Home Care Chronic Disease Prevention Program. Melanie S. Bunn RN,MS A collaboration of Duke University, Division of Community Health and University of South Carolina, School of Medicine. Homework review. What did you do? What happened as you did that? Why do you think that happened?
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Home Care Chronic DiseasePrevention Program
Melanie S. Bunn RN,MS
A collaboration of Duke University,
Division of Community Health and
University of South Carolina, School of Medicine
The heart is a
muscle about the
size of your fist
that pumps blood
through the lungs
Adapted from :http://www.merck.com/media/mmhe2/figures/fg020_1.gif
The heart is a
muscle about the size of your fist that pumps blood through the lungs and body
Class INo symptoms or limitation in ordinary activity.
Class II Mild symptoms and limitation during ordinary activity. Comfortable at rest.
Class III Marked limitation in activity due to symptoms, even during less-than-ordinary activity. Comfortable only at rest.
Class IVSevere limitations. Symptoms while at rest.
and build up gradually
Polyunsaturated (corn / sunflower / soybean oil)
Monounsaturated (canola/olive oil)
Limit amounts (7-10% of calories)
Animal products (milk/ butter/meat)
Avoid, no health benefit
Solid at room temperature
= 12 oz beer
= 5 oz wine
= 1.5 oz spirits
*ALL vital parameters are determined by RN supervisor and are patient specific
Observation of the patient with CHF
help the kidneys filter more water out of the body, leading to less swelling and less work for the heart
strengthens the heart’s ability to pump
slow the heart rate and decrease
lower blood pressure
Here are Some Sample Reasons for Not Eating Smart
Here are Some Sample Reasons for Eating Smarter
The “Ruler of Change”
Adapted from Miller and Rollnick, Motivational Interviewing, 2002
Adapted from HIP CHA training, 2005
This training aid was produced with the generous support of
The Fullerton Foundation, Inc.
For information on continuing programs that support CNA learning contact:
Duncan Howe, University of South Carolina,
School of Medicine
Claudia J. Graham, Duke University Medical Center, Department of Community and Family Medicine, Division of Community Health (Claudia.Graham@duke.edu)