COACH Program

• Sr Sue Bradley • Dr Wes Jame

The COACH Programat

BERWICK MEDICAL CENTRE

A training and motivational program for cardiac patients

The COACH program

Coaching patients On Achieving Cardiovascular Health

• Evidence based• Aims to achieve risk factor target levels• Follows National Heart Foundation of Australia

Guidelines• Utilises telephone, mail and consultation• Provides individualised care by Nurse• Works in partnership with the patient’s GP• Provides structured 12 month follow up

From our web page Cardiac CoachingResearch has shown patients who have recently had a heart attack , cardiac surgery or coronary angioplasty are more likely to have a healthier, better outcome if they participate in Cardiac Coaching in addition to their normal GP and specialist follow up. Berwick Medical Centre has introduced a cardiac coaching program in 2007. The program is delivered by Sister Sue Bradley . Sue has post graduate qualifications specifically in cardiovascular disease prevention from the University of Melbourne and the Anti Cancer Council in addition to her aged care and diabetes education skills. She has many years experience from working in Cardiac Rehabilitation courses. Patients will be enrolled by their GP. Sue will contact them by telephone at designated intervals over the 12 months after their cardiac event and will then arrange an appointment with herself to discuss goals, treatment and self help.

Who is it For ?

• AMI• Angina• Stenting• CABGs• Valve Replacement

4 sessions quarterly following event

How does it work

• Determines the patient’s knowledge of their risk factors

• Establishes targets for those risk factors• Educates patients in their practice of

lifestyle measures• Assists with adherence to drug therapy• Reinforces a chest pain emergency plan

Parameters• Smoking: Cease smoking. Avoid passive smoking• Nutrition: Reduce trans fats to < 8% of the diet• Alcohol: 2 or less std drinks/day males, 2 alcohol

free days. Max 4/day 1 or less std drinks/day females, 2

alcohol free days. Max 4/day. Maximum 6 on exceptional celebration days.

• Physical activity: 5 x 30 mins/day moderate activity. May be taken in 3 x 10 min sessions.

Increases natural anti-oxidants • Weight: BMI < 25 Waist male < 94cm

female < 80cm

Parameters Cont’d• Lipids: Total cholesterol <4 mmol/L LDL < 2.5 mmol/L HDL > 1 mmol/L

• BP: < 130/85 125/75 ideal

• Signs and Symptoms of Heart Attack : Review signs & symptoms of Heart

Attack and Stroke

• Diabetes: Aim for HbA1C < 7.0 ideal <6.0

• New Zealand Risk Indicator: Estimate risk

• NB symptoms of heart attack: attend A&E or call ambulance

ASAP

Questions ?

Encourage change with humour