Download Topic 2: Chapter two Cardiovascular Disease – Getting to the heart

©2015 Sustainable Farm Families™ V19
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Topic 2:
Chapter two
Cardiovascular Disease – Getting to the heart of things
Time allocated:
65 minutes
Resources:
National Heart Foundation pamphlets;
Video – Coronary Heart Disease Section 1, Section 3;
Video – Investigations and treatments;
Heart By-Pass model if available;
Cholesterol in vessels model.
Preparation:
Make sure video is ready.
Learning objectives:
In this session we will introduce the following topics:
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The anatomy and physiology of the heart and circulatory system;
The physiology of the coronary blood vessels;
How cholesterol deposits effect heart function;
The major risk factors for cardiovascular disease and how they relate to you;
Risk factor reduction processes;
Treatment of cardiovascular disease; and
New approaches to treatment and management of cardiovascular disease.
reat
Highlight pamphlets on Heart disease in
manual and importance of these.
Slide 1
Cardiovascular disease
“Getting to the heart of things”
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 - SA V.1
Table group discussion
2 minutes only, document on whiteboard.
Also ask participants to document findings in
Resource Kit.
Slide 2
In your table groups
Discuss the following question:
• What do you believe are the major risk
factors for heart disease?
Take a few minutes to discuss.
Document your answers page 2.2 in your resource kit
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Chapter Two
Cardiovascular disease
Workshop One – Topic Two
© 2015 – SA V.1
Slide
2
Page 1
©2015 Sustainable Farm Families™ V19
PowerPoint Presentations
Analogy of a water pump and heart – and life
expectancy of water pump versus heart.
Explain the relationship between systolic and
diastolic – both readings are important.
Slide 3
Heart facts
• An amazing pumping ability
• Beats around 70 beats per minute
• 4,200 beats per hour
• 100,800 beats per day- 705,600 per week
and 36,691,200 per year
• Pumps 11,500 litres per day
• Pumps over 42 million litres per year
© 2015 – SA V.1
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Slide
3
Note: the higher rate for women in total and in
stroke in particular.
Slide 4
Current rates of CVD
Cause of death
Females
All Cardiovascular disease
20,953
22,992
Coronary heart disease
10,907
9,138
Other Cardiovascular disease
Stroke
[i]
Males
5,801
7,320
4,245
6,524
Australian Bureau of Statistics, 2012. Causes of Death, Australia2012. ABS. Cat. No 3303.0. Canberra. accessed online 23
November 2015
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
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Slide
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Slide 5
Current rates of CVD
Source: http://www.heartfoundation.org.au/information-for-professionals/data-and-statistics/Pages/interactive-map-victoria.aspx
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Main focus point is that damage is irreversible
to the cardiac vessel.
Slide 6
Anatomy of the heart
• Works as a double pump
• Requires blood to work
• Disorders develop over the
lifespan
• Coronary vessels are the link to
heart disease
• Damage is irreversible
• Cholesterol and smoking
damage the vessels
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Hand out heart model.
© 2015 – SA V.1
Slide
6
Good analogy is a blocked plumbing system.
Use other analogies relevant to everyday
experience. Don’t get stuck here as also
discussed in Video.
Slide 7
Physiology of heart disease
• Vessels are 2mm in diameter
• Supply blood to the chambers
• Cholesterol builds up in these
• Pumping ability is affected
• Risk factors are cumulative to
heart disease progression
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Chapter Two
Cardiovascular disease
Workshop One – Topic Two
© 2015 – SA V.1
Slide
7
Page 2
©2015 Sustainable Farm Families™ V19
PowerPoint Presentations
Video Presentation
Section 1: Coronary Heart Disease, focusing
on anatomy and physiology. May need to
clarify points in video.
Highlight this is a technical video, but we will
discuss further following it.
Slide 8
Video presentation
Coronary heart disease. Section 1
Biology
Russell Knightly Media
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015– SA V.1
Risk factors are cumulative – each increases
your chance of disease.
Slide 9
Risk factors for cardiovascular disease
Source: National Heart Foundation 2008
• Family history
• Raised blood pressure
• Smoking
• Being overweight
• Raised cholesterol levels
• Diabetes
• Elevated alcohol
consumption
• Raised stress levels
• Physical inactivity
• Social isolation
• Gender and age
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
9
Table Group Discussion
2 minutes only – document on whiteboard /
butcher’s paper.
