This essay provides an in-depth analysis of coronary artery disease, including statistics, risk factors, and determinants. It also discusses prevention and management strategies. A must-read for anyone interested in cardiovascular health.
Contribute Materials
Your contribution can guide someone’s learning journey. Share your
documents today.
CAD 1 Table of Contents Introduction.................................................................................................................................................2 Statistics and data....................................................................................................................................3 Public health significance........................................................................................................................4 Risk factors..............................................................................................................................................4 Determinants...........................................................................................................................................5 Framework..................................................................................................................................................7 Chronic care model..................................................................................................................................7 Conclusion.................................................................................................................................................11 References.................................................................................................................................................13
CAD 2 Introduction The cardiovascular or the circulatory system of the human body supplies the blood to the body it comprised of heart, arteries, the veins and capillaries. When there is impairment happen in the system, it results in the cardiovascular abnormal functioning of the heart (American Diabetes Association, 2016). Cardiovascular disease is now considered as the most common reason of death world-wide. Cardiovascular heart disease defines as the range of conditions that impacts the heart. The term cardiovascular is commonly used interchangeably with the heart disease. Cardiovascular disease includes different conditions like coronary heart disease, angina, congenital heart disease, stroke, hypertension, heart valve illness, and cardiomyopathy (Lonn et al., 2016). The four main coronary arteries that are situated on the heart surface include right chief coronary artery, left chief coronary artery, left circumflex artery, and the left anterior descending artery. Coronary artery illness is a health issues that causes impaired flow of blood in the arteries that transport the blood to the person’s heart. It is also named coronary heart disease. Some of the symptoms associated with this health issues comprise chest pain, heaviness, tightness and burning, squeezing, pain in the arms or shoulder, breath issues, sweating, and faintness. It is the most usual type of heart illness. In United States, It is the foremost cause of death for both male and female. Coronary Herat disease can also deteriorate the heart muscles and subsidize to the heart failure and other conditions like arrhythmias. The coronary artery disease becomes the worldwide problem and affected many people (Dawber, Moore & Mann, 2015). This particular health issue can be liked to other health issues like diabetes, obesity etc. In this particular essay the statistics and data about the burden of the disease, prevenance, community health significance, risk factors, and wide range of health determinant of this health
CAD 3 issue will be discussed. The avoidance and managing of this health issue will be discussed in this essay. Statistics and data Cardiovascular disease are the top most reason of death worldwide, an estimated nearly, 17.9 million individuals died because of CVDs in 2016, accountable for 31 per cent of all the worldwide death. Coronary heart disease is the utmost common kind of circulatory disease killing nearly 370,000 individuals yearly (Sanchis-Gomar, Perez-Quilis, Leischik & Lucia, 2016). Meanwhile the CAD causes a projected yearly total of four million deaths particularly in Europe and on around 1.9 million expiries in the European Union, mainly because of coronary heart disease, representing around 47 per cent and 40 per cent of all expiries in Europe and the European Union, correspondingly (Townsend et al., 2016). Prevalence An estimated nearly 3.8 million males and nearly 3.4 million women die every year from CAD (CHD). Particularly in UK it became the most common reason of deaths and estimated one in five male and 1in 6 females die from this health issues every year, and in 2003 coronary artery disease caused around 114000 deaths (Bhatnagar, et al., 2015). Death rate due to CHD were higher in Scotland and northern England, where the early death rate among males is 67 per cent higher than the South West of the England and 84 per cent higher for females (Luengo- Fernandez, Leal & Gray, 2015). In Australia, in 2014-15 around 643, 000 adults were diagnosed with CHD, and among all the diagnosed individuals, 281000 experienced angina, 428 had heart attack, 55,000 experienced other forms of CHD. CHD in Australia occurred mostly among older people aged 45 to 54 years. An estimated 149, 000 hospitalizations have been reported where
