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Nursing is a combination of art as well of science. Guests Cheri Nichols, BSN, RN, FPCNA, and Jody Hereford, MS, BSN, RN, NBC-HWC, discuss the importance of recognizining the artfulness in what we do each day, and how it improves our outlook, our practice, and our effectiveness with patients.
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Guest Cheryl Dennison Himmelfarb, PhD, RN, FAAN, FAHA, FPCNA, describes how effective blood pressure readings at home and in clinic can lead to accurate assessment, including treatment-resistant hypertension. Partnering with patients and other healthcare professionals, and potential barriers to reaching blood pressure goals, are also discussed.
EPISODE LINKS & RESOURCES:
Validated blood pressure devices: https://www.validatebp.org/
PCNA Hypertension Patient Tools: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/
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Ruth-Alma Turkson-Ocran PhD, MPH, RN, FNP-BC, CNE and Maria Bonanni CRNP discuss renal denervation treatments for resistant hypertension, including case studies.
Resources:
Renal Denervation FDA Approval: https://www.healio.com/news/cardiology/20231120/fda-approves-second-renal-denervation-device-to-treat-hypertension
Symplicity SPRAL OFF-MED RTC
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30554-7/abstract
Symplicity SPYRAL ON-MED RTC
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00455-X/abstract
GSR DEFINE – long term registry data; real-world experience
https://www.ahajournals.org/doi/full/10.1161/HYPERTENSIONAHA.123.21283
DENERHTN: https://pubmed.ncbi.nlm.nih.gov/27576780/
Renal Denervation: A Practical Guide for Health Professionals Managing Hypertension: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433107/
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One in two US adults has a hypertension diagnosis, yet not all hypertension is the same. Learn from guests Yvonne Commodore-Mensah PhD, MHS, RN and Ruth-Alma Turkson-Ocran PhD, MPH, RN, FNP-BC, CNE about primary/essential, secondary, and resistant hypertension, including the definition, diagnosis, and treatments, as well as the impaact of nonadherence. Access to care, home versus clinic readings, and team-based care are also discussed.
Resources:
Secondary Hypertension: Discovering the Underlying Cause: https://pubmed.ncbi.nlm.nih.gov/29094913/
Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000084
One in two US adults has a hypertension diagnosis, yet not all hypertension is the same. Learn from guests Yvonne Commodore-Mensah PhD, MHS, RN and Ruth-Alma Turkson-Ocran PhD, MPH, RN, FNP-BC, CNE about primary/essential, secondary, and resistant hypertension, including the definition, diagnosis, and treatments, as well as the impaact of nonadherence. Access to care, home versus clinic readings, and team-based care are also discussed.
Resources:
Secondary Hypertension: Discovering the Underlying Cause: https://pubmed.ncbi.nlm.nih.gov/29094913/
Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000084
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Effective strategies for maximizing both inpatient and outpatient cardiac rehab are discussed by guest Jonathan David, MSN, RN, EBP-C, CCRP, NE-BC, AACC. Highlights include using a team-based approach, engaging patients in shared decision-making, providing a continuum of care that maximizes patient outcomes, and advocating for cardiovascular care.
PCNA Patient Education tool: Leaving the Hospital After Your Heart Attack: https://pcna.net/clinical-resources/patient-handouts/acute-coronary-syndrome-tools-and-handouts/
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While cancer survivorship rates continue to improve, there are CVD-related complications for patients before, during, and after cancer treatment. Guests Chelsea Kriesberg, DNP, CPNP-AC, CCRN, and Lisa Nodzon, PhD, APRN, AOCNP, describe the intersection of cancer and cardiovascular disease across the lifespan. Collaborative, team-based, and life-long care is illustrated in through a case-based discussion.
Cardiovascular risk calculator: https://ccss.stjude.org/resources/calculators/cardiovascular-risk-calculator.html
Cardiac Disease in Childhood Cancer Survivors: Risk Prediction, Prevention, and Surveillance. Leerink, J, de Baat, E, Feijen, E. et al. Cardiac Disease in Childhood Cancer Survivors: Risk Prediction, Prevention, and Surveillance: JACC CardioOncology State-of-the-Art Review. J Am Coll Cardiol CardioOnc. 2020 Sep, 2 (3) 363–378.https://doi.org/10.1016/j.jaccao.2020.08.006
Cardioprotective impacts of dexrazoxane: Lipshultz SE, Scully RE, Lipsitz SR, et al. Assessment of dexrazoxane as a cardioprotectant in doxorubicin-treated children with high-risk acute lymphoblastic leukaemia: long-term follow-up of a prospective, randomised, multicentre trial. Lancet Oncol. 2010 Oct;11(10):950-61. doi: 10.1016/S1470-2045(10)70204-7. Epub 2010 Sep 16. PMID: 20850381; PMCID: PMC3756093.
Improving quality and quantity of life for childhood cancer survivors: Ehrhardt MJ, Krull KR, Bhakta N, et al. Improving quality and quantity of life for childhood cancer survivors globally in the twenty-first century. Nat Rev Clin Oncol. 2023 Oct;20(10):678-696. doi: 10.1038/s41571-023-00802-w. Epub 2023 Jul 24. PMID: 37488230.
