Asunto(s)
Atención a la Salud/organización & administración , Accidente Cerebrovascular , Activador de Tejido Plasminógeno/uso terapéutico , Anciano , Canadá , Femenino , Humanos , Estilo de Vida , Masculino , Investigación , Factores de Riesgo , Accidente Cerebrovascular/epidemiología , Accidente Cerebrovascular/mortalidad , Accidente Cerebrovascular/prevención & control , Accidente Cerebrovascular/terapia , Rehabilitación de Accidente CerebrovascularRESUMEN
In Saskatchewan, as in the rest of Canada, cardiovascular disease (CVD) is the leading cause of death and hospitalization. Indeed, the rate of decline in mortality has been slower in Saskatchewan than in most other provinces. So when the federal-provincial Canadian Heart Health Initiative was established in 1986, the province set up the Saskatchewan Heart Health Program both to form part of the national initiative and to take advantage of the opportunities implicit in it.
Asunto(s)
Enfermedades Cardiovasculares/prevención & control , Servicios de Salud Comunitaria/organización & administración , Servicios de Salud Rural/organización & administración , Enfermedades Cardiovasculares/epidemiología , Humanos , Evaluación de Programas y Proyectos de Salud , Saskatchewan/epidemiologíaRESUMEN
As part of the Coalition's mandate to promote the prevention and control of high blood pressure in Canada, an interdisciplinary Workgroup was established to review and update the existing standards (1987) for blood pressure measurement and referral guidelines. The intent was to prepare a scientifically based document which contained practical guidelines for the measurement of blood pressure and criteria for follow-up, and one which promoted the concept of cardiovascular health in the assessment and interpretation of blood pressure readings. These guidelines were primarily developed to assist primary health care providers and/or clinicians to assess, monitor, counsel, refer, and develop treatment plans for adults-at-risk for high blood pressure or those with the confirmed diagnosis of hypertension. Readers are referred to The Canadian Hypertension Society Consensus Conference series (Canadian Medical Association Journal 1993) for specific guidelines on the evaluation, diagnosis, and treatment of hypertension. The document is divided into three sections: 1. Measurement of blood pressure 2. Criteria for follow-up 3. Guidelines for lifestyle counselling Each section cites the references used in developing the guidelines and where relevant, identifies other resources which can be used in clinical practice.
Asunto(s)
Cuidados Posteriores/normas , Determinación de la Presión Sanguínea/normas , Consejo/normas , Hipertensión/diagnóstico , Hipertensión/prevención & control , Estilo de Vida , Adolescente , Adulto , Determinación de la Presión Sanguínea/instrumentación , Determinación de la Presión Sanguínea/métodos , Humanos , Hipertensión/etiología , Persona de Mediana Edad , Atención Primaria de Salud , Derivación y ConsultaRESUMEN
Health educators are often faced with the dilemma of developing materials or programs that begin at a level appropriate to the needs of individuals or the population as a whole. In 1992, a randomized telephone survey of the public's knowledge of risk factors relating to stroke was conducted in Saskatoon. The risk factors most frequently identified were poor diet (40%), hypertension (36%) and stress (36%). Respondents with a family history of stroke were significantly more likely to identify hypertension as a risk factor than those without such a history and significantly less likely to identify stress as a risk factor. In all, 24% reported a family history of acute myocardial infarction, and 28% reported a family history of stroke. Eighty percent were willing to learn more about the risk factors, and 88% were willing to make the appropriate lifestyle changes to reduce their risk of an event. Assessment of public knowledge can help in planning initiatives directed at prevention, early identification and appropriate referral.
Asunto(s)
Trastornos Cerebrovasculares/etiología , Educación en Salud , Adolescente , Adulto , Anciano , Trastornos Cerebrovasculares/epidemiología , Recolección de Datos , Dieta/efectos adversos , Escolaridad , Femenino , Humanos , Hipertensión/complicaciones , Masculino , Persona de Mediana Edad , Factores de Riesgo , Saskatchewan , Estrés Psicológico/complicaciones , TeléfonoRESUMEN
A questionnaire survey was conducted of physicians and nurses who had participated in Advanced Cardiac Life Support (ACLS)-Provider courses during a 5-year period. Both physicians and nurses believed that a conjoint physician-nurse ACLS-Provider course was a good learning experience and an excellent exercise in interprofessional communication. On the basis of these data, we suggest that a conjoint ACLS-Provider course be maintained, rather than establishing different modules for different professions.