title: Primary prevention programs to reduce heart disease risk in women.
abstract: Cardiovascular disease is the number one killer of women. Despite this statistic, many women do not perceive heart disease as a priority health concern. Recognizing that prevention begins in the community, the American Hospital Association launched a national fellowship program in 1998 to improve cardiovascular health. This article describes a practice innovation designed by a clinical nurse specialist who participated as a 1999-2000 cardiovascular fellow. The Women's Prevention Center, a community-based clinic within the walls of a heart hospital, provides a personalized cardiovascular assessment for women, including both heart history and assessment of physical parameters (eg, blood pressure, fasting glucose, lipid panel, waist-hip ratio). From this assessment, women are counseled on strategies to modify their individual risk factors, such as smoking cessation, heart-healthy nutrition and exercise, and are assisted in developing realistic lifestyle or medical management goals. After the initial assessment, outcomes are measured at 3-, 6-, and 12-month follow-ups to determine both individual success with behavior changes and program effectiveness.
authors.affiliation: John Nasseff Heart Hospital, St. Paul, MN 55102, USA. margo.halm@allina.com
authors.forename: Margo A
authors.initials: MA
authors.lastname: Halm
authors.forename: Jodi
authors.initials: J
authors.lastname: Denker
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D005257:Fellowships and Scholarships; D005260:Female; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D009720:Nurse Clinicians; D024802:Nurse's Role; D011315:Preventive Medicine; D011320:Primary Health Care; D016730:Program Development; D012307:Risk Factors; D016387:Women's Health