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
CAD 4 CHD was the main diagnosis. In 2013 coronary artery disease was the main cause of death in Australian region accounting for 19,800 expiries, which represents 13 per cent of all expiries, and the utmost 1 in two cardiovascular deaths (Sahle et al., 2016). Public health significance CAD also described as the ischemic heart disease is the development of the fatty deposits in the inner walls of the coronary arteries. This development of atheroma, called atherosclerosis, can simply go unnoticed takes many years to develop. It can affect individuals, family and community. CHD can cause premature death, incapacity and abridged activities of everyday living (frequently due to pain in the chest and breathlessness), loss of incomes and individuality, anxiety, depression, and stress. All of these aspects might have a harmful impact on a person’s life quality (Khera et al., 2016). Having a CHD patient in the family can be problematic for the family as the management of this disease is long lasting and the family members have to provide continuous care and invest money that might pose both financial and metal problems to the family. Coronary heart disease also has a significant financial impact on the community there is an upsurge cost to a community healthcare system in addition to to the broader economy (due, for example, to loss of productivity among the people suffering from coronary artery disease and their informal health carers). The huge majority of these prices were because of hospital inpatient upkeep, which accounted for 73 per cent of the total coronary artery disease associated health care costs (Hla et al., 2015). Risk factors There different risk factor of coronary artery disease such as age and gender, ethnicity, family history, smoking, abnormal cholesterol levels, increased BP, physical indolence, being overweight, and other health issues. Risks of developing coronary artery disease upsurges with
CAD 5 age this is because the plague established over time. The risk of developing this health issues is high among women after the age of 55 and men after the age of 45. White men aged between 35 and 44 are six times more likely to be diagnosed with this health issue then women (Koene, Prizment, Blaes & Konety, 2016). The difference is quite less among the non-white people. African-American people are 30 per cent more probable to develop heart disease like CAD than non-Hispanic white male and females. Coronary heart disease can run in generations, as the risk of this health issues increase if there is close family member has CHD. Smoking tobacco products (first or secondary) can also increase the risk of CAD, and it is specifically harmful if the individuals have a family history of heart disease. Abnormal levels of cholesterol (LDL and HDL cholesterol) also the risk factor of CAD as it increases plaque development in the arteries (Yusuf et al., 2016).Risk factors frequently take place in collections and may form on one another, for example obesity resulting in type 2 diabetes and increased blood pressure. When gathered together, definite risk aspects put the patient at an even bigger risk of coronary artery disease. For instance, metabolic syndrome ; a bunch of illnesses that includes raised blood pressure, increased triglycerides. Determinants Behavioral factor Personal behaviors play an important role in their health outcome. Health connected behaviors for example cigarette smoking, consumption of alcohol, physical activities, and diet have a main influence on mortality and morbidity associated with CAD (Marmot & Mustard, 2017).Nations have the residents which consume more cholesterol rich diet; alcohol, tobacco, and overweight have an increased number of CAD cases. Healthy individuals have a high quality
CAD 6 of life and pose fewer loads on the health care and societal system, and subsidize less to cardiovascular diseases like coronary artery disease (Staniute et al., 2015). Psychological Determinant There are different studies exposed that perceived type of stress, depression, annoyance, and anxiety can create the various reactions which can upsurge the probabilities of CAD. The mental factor is interconnected with side effects, augmented morbidity, and death rate threat amongCADpatients.Eachindividualisasolecharacterandhasdissimilardesires, requirements, and insight of thoughts and things. These bring alterations in person’s life that can outcome in stress and the depression which can subsidize to CAD, and the massive number of literature previously showed that there is an link of depression, worry, and stress with the CAD (Chauvet-Gelinier & Bonin, 2017). Socio-economic factor The socio-economic factor is massive area and several sub-factors come underneath the headline i.e., socialization, earnings, and learning. Though, WHO describes it “the conditions in which individuals are born, develop, live, do their job, and the systems introduce to address illness and sickness”. The socio-economic factors subsidize or reduce the health of persons and societies (Puckrein, Egan & Howard, 2015). This aspect has recurrently been established to be linked with CAD it either straight or indirect influence the load of the CAD or CHD. The study presented that societal isolation significantly upsurges the risk of the deceases from CAD, and the advanced mortality rate was detected among the nations where no societal support happens. Social factors of health effect an individual's cardiovascular health aspects and behaviors. For
