Coronary Artery Disease and Related Conditions Management

by Gulledge, Jo; Beard, Shawn; Health and Administration Development Group (Aspen Publishers)

• ISBN13: 9780834217041
• ISBN10: 083421704X
• Format: Paperback
• Copyright: 1999-07-01
• Publisher: Jones & Bartlett

Summary

Inside this book, you'll find the essentials for administering heart disease management programs, with detailed information on developing and implementing clinical pathways and guidelines, measuring and managing outcomes, and reinforcing patient satisfaction. Including treatment strategies for unstable angina, myocardial infarction, congestive heart failure and more, Coronary Artery Disease and Related Conditions Management: Clinical Pathways, Guidelines, and Patient Education is an ideal resource for health care providers working to provide more cost-effective and outcome-oriented care. In addition, you'll find a host of large-print patient education handouts, including Spanish-language patient information sheets, designed for clinicians across the care continuum to distribute freely to patients.

Table of Contents

Editorial Board	vii
Introduction	ix
Acknowledgments	xi
Tracking Form	xiii
PART I---MANAGING CORONARY ARTERY DISEASE AND RELATED CONDITIONS: CLINICAL PATHWAYS AND GUIDELINES	1	(106)
Coronary Artery Disease and Disease Management	3	(4)
Importance	3	(1)
Efficacy or Effectiveness of Interventions	3	(1)
Potential for Improving Quality	4	(1)
Cost-Effectiveness of Interventions	5	(1)
Health Plan Role in Providing Interventions	5	(2)
Assessment	7	(6)
Emergency Department (ED) Algorithm/Protocol for Patients with Symptoms and Signs of AMI	7	(1)
Time as Critical to Optimal Outcome for AMI	8	(1)
AMI Time-to-Treatment Flowsheet	9	(1)
Emergency Department Identification and Treatment of AMI---Timepoints for CQI	10	(1)
Guidelines for Emergency Department Registration Clerk's and/or Triage Nurse's Identification of AMI Patients	11	(1)
Generally Accepted Eligibility/Exclusion Criteria: Thrombolytic Therapy for AMI	12	(1)
Guidelines for Managing CAD and Related Conditions	13	(60)
Guidelines for Detecting and Managing High Blood Cholesterol	13	(13)
Risk Status Based on Presence of CHD Risk Factors Other Than LDL-Cholesterol	16	(1)
Initial Classification Based on Total Cholesterol and HDL-Cholesterol	16	(1)
Primary Prevention in Adults without Evidence of CHD: Initial Classification Based on Total Cholesterol and HDL-Cholesterol	17	(1)
Primary Prevention in Adults without Evidence of CHD: Subsequent Classification Based on LDL-Cholesterol	18	(1)
Secondary Prevention in Adults with Evidence of CHD: Classification Based on LDL-Cholesterol	19	(1)
Treatment Decisions Based on LDL-Cholesterol	20	(5)
Follow-up to Cholesterol Screening	25	(1)
Highlights of AHCPR Clinical Practice Guideline---Diagnosing and Managing Unstable Angina	26	(14)
Unstable Angina Presentations	27	(1)
Likelihood of Significant CAD in Patients with Symptoms Suggesting Unstable Angina	27	(1)
Short-Term Risk of Death or Nonfatal Myocardial Infarction in Patients with Symptoms Suggesting Unstable Angina	28	(1)
Diagnosis and Risk Stratification	29	(1)
Drugs Commonly Used in Intensive Medical Management of Patients with Unstable Angina	30	(5)
Cardiac Catheterization and Myocardial Revascularization	35	(1)
Noninvasive Testing	36	(1)
Implications of Stress Test Results	37	(2)
Medical Record: Information To Be Recorded in the Medical Record Summarizing Initial Evaluation and Management for Each Patient	39	(1)
Highlights of AHCPR Clinical Practice Guideline---Heart Failure: Management of Patients with Left-Ventricular Systolic Dysfunction	40	(13)
Clinical Algorithm for Evaluation and Care of Patients with Heart Failure	41	(3)
Recommended Tests for Patients with Signs or Symptoms of Heart Failure	44	(2)
Echocardiography and Radionuclide Ventriculography Compared in Evaluation of Left-Ventricular Performance	46	(1)
Suggested Topics for Patient, Family and Caregiver Education and Counseling	47	(1)
Medications Commonly Used for Heart Failure	48	(5)
Guidelines for Managing Congestive Heart Failure	53	(7)
Congestive Heart Failure: A Clinical Quality Improvement Study	53	(1)
Guidelines for Disposition of CHF Patients after Clinical Assessment: Three Options	54	(1)
Clinical Pathway for CHF	55	(2)
Drug Treatment Strategy for CHF Due to Systolic Dysfunction	57	(1)