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Treating inflammation in cardiovascular disease includes helping patients to understand the safety and efficacy of prescription and over-the-counter products. Joseph Saseen, Pharm D, FNLA, CLS discusses best practices in clinical decision-making, mechanisms of action , and guideline-based evidence for various anti-inflammatory medications.
2023 AHA/ACC Guideline for the Management of Patients with Chronic Coronary Disease: https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000001168
CANTOS trial: https://www.nejm.org/doi/full/10.1056/nejmoa1707914
ACC guidelines & clinical documents: https://www.acc.org/Guidelines
ICER (Institute for Clinical and Economic Review): https://icer.org/
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Excess fat cells have the potential to cause more than 200 other obesity-associated disorders, including cardiovascular disease and diabetes. Guest Angela Golden, DNP, FNP-C, FAANP, FOMA, discusses effective communication strategies, resources, and treatments to assist patients with overweight and obesity live their healthiest life.
STOP Obesity Alliance: https://stop.publichealth.gwu.edu/
Canada Obesity Alliance resources HCPs and patients: https://obesitycanada.ca/
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[CE contact hours--see below.] While cardiac rehabilitation can reduce disease progression, these programs are significantly underutilized. Learn from guest Robert Scales, PhD about strategies for improved patient health, including using a combination of well-planned facility- and home-based exercise.
American Association of Cardiovascular and Pulmonary Rehabilitation: (ACVPR): aacvpr.org
CE LINK: pcna.net/online-course/cardiac-rehabilitation-makes-a-difference-ce-podcast
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What is the role of a nurse navigator--whether or not that is your job title? Guest Susan Bush, RN, BSN, CCRP, FPCNA, describes how these individuals can help patients with heart failure and other diseases find information, resources, support, and much more.
PCNA heart failure resources for patients: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/
PCNA heart failure resources for professionals: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/
American Association of Heart Failure Nurses: https://www.aahfn.org/
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Team-based cared for patients with heart failures and related comorbidities is an effective management practice, helping support patients in both inpatient settings and beyond. Guest Anita Rich, DNP, RN, CHFN, CDCES, describes how to instill confidence in team members, be an effective change agent, and inspire hope in these complex patients.
PCNA membership: https://pcna.net/member-center/join-pcna/
Heart Failure Nurse Certification: https://www.aahfn.org/mpage/certificationboard
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001063
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Caring for yourself can help you in your role of helping others. Learn strategies to nurture well-being in your daily life, and the ripple effects that can positively influence those around you, including in the workplace. Guest: Keith Jones, MA, BS
Tips for embracing joy in daily life: https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/tips-for-embracing-joy-in-daily-life
Joy in the Workplace: The Mayo Clinic Experience: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248366/
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What are the latest guidelines for the prevention, diagnosis, and treatment of heart failure (HF)? Guest Nancy Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, discusses new HF classifications, diagnostic strategies including BNP measurement, the four pillars of HF medications, and overcoming barriers to ensure the most effective treatment for our patients..
Four pillars: 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: https://professional.heart.org/en/science-news/2022-guideline-for-the-management-of-heart-failure
Heart Failure Society of America (HFSA): https://hfsa.org/
American Society of Heart Failure Nurses: https://www.aahfn.org/
PCNA HF Resources for Patients: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/
PCNA HF Resources for Professionals: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/
PCNA HF online courses: https://pcna.net/professional-development/online-learning/
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The prevalence of mental health issues is greater in patients with cardiovascular disease than the general population--but do you know what to look for? Guest Valerie Hoover, PhD, discusses the connection of both positive and negative psychological factors on cardiac outcomes, the importance of symptom recognition, and how regular screening for depression using a validated tool can make a significant difference for patients.
Assessment of Depression and Depressive Systems. Depression and Coronary Heart Disease (AHA 2008): https://www.ahajournals.org/doi/full/10.1161/circulationaha.108.190769
Screening and Management of Depression in Patients with CVD (ACC 2019): https://www.jacc.org/doi/abs/10.1016/j.jacc.2019.01.041
Depression Screening and Treatment Guidlines in Cardiac Patients (2022). https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.122.009338 PHQ-2: https://www.hiv.uw.edu/page/mental-health-screening/phq-2
Comparison of PHQ-2 and PHQ-9 to Predict Death or Rehospitalization in Heart Failure (Circulation, 2015): https://www.ahajournals.org/doi/full/10.1161/circheartfailure.114.001488
PHQ-2 and PHQ-9 (Heart Foundation): https://www.heartfoundation.org.au/getmedia/52e4d9ab-dbb1-47a6-bb41-94b986176910/Depression-screening-support-tool.PDF
Cardiac Distress Inventory (Australian Centre for Heart Health): https://www.australianhearthealth.org.au/resources/p/cardiac-distress-inventory
Psychosocial Factors and CVD (JACC 2020): https://www.ahajournals.org/doi/10.1161/JAHA.120.017112
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Learn about advocacy actions that you can take every day, and the importance of nurses sharing their voices on issues that matter. Guest Lynne Braun, PhD, CNP, CLS, FAHA, FPCNA, FAAN, describes how to get involved, and shares examples of engagement that made a difference.