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
CAD 7 instance, an individual's neighborhood and how harmless it senses can have an influence on the capability to both workout and consume healthy (Kumar, 2017). Environmental factor Environmental factor of CAD is the terrestrial location, contact, entrance to health facilities, and resources. Research Studies have specified that atmosphere in which people live (for example existence of the footpath, green places, food obtainability, and fitness center) frequently denoted as the constructed environment. It is linked with the habits related to CAD risksforexamplephysicalactivity,nourishment,andtobaccoconsumptionandthese environmental determinants play a role in stopping and growing the CAD issues (Tillmann, et al., 2017). Task 2 Framework Chronic care model The Chronic Care Model abbreviated as CCM is a multilayered, evidence-based structure for improving care delivery by recognizing important constituents of the health care system in the community that can be adapted to help high-quality; patient-focused chronic illness management.The CCM delivers a methodical approach to apply transformation. This framework is widely accepted for cardiovascular diseases like coronary heart disease. Some of the elements of this framework that can be used to guide the systematic and individual improvement in coronary artery disease are; community possessions and policies, healthcare organization, self-
CAD 8 managing support, the delivery system design, support in decision, and clinical info systems (Gee, et al., 2015). Community resources and policies Community possessions and polices can play a key role in prevention and management of the CAD. The healthcare settings like hospital can collaborate with the local community health providers in order to educate the healthy people about the disease and its preventions strategies so that it can be eliminated from the community. The hospital professional like community nurses can educate the patient about the management of disease, by adhering to the medication, performing recommend exercises, and eating suggested diet (Kadu & Stolee, 2015). For example in the people belongs to the Aboriginal and Torres Strait islander community in Australia have their own culture and belief which must be respected by the healthcare providers and they must have the knowledge about the cultural background. To do so they must work with the local healthcare providers, this will also help the community nurses or team to gather as much as possible people in the education sessions about the disease prevention and management. They nurses can also educate the school and college student so that they can understand the problem can takes part in the prevention program. The newly married couples can also be educated about the genetic factors of this disease (Davy et al., 2015). Healthcare organisation The government and non-government organization must also be included in the program as they can support in the financial resources. The government and other organisation can be included as the stakeholders and main member of the programs. The community members must
CAD 9 also be educated about the government services o health promotion programs already being provided for patient with cardiovascular diseases like CAD (Adams & Woods, 2016). Self-management support Self-management is the most essential Task to manage the disease at home which can be done with the complete support from the hospital and community healthcare centres. The health care provided must educate the patients and their family to follow the recommendations of the physician. The patient must be taught about improving their cholesterol levels as it can worsen the health condition. They must also be educated to quit smoking and avoid second-hand smoking (Higa & Davidson, 2017). Checking their own blood pressure is another skill that must be taught to the patient so that can assess their BP regularly and report to the physician and nurse if any complication observed. To control the blood pressure the patient can perform exercise at home with the support of public health nurses or family member as the people who do not exercise are more likely to develop heart diseases. They must also avoid salt content in the food. Other different things to educate the patient are reducing the dietary sodium intake, decreasing alcohol use, taking medicine according to the prescription, attending cardiac rehabilitation, knowing the common sign and symptoms of heart attack and heart failure, and maintaining the weight (Coleman, Austin, Brach & Wagner, 2009). Delivery system design The health care teams should be created to prevent and manage the coronary heart disease. The health care team must include public health nurses, social worker, pharmacist, physiotherapist, and a cardiac care nurse. The social worker will help in the ethical concern related to the treatment, nutritionist, and the public health nurses can help in developing a
