Development of a Clinical Best Practice Cardiac Rehab Initiative for Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/149669
Type:
Presentation
Title:
Development of a Clinical Best Practice Cardiac Rehab Initiative for Women
Abstract:
Development of a Clinical Best Practice Cardiac Rehab Initiative for Women
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Colella, Tracey J. F., ACNP, PhD
P.I. Institution Name:Toronto Rehabilitation Institute / University of Toronto
Title:Advanced Practice Leader
[Clinical Session Presentation] Cardiovascular disease is the leading cause of morbidity and mortality in women in Canada (HSFC, 2001). Secondary prevention strategies such as participation in a cardiac rehabilitation (CR) program can reduce the risk of morbidity and mortality by 25% within the first three years following a cardiac event (CACR, 2004; Taylor et al., 2004). Unfortunately, women are consistently underrepresented in CR programs and therefore not experiencing the associated health benefits (positive CAD risk factor modifications, improved exercise tolerance, quality of life) that such programs have to offer. Our program enrols approximately 400 women per year (30%), which is considerably less than the 1200 men who participate yearly (70%). Lower referral rates, poor compliance as well as high drop out rates remain key issues in need of further examination and follow up (Bittner et al, 2003; Marzolini et al., 2008). Cardiac rehabilitation should be considered the standard of care for all patients living with cardiac disease (AHA, 2007, CACR, 2004). The purpose of this Advanced Practice Women's Initiative is to narrow the gap in CR services delivery through the development of an evidence-based initiative specific to women's needs. Consistent with the Canadian Association of Cardiac Rehabilitation (CACR, 2004) Guidelines and the direction of Women's planning team, the goals of this initiative include: 1) Improved referral, access, participation and adherence in a CR program, 2) Improved functional capacity, risk factor modification, psychosocial/emotional health and social support, 3) A focus on clinical approaches and educational opportunities specific to women's needs, 4) Eventual further engagement of CR alumnae and community outreach. The framework for this initiative focuses on three pillars of care specific to women's needs including clinical, education and research. This presentation will overview the evidence-based approach taken to facilitate the implementation of this initiative based on the principles of women's health and chronic disease management.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of a Clinical Best Practice Cardiac Rehab Initiative for Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149669-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Clinical Best Practice Cardiac Rehab Initiative for Women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Colella, Tracey J. F., ACNP, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Toronto Rehabilitation Institute / University of Toronto</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Advanced Practice Leader</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Colella.Tracey@TorontoRehab.on.ca</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Session Presentation] Cardiovascular disease is the leading cause of morbidity and mortality in women in Canada (HSFC, 2001). Secondary prevention strategies such as participation in a cardiac rehabilitation (CR) program can reduce the risk of morbidity and mortality by 25% within the first three years following a cardiac event (CACR, 2004; Taylor et al., 2004). Unfortunately, women are consistently underrepresented in CR programs and therefore not experiencing the associated health benefits (positive CAD risk factor modifications, improved exercise tolerance, quality of life) that such programs have to offer. Our program enrols approximately 400 women per year (30%), which is considerably less than the 1200 men who participate yearly (70%). Lower referral rates, poor compliance as well as high drop out rates remain key issues in need of further examination and follow up (Bittner et al, 2003; Marzolini et al., 2008). Cardiac rehabilitation should be considered the standard of care for all patients living with cardiac disease (AHA, 2007, CACR, 2004). The purpose of this Advanced Practice Women's Initiative is to narrow the gap in CR services delivery through the development of an evidence-based initiative specific to women's needs. Consistent with the Canadian Association of Cardiac Rehabilitation (CACR, 2004) Guidelines and the direction of Women's planning team, the goals of this initiative include: 1) Improved referral, access, participation and adherence in a CR program, 2) Improved functional capacity, risk factor modification, psychosocial/emotional health and social support, 3) A focus on clinical approaches and educational opportunities specific to women's needs, 4) Eventual further engagement of CR alumnae and community outreach. The framework for this initiative focuses on three pillars of care specific to women's needs including clinical, education and research. This presentation will overview the evidence-based approach taken to facilitate the implementation of this initiative based on the principles of women's health and chronic disease management.</td></tr></table>en_GB
dc.date.available2011-10-26T10:07:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:07:03Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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