Open Q&A

1. Click to expand if necessary

2. Type questions here


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


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