PCNA Advocacy Toolkit https://pcna.net/about/advocacy/advocacy-toolkit/
PCNA Advocacy https://pcna.net/about/advocacy/
PCNA Advocacy Award--nominate your self or others; submissions open July through November. https://pcna.net/member-center/member-benefits/awards/advocacy-award/
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One in two U.S. adults has an elevated blood pressure, and for those that have hypertension, only one in four have it controlled. Guest Janet Wright, MD, FACC, describes the critical role nurses play in detection and management, strategies, and resources to help health care professionals and patients partner on accurate blood pressure monitoring.
PCNA Patient Education Resources: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/
AHA Blood Pressure Toolkit: https://www.heart.org/en/health-topics/high-blood-pressure/high-blood-pressure-toolkit-resources
AMA Hypertension Resources: https://www.ama-assn.org/delivering-care/hypertension
Million Hearts: https://millionhearts.hhs.gov/
CDC: https://www.cdc.gov/bloodpressure/index.htm
Hypertension Control Change Package: https://millionhearts.hhs.gov/tools-protocols/action-guides/htn-change-package/index.html
Live to the Beat: https://millionhearts.hhs.gov/partners-progress/partners/live-beat-campaign-toolkit.html
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Guests Gwen Klinkner, DNP, RN, BC-ADM, CDCES, FADCES, and Melissa Magwire, RN, MSN, CDCES describe how to help patients with diabetes navigate behavior change principles to achieve glucose management including nutrition and exercise. They also examine pharmacotherapies for weight loss with glucose-lowering medications.
CE Link: pcna.net/podcast/euglycemia
SURMOUNT Trials: https://www.nejm.org/doi/full/10.1056/NEJMoa2206038
ADCES: https://www.diabeteseducator.org/
PNCA.net
AHA.org
Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes: doi: 10.1136/bmj.321.7258.405
Comprehensive Management of Cardiovascular Risk Factors for Adults With Type 2 Diabetes: AHA Scientific Statement: doi:10.1161/CIR.0000000000001040
Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the ADA, ADCES, AND, AAFP, AAPA, AANP, APhA: doi:10.1177/0145721720930959
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Nancy Albert, APN, and Rimsky Denis, MD discuss current studies in ASCVD risk reduction for patients with--or at risk for--Type 2 Diabetes. Thay also describe strategies for shared decision-making in clinical practice for managing both cardiovascular disease and diabetes.
CE LINK: pcna.net/podcast/understanding-and-reducing-cardiovascular-and-cardiometabolic-risks
American Heart Association, aha.org
American College of Cardiology, acc.org
Preventive Cardiovascular Nurses Association, pcna.net
Heart Failure Society of America, hfsa.org
American Diabetes Association, diabetes.org
PCNA Behavior Change Mini-Certificate: https://pcna.net/online-course/behavior-change-mini-certificate-2/
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The available novel diabetes therapies and their impact on cardiovascular and cardiometabolic risk reduction are discussed by guests Chris Memering, MSN, RN, CDCES, BC-ADM, FADCES, and Sun Kim, MD. A particular emphasis on GLP-1 receptor agonists, and the patients for whom they are guideline recommended, as well as ongoing research are also covered.
CE LINK: pcna.net/podcast/novel-diabetes-therapies-in-cvd-risk-reduction
GLP-1 RAs: An updated reivew of head-to-head clinical studies: https://pubmed.ncbi.nlm.nih.gov/33767808/
GLP1-RAs: CV benefts & mechanisms of action (Ussher & Drucker): https://pubmed.ncbi.nlm.nih.gov/36977782/
GLP-1 & Underlying Beneficial Actions in Alzheimer's disease, Hypertension, & NASH: ttps://pubmed.ncbi.nlm.nih.gov/34552561/
Incretins & microvascular complications of diabetes: https://pubmed.ncbi.nlm.nih.gov/37597048/
Management of Type 2 Diabetes 2022. A Consensus Report by ADA, EASD. doi: 10.2337/dci22-0034.
ADA Standards of Care in Diabetes 2023. https://diabetesjournals.org/care/issue/46/Supplement_1
AACE Consensus Statement: Comprehensive Type 2 Diabetes Management Algorithm--2023 Update.
https://www.endocrinepractice.org/article/S1530-891X(23)00034-4/fulltext
Cardio-renal-metabolic connection: a review of the Evidence. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391899/pdf/12933_2023_Article_1937.pdf
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Utilizing team- and patient-based care makes a significant impact on our patients, including those with hypertension and diabetes. Guest Thomas Hinneh, MScIH, BScN, RN, shares his experience and inspiration from his work in Ghana, with takeaways we all can utilize in clinical practice.
PCNA diabetes tools for patients: https://pcna.net/clinical-resources/patient-handouts/diabetes-tools-and-handouts/
PCNA diabetes resources for HCPs: https://pcna.net/clinical-resources/provider-tools/diabetes-provider-tools/
PCNA hypertension tools for patients: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/
HI Foundation Ghana: https://hifoundationgh.org/
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- Visa fler