CHF Guidelines for Hospital Discharge	58	(1)
Disease Management in CHF	59	(1)
Highlights of AHCPR Clinical Practice Guideline---Cardiac Rehabilitation as Secondary Prevention	60	(13)
Decision Tree for Cardiac Rehabilitation Services	61	(2)
Summary of Evidence of Cardiac Rehabilitation Outcomes: Effects of Exercise Training	63	(1)
Summary of Evidence for Cardiac Rehabilitation Outcomes: Effects of Education, Counseling, and Behavioral Interventions	64	(9)
Clinical Pathway and Care Planning Forms	73	(34)
Inpatient Cardiopulmonary Progress Note	73	(2)
Familial Hyperlipidemia Provider Pathway	75	(2)
Chest Pain Evaluation Center Patient Clinical Map	77	(2)
Chest Pain Provider Pathway	79	(2)
Unstable Angina---Rule Out Myocardial Infarction: Clinical Map	81	(2)
Myocardial Infarction---With/Without Thrombolytic Therapy: Acute Care Clinical Map	83	(2)
Percutaneous Transluminal Coronary Angioplasty (PTCA) Clinical Map for Acute Care	85	(2)
Coronary Artery Bypass Graft (CABG)/Valve Clinical Map for Acute Care	87	(2)
Congestive Heart Failure Provider Pathway	89	(4)
Congestive Heart Failure with Hypertension Provider Pathway	93	(3)
Clinical Pathway for CHF Clinic	96	(2)
Congestive Heart Failure Home Care Clinical Pathway	98	(3)
CHF Interdisciplinary Plan of Care for Skilled Nursing Facility	101	(3)
CAD Interdisciplinary Plan of Care for Skilled Nursing Facility	104	(3)
PART II---SELF-MANAGEMENT OF CORONARY ARTERY DISEASE AND RELATED CONDITIONS: PATIENT EDUCATION	107	(176)
Overview of Coronary Artery Disease	109	(20)
Facts about Coronary Heart Disease	109	(8)
Women and Coronary Heart Disease	117	(12)
Unstable Angina and Myocardial Infarction	129	(22)
Unstable Angina	129	(2)
La angina de pecho inestable (Spanish-language angina handout)	131	(18)
Heart Attack	149	(1)
Nitroglycerin	150	(1)
Heart Failure	151	(48)
What is Heart Failure?	151	(6)
Managing Heart Failure	157	(2)
Medicines for Heart Failure	159	(4)
Medication Information for the Patient Who Has Heart Failure	163	(2)
Weekly Medicine Record	165	(1)
Diet and Heart Failure	166	(1)
Lifestyle and Heart Failure	167	(2)
Chest Pain and Heart Failure	169	(1)
Chest Pain Chart	170	(1)
Surgery for Heart Failure	171	(2)
Post Coronary Artery Bypass Graft (CABG)	173	(5)
La insuficiencia cardiaca (Spanish-language heart failure handout)	178	(20)
Pulmonary Edema	198	(1)
Thrombophlebitis and Pulmonary Embolism	199	(2)
Thrombophlebitis	199	(1)
Pulmonary Embolism	200	(1)
Cardiac Rehabilitation	201	(16)
Recovering from Heart Problems through Cardiac Rehabilitation	201	(8)
How to Take Your Pulse---Determining Heart Rate	209	(1)
Target Zone Heart Rate	210	(2)
Walking for Heart Health	212	(3)
Calories Burned during Physical Activities	215	(2)
Cholesterol and Heart Disease	217	(28)
What Makes Blood Cholesterol High or Low	217	(2)
Cholesterol and Your Risk of Heart Disease	219	(3)
What Your Blood Cholesterol Levels Mean If you Do Not Have Heart Disease	222	(3)
What Your Blood Cholesterol Levels Mean If You Do Have Heart Disease	225	(1)
Questions You May Have about Your High Blood Cholesterol	226	(3)
Three Steps to Reducing High Blood Cholesterol Levels	229	(4)
Proteja su corazon---Baje su colesterol (Spanish-language cholesterol handout)	233	(2)
Ask Your Health Professionals about High Blood Cholesterol	235	(1)
High Blood Cholesterol Glossary	236	(3)
Know Your Cholesterol Level	239	(1)
¡Conozca su nivel de colesterol! (Spanish-language handout ``Learn Your Cholesterol Number!'')	240	(2)
Medicine for High Blood Cholesterol	242	(3)
Nutrition for Heart Disease	245	(38)
Heart-Healthy Eating: The Step I and Step II Diets	245	(3)
Sample Menus---Traditional American-Style Foods	248	(2)
Sample Menus---Southern-Style Foods	250	(2)
Sample Menus---Mexican American-Style Foods	252	(2)
The Heart-Healthy Eating Plan	254	(2)
Your Diet after Coronary Bypass Graft	256	(1)
Congestive Heart Failure and Your Diet	257	(1)
Myocardial Infarction and Your Diet	258	(1)
Shop to Your Heart's Content	259	(4)
Serving Sizes for Meat and Cheese	263	(2)
Reduzca la grasa---No el sabor! (Spanish-language handout ``Cut Down on Fat---Not on Taste!'')	265	(1)
Cooking the Heart-Healthy Way	266	(2)
New Ways to Use Favorite Recipes	268	(1)
Eat Right When Eating Out	269	(3)
Saturated Fat, Total Fat, Cholesterol, Calories, and Sodium in Basic Foods	272	(11)
Index	283