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Cardiovascular Disease Prevention (Prevention (Western medical model…
Cardiovascular Disease Prevention
Prevention
Primary
Public health campaigns
Smoking bans
Physical national activity strategies / policies
Secondary prevenion
Reduction of CVD risks
Taking medications
Western medical model
Procedures which doctors are trained
includes Compliat, history, physical examination, ancillary tests, diagnosis treatment prognosis with or without treatment
Approach to pathology
find medical treatments foe diagnosed symptoms and syndromes
treats human body as a complex mech
International recommendation
All patients with CHD be offered to receive an effective model of secondary prevention in addition to standard care and in accordance with their needs and preferences
Physiotherapy
Roles
Prevention
Primary
Secondary
Complex interventions
Requires life-long changes
requires multiple lifelong changes
medications
diet
activity levels anf routine
smoking
Acute period
Post CABG
Deconditioning
Pain
Short term post MI
Cardiac rehabillitation
Exercise training
Contemporary programs
Case-management model
Individualised
telephone support / followup
Longer followup than traditional CR
More flexible than CR
Engagement of physicians
Focus equally in risk factors
Traditonal model of offering Secondary prevention
collab with specialist, GP, patient and Health pros
Aim
max physical, psychological and social functionins
enable ppl with CHD to lead fulfilling lives
Limitations
Poor uptake internationally
Those in greatest need least likely to attend
inflexible
Requires transpirt
Tends to be exercise focused
time limited
Heart failure management
Management of CVD plan
Assessment
RF, Psycho-social, medications
Basic information
CHD
Acute care
Background
NM RF
individualised risk reduction
based on need
Goals of targeting relevant risk factors / emotion
Ongoing follow-up and support
reassessment and ongoing support
telephone
Alive COR ECG screening
internet
Apps and text messaging
reminders
Games
Promoting PA
Lifeling change
GP contact
6-12 / 12 ongoing
Transition into community
gym
long walks
Risk factors
Modifiable
Non modifiable