Heart Health Flashcards
Evidence base MHSUs and Cardiovascular health
Higher Mortality
60% of deaths in MHSUs are linked to cardiovascular disease
Evidence base MHSUs& Cardio vascular health
Higher morbidity
MHSUs have higher rates of heart conditions like CVD and stroke
Evidence Base MHSUs and cardio vascular health
Unequal access to treatment
Lipid testing for antipsychotic users ranged from 6% to 85%
Evidence base MHSUs and cardio vascular health
Adverse Drug Reactions
Medication side effects can be cardio toxic - clozapine and myocarditis
Risk factors for poor heart health
Modifiable
Smoking ,poor diet,obesity,high cholesterol,diabetes ,alcohol intake
Risk Factors for poor heart health
Non- Modifiable
Genetic / family history ,age,gender ,ethnicity
Risk factors for poor heart health
Staff / Organisation factors
Stigma and diagnostic overshadowing,disorganised / unequal care for those with SMI or at high risk
Risk factors for poor heart health
Other Factors
Poverty , health inequality, social isolation , anxiety and depression increase the risk of heart disease and stroke.
Risk factors for poor heart health
MHSUs
Unique risk factor of psychotropic medication side effects
Heart problems
Pumping mechanism breaks or the tubes don’t function well and heartbeat becomes too fast or too slow e.g arteriosclerosis ,atheroma ( blocked arteries)
The electrical system breaks and electrical shocks that stimulate the heart become irregular e.g Q.T prolongation,arrhythmias ( side effects of some meds )
Cardiovascular conditions in SMI (severe mental illness)
Coronary Heart Disease - obesity,smoking,lack of exercise ,depression,diabetes
Myocarditis
Clozapine side effect
Prolonged QT
Anti psychotics side effect
Hypertension
Obesity, dyslipidaemia,increased alcohol intake
Stroke
Hypertension,life factors ,age
Angina
Obesity , lack of exercise , hypotension, dyslipidamia ,smoking ,hereditary
Myocardial
Obesity ,lack of exercise , hypertension, dysilipidaemia, smoking , hereditary ,gender and depression
Risk factors affecting health
Diet ,BMI,Waist,Physical inactivity
Role of MHN Cardiovascular Health
Provide safe and competent physical care
Know risks factors for poor heart health
Have clinical skills
Know about adverse drug reactions
Know about the treatments for heart probs - medication , health education
Interventions for heart health
Non- Pharmacological
Stop smoking
Lose weight
Increase fruit and veg 5 a day
Decrease total fat intake
Decrease calorie intake take
Decrease salt intake
Increase physical activity
Reduce red meat and increase fish intake
Reduce alcohol intake
Change food prep - from frying to steaming
Interventions for heart health
Pharmacological
Statins - help to lower lipids
Diuretics helps to reduce sodium levels and Odema by promoting fluid loss
Beta blockers - reduce adrenaline which increases heart rate
Ace inhibitors - help to relax blood vessels and lower blood pressure
Ozempic - anti obesity drug
Surgery - e.g pacemaker
Monitoring or changing