Slide 10
Risk factor review
In your table groups
Discuss the following question
• How the above information might relate to
rural farmers and their families?
Document your answers on page 2.8 in your resource kit
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
10
Slide 11
Your heart
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Chapter Two
Cardiovascular disease
Workshop One – Topic Two
© 2015 – SA V.1
Slide
11
Well documented health inequities exist
between regional and remote versus urban
settings, In the former life expectancy is 1-7
years lower and decreases with increasing
remoteness. (AIHW Australia Health 2010
(AIHW 2008) AIHW PHE 97. An approximate
10%difference in all – cause mortality ahs
been consistently documented between major
cities and the rest of Australia. Australian
Institute of Health and Welfare. Australia's
health 2010 (AIHW Cat. No. AUS 122).
Canberra: AIHW, 2010.
http://www.aihw.gov.au/publicationdetail/?id=6442468376&tab=2 (accessed May
2012).e.
here are two reasons for excess CHD deaths - risk factors among the population and
inadequacies in the level of medical care
provided.
Page 3
©2015 Sustainable Farm Families™ V19
PowerPoint Presentations
Main point: Prevention of heart disease is
most important as damage is irreversible.
Slide 12
Prevention of cardiovascular disease
• Know family history
• Observe weight and reduce if necessary
• Check cholesterol and lipids
• Reduce fat intake
• Cease smoking
• Monitor blood pressure
• Regular check ups with your health professional or
doctor
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
12
Video presentation
Section 3: Preventative approaches to heart
disease.
Slide 13
Video presentation
Coronary heart disease. Section 3
Investigations and treatments
Russell Knightly Video
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2010 QLD – V.1
Slide 14
Detection methods and treatments
• Family or genetic history
• Electrocardiograph (ECG)
• Exercise ECG
• Angiography
• Angioplasty balloon and
or stenting
• Coronary Bypass surgery
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
14
© 2015 – SA V.1
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15
Slide 15
Angioplasty
Courtesy of www.thirdage.com
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Highlight the high cost of these procedures.
Click to start short animation of stent being
inserted – describe as animation is playing.
Slide 16
Insertion of stents
Courtesy of www.thirdage.com
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Chapter Two
Cardiovascular disease
Workshop One – Topic Two
© 2015 – SA V.1
Slide
16
Page 4
©2015 Sustainable Farm Families™ V19
PowerPoint Presentations
Focus on plumbing analogy.
Usually do more than one vessel at a time.
This can occur 1,2,3,4 times. Handout triple
bypass model.
Slide 17
By-pass surgery
Courtesy of www.thirdage.com
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
17
People with heart conditions may have
recommended daily fluid allowances and this
means on hot days you cannot go over your
allowance. To assist with this we suggest
sucking on ice, using water mists to keep you
cool. Important to discuss with your health
professional.
Slide 18
Climate change and CVD
• When temperature is high there is an increase in
heat related deaths from heart attack and stroke.
• Some people are at more risk.
• This includes:
•
•
•
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Those with chronic conditions – i.e. heart problem.
Physically active or working in the heat of the day
On certain medications
Elderly
• Contact your health professional if you are at
risk
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
18
Table group discussion
2 minutes only – record on whiteboard /
butcher’s paper.
Slide 19
In your table groups
Discuss the following question
• Identify three things you or your family can
do to assist in the prevention of
cardiovascular disease
Document your answer on page 2.16 in your resource kit
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
© 2015 – SA V.1
Slide
19
© 2015 – SA V.1
Slide
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Slide 20
In summary
• Know your family history
• Watch your weight
• Monitor your cholesterol
• Stop smoking
• Check your blood pressure
• Reduce risk for diabetes
• Be active—30 minutes 5 times per week
• Be mindful of hot weather
• Remember - Prevention rather than cure
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Slide 21
Cardiovascular disease
“Getting to the heart of things”
Sustainable Farm Families™ - The Human Resource in the Triple Bottom Line
Chapter Two
Cardiovascular disease
Workshop One – Topic Two
© 2015 – SA V.1
Page 5