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
CAD 10 therapeutic relationship with the patient who can help in the assessment, management and prevention of the disease. Physiotherapist can support the patient with the essential exercises. The nutritionist are specialised in the implementing the strict diet plan as recommended by the physician, this can help the patients to learn about the healthy diet. The cardiac care nurses are specialized in provided service to the cardiac patient about the disease, its progression, and complications. The vision and objectives must be shared with the team so that they can understand tier responsibility better for the particular patient or community. The team members must follow up the patient regularly assess their health conditions and to know about their specific needs. Decision support This element of the framework model can help the patient I providing the support in the decision making process about the treatment and management of the disease. The decision support system will provide the clinician with proper knowledge about the coronary heart disease, and patient information to augment the patient care decisions (Siminerio, 2010). Clinical information systems A clinical info system (CIS) is an information system intended specially for use in the critical care atmosphere. It can link with the several computer systems in a contemporary hospital, for example pathology and radiology. It contains figures from all these systems into an electric patient record, which physicians can get at the patient’s bedside (Leykum et al., 2011). To prevent and manage the CAD issues the system can be effective as it improves the interaction between different health provided caring for the CAD patient, provide complete information about the patient, making it effortless for the patient to have the examination reports when the
CAD 11 needed, and retrieving the information whenever needed in other cases and for authorized research purposes (Nundy et al., 2012). Conclusion Cardiovascular diseases are the diseases affect the blood circulatory system of the patient can cause different complications. It is recognised that this health issue affected peopled form all around the world, around 4 million people died due to CAD particularly in Europe. Nearly 3.8 million males and 3.4 million females die annually due to this health issue. CHD has the public health significance as it affects the individual, family and the community. Some of the risk factors associated with this health issue include age and gender, ethnicity, having close family member with this disease, smoking, high BP, abnormal cholesterol levels, obesity, and physical inactivity. Some of the determinants of this health issues are behavioural factor, psychological factors, socio economic determinant, and environmental factor. The framework model can be used to address coronary artery disease is the Chronic care model, which is the multifaceted, an evidence based strategy to improve the care delivery by identifying the essential component of an community’s health care system. The elements of this framework are community resources and the policies, organizations, self-regulation support, delivery of the system design, supporting in decision, and clinical information system. Community resources and policies includes collaboration between the healthcare team, public and local health care providers, health care organisation like government and non-government organisation can provide funds to support the programs, self-management support can help the patient to learn about managing the disease. The delivery system design includes making a team of healthcare professionals and supports the patient to reduce the CAD problems. The decision support will help the patient in decision
CAD 12 making about the treatment by assigning a clinician who is specialist in coronary artery disease. The clinical information system is the computerized system which collects the information of the patient, the information than can he used to assess the hisotry of the patient and use it in other cases.
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
CAD 13 References Adams, J. S., & Woods, E. R. (2016). Redesign of chronic illness care in children and adolescents: evidence for the chronic care model.Current opinion in pediatrics,28(4), 428-433. American Diabetes Association. (2016). 8. Cardiovascular disease and risk management.Diabetes care,39(Supplement 1), S60-S71. Bhatnagar, P., Wickramasinghe, K., Williams, J., Rayner, M., & Townsend, N. (2015). The epidemiology of cardiovascular disease in the UK 2014.Heart,101(15), 1182-1189. Chauvet-Gelinier, J. C., & Bonin, B. (2017). Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation.Annals of physical and rehabilitation medicine,60(1), 6-12. Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009). Evidence on the chronic care model in the new millennium.Health affairs,28(1), 75-85. Davy, C., Bleasel, J., Liu, H., Tchan, M., Ponniah, S., & Brown, A. (2015). Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review.BMC health services research,15(1), 194. Dawber, T. R., Moore, F. E., & Mann, G. V. (2015). II. Coronary heart disease in the Framingham study.International journal of epidemiology,44(6), 1767-1780.
