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Unformatted text preview: CHSC 3P91 Cardiac Rehabilitation Modifying Risk Factors: The more intense the treatment the great the cessation Treatment maximized by increasing length of the sessions and $ of sessions. Use of multiple types of providers enhances the cessation rate Proactive telephone calls and group counseling Practical counseling (problem solving and skills training) use of social support Pharmacological therapies Abnormal Lipids/Triglycerides Lifestyle changes including dietary intervention, physical activity and weight loss. Decrease saturated fat intake less than 7% of tot.cal. Decrease overall fat intake to 25-35%of total calories Statins Follow- Up: Re-measure @ 4-6 weeks and again @ 3 months if patient has not reached goal. Follow up at 8-12 week intervals through week 52 once patient reaches their goal. Follow up 4-6 month intervals after goal is maintained for 1 year. Hypertension Weight reduction Diet modification Reduce sodium intake Increased physical activity Decrease stress level Pharmacological interference Alcohol consumption *Those with a BP great than 140 over 90 = weight control, physical activity, alcohol moderation, and sodium reduction.* *BP medication should be added if BP not less than 140/90 within first 3 months of incorporating above adjustments or if initial BP 180/110* Obesity: Prevalence of overweight and obese people have increased over the past 20 years. BMI less than 25 = desirable BMI greater than 25 increase your health risk Assessment and Intervention: Rate of weight loss is 1-2 pounds/week Initial Goal is to decrease weight by 10% Identify and treat underlying metabolic disorders Pharmacological Therapy o Appetite suppressants only for those with BMI greater than 30...
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- Spring '08