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For:

Coronary Artery Disease Patients

Hypertensive Patients

Stroke or T.I.A. Patients

Hyperlipidemic Patients

Peripheral Vascular Disease Patients

Diabetic Patients

Overweight Patients

Smoking Patients

Sedentary Patients

Health-Conscious Patients

Healthy Patients

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Benefits:

Healthier/ Longer Life

Vessel Improvement

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What:

Team Approach To Vascular Risk Factor Modification

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Where:

Community Hospital of Anderson Education Center

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Guidance:

Community Hospital of Anderson’s Critical Care Core Group with input from:

Primary Care

Cardiology

Internal Medicine

Neurology

Endocrinology

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Utilizing:

Dietitians

Diabetic Educators

Cardio-Pulmonary Dept. Personnel

C. P. R. Instructors

Cardiac Rehab. Personnel

Pharmacy Personnel

Stress Center Personnel

Nursing Personnel

Computer Services Personnel

Biomedical Personnel

Library Personnel

Health Promotions

? City Library Personnel

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Methods:  See attached for comprehensive discussion of program

Lectures

Hand-Outs

Video-Taped Modules

Follow-Up Phone Numbers for Hospital Services Sections

E-Mailed Website Lists

E-Mailed V. I. P. Newsletters, Pointers, and "Pearls"

Faxed V. I. P. Newsletters, Pointers, and "Pearls"

Library Copies of V. I. P. Materials

Community Hospital of Indianapolis Website Link

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Key Concepts of V. I. P.:

1) Team Approach of Hospital Personnel

2) Does Not Require Physician Referral, But Would Be Responsive to Physician Referral (In Cases of Specific Diet Requirements or In Cases of Specific Exercise Prescriptions)

3) "One Number Does It All"—i.e., One Phone Number Would Allow Sign-Up or Referral To Any Component Module

4) No "Favorite Physician" Referral or Physician Lecturing—Any Unattached Patient Would Be Shown A Community Hospital Physician Roster. This Encourages All Physicians To Refer Their Patients Without Concern Over "Losing Patient Management".

5) Educate Public/ Patients to Enable/Encourage Risk Factor Modification Leading to Vascular Improvement And To Enhanced Longevity.

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Modules:

1. Dietary Module
2. Blood Pressure Module
3. Smoking Module
4. Diabetes Module
5. Exercise Module
6. Weight Reduction Module
7. Medicine and Naturopathic Medicine Module (A.K.A. Pharmacy Module)
8. Behavior Modification Module (A.K.A. Psychological Module)
9. Longevity Module
10. Computer / Internet and Library Resources Module
11. C. P. R. Module (A.K.A. When All Else Fails Module)

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By:

Dietitians

Dietetic Staff

Health Promotions

Concepts:

1. American Heart Association Step I Diet
2. American Heart Association Step II Diet
3. Hyperlipidemic Diets (Based On Frederickson’s Classifications)
4. Shopping For Healthy Foods
5. Snacking Healthy
6. Eating Out
7. National Cholesterol Education Program (N. C. E. P.) Goals

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By:

Nursing Staff

Pharmacy Personnel

Biomedical Personnel

Health Promotions

Concepts:

1. "Normal" Blood Pressure Values
2. Measurement of Blood Pressure
3. Helping Patients Learn Self Blood Pressure Checks
4. Aging and Blood Pressure
5. Benefits of Long Term Blood Pressure Control
6. Long Term Side Effects
7. Medications – Classes of Medicines and Side Effects
8. Salt Restriction
9. "Natural " Medications
10. Over-The-Counter (O.T.C.) Medicines and Their Effects on Blood Pressure
11. J. N. C. VI Recommendations and Considerations (Joint National Committee For The Detection, Prevention, Evaluation, and Treatment of Hypertension)

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By:

Cardio-Pulmonary Personnel

Stress Center Personnel

Pharmacy Personnel

Health Promotions Personnel

Concepts:

1. Nicotine Effects
2. Stop-Smoking Programs
3. Sudden Death Risks

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By:

Diabetic Educators

Dietitians

Health Promotions Personnel

Concepts:

1. Blood Sugar Definition of Diabetes
2. Diet Classes
3. Diabetic Education
4. Glucometer Use/ Significance
5. HgbA1C – Importance/ Correlation with Blood Sugars
6. Microalbuminuria – Significance/ Modification
7. Diabetic Eye Exam. – Importance
8. Diabetic Foot Care – Importance

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By:

Cardiac Rehab. Personnel

Cardio-Pulmonary Personnel

Health Promotions

Concepts:

For Low Risk Individuals

For High Risk Individuals – (By Physician Order Only)

Discussion of Exercises and Amounts and Frequency

Target Heart Rates

Treadmill Testing Benefits

Long-Term Benefits

Cardio-Vascular Fitness

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By:

Dietitians

Stress Center Personnel

Health Promotions

Concepts:

Diet Instruction

Ideal Weight/ Body Mass Index Determination

Healthy Food Shopping

Psychological Modification of Mind Set Toward Dieting

Benefits of Ideal Weight

Co-Morbidities

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By:

Pharmacy Personnel

Health Promotions Personnel

Concepts:

Blood Pressure Medicines

Blood Fat Lowering Medicines

Diabetic Medicines

Stop Smoking Medicines

Vitamins and Natural Medicines

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By:

Stress Center Personnel

Pharmacy Personnel

Health Promotions

Concepts:

Self-Concept

Why change?

What keeps individual from changing?

Self Benefits/ Rewards

Stress Management

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By:

Nursing Personnel

Diabetic Educators

Computer Services Personnel

Health Promotions Personnel

Concepts:

Average Life Expectancy

Risk Factor Modification and Life Expectancy

Computer Sites (i. e., Internet Sites of Longevity Calculators with Risk Factor Modifications)

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By:

Computer Personnel

Library Personnel

? City Library Personnel

Health Promotions Personnel

Concepts:

Include the Use of Books, Pamphlets, Website Lists for:

1. Hypertension
2. Diabetes Mellitus
3. Stroke
4. Peripheral Vascular Disease
5. Coronary Artery Disease
6. Longevity
7. Risk Factor Modifications
8. American Heart Association Step I and II Diets
9. Hyperlipidemia Diets
10. Exercise
11. Healthy Cooking/ Recipes
12. Smoking Cessation
13. Stress Reduction
14. Weight Reduction

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      (A. K. A. When All Else Fails)
 
 

By:

C. P. R. Instructors

Biomedical Personnel

Concepts:

1. Adult C. P. R.
2. Infant and Child C. P. R.
3. Auto-Defibrillators

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