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Lifestyle Management for Patients With Coronary Heart Disease / Edition 1

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Overview

Changing lifelong habits and adopting new behaviors is a difficult but necessary task for heart patients. As a health care professional, you must play an active role in assisting patients who face this challenge in order to reduce coronary heart disease (CHD) risk. Lifestyle Management for Patients With Coronary Heart Disease provides you with techniques for helping patients change their unhealthy behaviors and improve their quality of life following a CHD event.

Drawing upon more than 20 years of research and clinical experience in the Stanford Cardiac Rehabilitation Program, authors Nancy Houston Miller and Craig Barr Taylor present behavioral interventions and explain how to apply the interventions in a wide variety of health care settings. You will find separate chapters on specific risk factors, including

- exercise,
- smoking,
- diet,
- stress, and
- medications.

Each of these chapters provides methods for helping patients not only adopt but also maintain lifestyle changes in these areas. You'll find 19 assessment tools and patient resources such as questionnaires and logs to help facilitate lifestyle change. You'll also find information on

- elements of a successful behavioral program;
- educational methods for behavior change, including printed materials, video, computers, telephone calls, and group interventions; and
- psychological issues that may affect a patient's ability to change—depression, anxiety, alcohol and drug abuse, social support and marital status, and stress and anger.

Although the primary focus of this monograph is on patients with established CHD, many of the principles can also be applied to patients at high risk for developing cardiovascular disease. All health care professionals who work with cardiovascular patients, especially those involved in education and counseling, will want to own a copy of this comprehensive and practical guide.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Richard J. Carroll, MD, ScM (Loyola University Stritch School of Medicine)
Description: This monograph covers several topics related to lifestyle changes and management in patients with coronary artery disease, including psychosocial issues, stress management, smoking cessation, compliance with medications, and other topics.
Purpose: Its purpose is to help all healthcare professionals who are involved in educating and counseling patients to modify risk factors.
Audience: This monograph is intended for practitioners who deal with patients with known coronary artery disease.
Features: It is unique in that it provides numerous questionnaires and tools for systematic lifestyle changes (i.e., smoking cessation) that can be quite useful to the practitioner.
Assessment: This is a very concise, well-written, and well-organized monograph. With risk factor modification being of such importance, this monograph can provide a systematic, comprehensive approach to helping the cardiac patient understand and create appropriate lifestyle changes.
Richard J. Carroll
This monograph covers several topics related to lifestyle changes and management in patients with coronary artery disease, including psychosocial issues, stress management, smoking cessation, compliance with medications, and other topics. Its purpose is to help all healthcare professionals who are involved in educating and counseling patients to modify risk factors. This monograph is intended for practitioners who deal with patients with known coronary artery disease. It is unique in that it provides numerous questionnaires and tools for systematic lifestyle changes (i.e., smoking cessation) that can be quite useful to the practitioner. This is a very concise, well-written, and well-organized monograph. With risk factor modification being of such importance, this monograph can provide a systematic, comprehensive approach to helping the cardiac patient understand and create appropriate lifestyle changes.

4 Stars! from Doody
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Product Details

Meet the Author

Nancy Houston Miller is the associate director of the nationally recognized Stanford Cardiac Rehabilitation Program. Having worked in cardiac rehabilitation for more than 20 years, she has a thorough understanding of what it takes to help patients with coronary heart disease change their lifestyles. Her extensive research in cardiovascular risk reduction has involved work on the development of MULTIFIT, the multiple risk factor intervention program described in this monograph. Since 1973 she has worked with patients in the YMCArdiac Therapy Exercise Program, now known as the Cardiac Therapy Foundation of the Mid-Peninsula, in Palo Alto, CA.

A member of both the American Association of Cardiovascular and Pulmonary Rehabilitation and the American Heart Association, Houston Miller received fellowship awards from these organizations in 1990 and 1991, respectively. She earned her bachelor's degree in nursing from the University of Washington in 1972.

Craig Barr Taylor is the codirector of the Stanford Cardiac Rehabilitation Program. A board-certified psychiatrist, he has more than two decades of experience in clinical and research interventions with coronary heart disease patients. He has been a professor of psychiatry at Stanford University School of Medicine since 1991.

Taylor was a principal investigator on the MULTIFIT research study, a project funded by the National Heart, Lung, and Blood Institute. He, Houston Miller, and others are responsible for developing the American Heart Association's Active Partnership™ Program, which has been used with more than one million patients. A member of the American Association of Cardiopulmonary Rehabilitation and the Society of Behavioral Medicine, Taylor was elected president of the latter organization for the 1995 term. He earned his MD in 1970 from the University of Utah College of Medicine.

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Table of Contents

Assessment Tools and Patient Resources
Preface
Acknowledgments

Chapter 1. Introduction to Lifestyle Management
Chapter 2. Lifestyle Management: Theories of Intervention
Chapter 3. Education, Communication, and Methods of Intervention
Chapter 4. Psychological Issues Affecting Lifestyle Change
Chapter 5. Adherence to Exercise Programs
Chapter 6. Dietary Assessment and Intervention
Chapter 7. Stress Management
Chapter 8. Smoking Cessation
Chapter 9. Adherence to Medications

References
Index
About the Authors

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