CAD 14 Gee, P. M., Greenwood, D. A., Paterniti, D. A., Ward, D., & Miller, L. M. S. (2015). The eHealth enhanced chronic care model: a theory derivation approach.Journal of medical Internet research,17(4), e86. Higa, C., & Davidson, E. (2017, January). Building Healthier Communities: Value Co-Creation within the Chronic Care Model for Rural Under-Resourced Areas. InProceedings of the 50th Hawaii International Conference on System Sciences. Hla, K. M., Young, T., Hagen, E. W., Stein, J. H., Finn, L. A., Nieto, F. J., & Peppard, P. E. (2015). Coronary heart disease incidence in sleep disordered breathing: the Wisconsin Sleep Cohort Study.Sleep,38(5), 677-684. Kadu, M. K., & Stolee, P. (2015). Facilitators and barriers of implementing the chronic care model in primary care: a systematic review.BMC family practice,16(1), 12. Khera, A. V., Emdin, C. A., Drake, I., Natarajan, P., Bick, A. G., Cook, N. R., ... & Fuster, V. (2016). Genetic risk, adherence to a healthy lifestyle, and coronary disease.New England Journal of Medicine,375(24), 2349-2358. Koene, R. J., Prizment, A. E., Blaes, A., & Konety, S. H. (2016). Shared risk factors in cardiovascular disease and cancer.Circulation,133(11), 1104-1114. Kumar, S. (2017). Cardiovascular disease and its determinants: public health issue.J. Clin. Med. Ther,2(1). Leykum, L. K., Palmer, R., Lanham, H., Jordan, M., McDaniel, R. R., Noël, P. H., & Parchman, M. (2011). Reciprocal learning and chronic care model implementation in primary care:
CAD 15 results from a new scale of learning in primary care.BMC health services research,11(1), 44. Lonn, E. M., Bosch, J., López-Jaramillo, P., Zhu, J., Liu, L., Pais, P., & Avezum, A. (2016). Blood-pressure lowering in intermediate-risk persons without cardiovascular disease.New England Journal of Medicine,374(21), 2009-2020. Luengo-Fernandez, R., Leal, J., & Gray, A. (2015). UK research spend in 2008 and 2012: comparing stroke, cancer, coronary heart disease and dementia.BMJ open,5(4), e006648. Marmot, M. G., & Mustard, J. F. (2017). Coronary heart disease from a population perspective. InWhy are some people healthy and others not?(pp. 189-214). Routledge. Nundy, S., Dick, J. J., Goddu, A. P., Hogan, P., Lu, C. Y. E., Solomon, M. C., & Peek, M. E. (2012). Using mobile health to support the chronic care model: developing an institutional initiative.International journal of telemedicine and applications,2012, 18. Puckrein, G. A., Egan, B. M., & Howard, G. (2015). Social and medical determinants of cardiometabolic health: the big picture.Ethnicity & disease,25(4), 521. Sahle, B. W., Owen, A. J., Mutowo, M. P., Krum, H., & Reid, C. M. (2016). Prevalence of heart failure in Australia: a systematic review.BMC cardiovascular disorders,16(1), 32. Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome.Annals of translational medicine,4(13).
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
CAD 16 Siminerio, L. M. (2010). The role of technology and the chronic care model.Journal of diabetes science and technology,4(2), 470-475. Staniute, M., Brozaitiene, J., Burkauskas, J., Kazukauskiene, N., Mickuviene, N., & Bunevicius, R. (2015). Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study.Health and quality of life outcomes,13(1), 1. Tillmann, T., Vaucher, J., Okbay, A., Pikhart, H., Peasey, A., Kubinova, R., & Fischer, K. (2017). Education and coronary heart disease: mendelian randomisation study.bmj,358, j3542. Townsend, N., Wilson, L., Bhatnagar, P., Wickramasinghe, K., Rayner, M., & Nichols, M. (2016). Cardiovascular disease in Europe: epidemiological update 2016.European heart journal,37(42), 3232-3245. Yusuf, S., Bosch, J., Dagenais, G., Zhu, J., Xavier, D., Liu, L., & Avezum, A. (2016). Cholesterol lowering in intermediate-risk persons without cardiovascular disease.New England Journal of Medicine,374(21), 2021-2031.