AHA WISEWOMAN Provider Training

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AHA/ASA and NC WISEWOMAN POWER TO END STROKE AND GO RED FOR WOMEN PARTNERSHIP

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Go Red For Women is . . . the American Heart Association’s nationwide movement that celebrates the energy, passion and power we have as women to band together and wipe out heart disease. Thanks to the participation of millions of people across the country, the color red and the red dress have become linked with the ability all women have to improve their heart health and live stronger, longer lives.

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An aggressive education and awareness campaign that embraces and celebrates the culture, energy, creativity, and lifestyles of African Americans. It unites African Americans and other ethnic groups to make an impact on the high incidence of stroke within their community. Property of Cone and the AHA/ASA, all rights reserved 3

PowerDemographics : 

PowerDemographics Age 28% (55-64) 27% (45-54) 17% (35-44) 10% (25-34) Ethnicity 59% Black/AfricanAmerican 32% White 4% Multi-racial

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Cardiovascular disease is the LEADING CAUSE of death in America today. Stroke is the 3rd leading cause of death and the LEADING CAUSE of neurological disability in America today.

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Cardiovascular diseases claims a life every 35 seconds. In NC it is the leading cause of death for both men and women in all racial and ethnic groups

Women Are the Heart of Go Red : 

Heart disease is the No. 1 killer of women age 20 and over, but is largely preventable. Heart disease is not just a man's disease. Go Red For Women is dedicated to building awareness of heart disease among women. One in three women has some form of cardiovascular disease. Cardiovascular disease kills approximately 450,000 women per year, almost one per minute. More women die of cardiovascular disease than the next five causes of death combined, including cancer. African American women are at higher risk due to Higher rates of obesity, diabetes and hypertension. Women Are the Heart of Go Red Go Red For Women hopes that by showing the many faces of heart disease, women can connect with each other and educate and empower themselves to make choices to reduce their personal risk.

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The Impact of Stroke Property of Cone and the AHA/ASA, all rights reserved 8 Stroke is the third leading cause of death in the United States killing more than 162,000 people annually On average, someone suffers a stroke every 45 seconds Every 3.3 minutes, someone dies of a stroke About 700,000 Americans suffer strokes each year 500,000 first attacks 200,000 recurrent attacks

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The Impact of Stroke Property of Cone and the AHA/ASA, all rights reserved 9 NC ranks 6th in the nation for the highest stroke death Stroke is the 3rd leading cause of death in NC 40,000 more women than men suffer a stroke each yr. Overall death rate for stroke is 56.2% 22% of men and 25% or women who have an initial stroke die within a yr. African Americans in NC are more than 50% more likely to die from a stroke than Caucasians - the death rate for African Am. women is 71.8% vs. 81.7% for men

RISK FACTORS : 

RISK FACTORS Controllable Risk Factors High Cholesterol High Blood Pressure Physical Inactivity Obesity and Overweight Type 2 Diabetes Smoking Atrial Fibrillation (specific risk factor for stroke) Uncontrollable Risk Factors Increasing Age Heredity (family history) Race (members of some races, particularly African Americans, are at higher risks) If you have any of these risk factors, you are at risk for heart disease and stroke

Your Risk: High Blood Cholesterol : 

Your Risk: High Blood Cholesterol Total Cholesterol Level Desirable = Less than 200 Borderline high = 200 to 239 High = 240 and above LDL greater than 100 (100 – 130 upper optimal) Triglyceride greater than 150 About 50% of women have a total cholesterol of 200 mg/dL and above, which puts them at risk for heart disease.

Your Risk: High Blood Pressure : 

Your Risk: High Blood Pressure Normal Blood Pressure = Below 120/80 Pre-Hypertension = 120-139/80-89 Hypertension = Above 140/90 About 39 million women age 20 and older have high blood pressure. 28% of people with high blood pressure don’t know they have it.

Your Risk: Physical Inactivity : 

Your Risk: Physical Inactivity Inactive women: White females – 38% Black females – 52% Hispanic females – 54% Asian females – 41% All healthy adults ages 18-65 should be getting at least 30 minutes of moderate intensity activity five days a week.

Your Risk: Obesity & Overweight : 

Your Risk: Obesity & Overweight Excess Weight: Waist line greater than 35” Strains your heart Raises blood pressure and cholesterol Can lead to diabetes More than 142 million American adults are overweight. Of these, nearly 67 million are considered obese. About 69 million women are overweight and 36.7 million are obese, which greatly increases their risk for heart disease.

Your Risk: Diabetes : 

Your Risk: Diabetes Blood glucose greater than 100 is pre-diabetic and greater than 125 diabetic Complications of Diabetes Stroke, TIA Blindness Heart attack, angina Kidney disease High blood pressure Loss of legs or feet Nerve disease People with diabetes are two to four times more likely to develop cardiovascular disease. 7.5 million women 20+ have been diagnosed with type 2 diabetes, 2.3 million go undiagnosed and 24.9 million are pre-diabetic.

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Diabetics Have a Higher Risk From 3 to 7 times the risk of heart disease and heart attack Much greater risk of stroke Double the risk of second heart attack Often have high blood pressure and high blood cholesterol, increasing risk

Your Risk: Smoking : 

Your Risk: Smoking Benefits of Quitting Within 1 to 2 years of quitting, your risk of coronary heart disease is substantially reduced. Your sense of smell and taste come back. A smoker’s cough will go away. You breathe much easier. It is easier to be physically active. You are free of “needing” cigarettes. 20.7 million women age 18 and older smoke, increasing their risk for heart disease.

What Is Heart Disease? : 

Images of Heart Disease What Is Heart Disease? Coronary Heart Disease High Blood Pressure Heart Failure Valve Disease/Rheumatic Heart Disease Diseases of Pulmonary Circulation

What Is A Heart Attack? : 

What Is A Heart Attack? Death of some portion of the heart muscle due to inadequate blood supply due to: atherosclerosis blood clot

What Is A Heart Attack? : 

What Is A Heart Attack? Know the Warning Signs – Typical Heavy, tight or achy chest pain Radiation to L shoulder, arm, neck, jaw May radiate to R shoulder, arm, neck, jaw Short of breath Nauseated Diaphoretic (cold sweat)

What Is A Heart Attack? Know the Warning Signs More Typical for Women : 

What Is A Heart Attack? Know the Warning Signs More Typical for Women Stomach or abdominal pain/strange feeling in chest without chest pain Nausea Dizziness without chest pain Short of breath, difficulty breathing with no chest pain Unexplained anxiety, weakness or fatigue Palpitations, cold sweat, paleness If you or someone you are with experiences these symptoms, call 911 immediately. Even if they recognize the symptoms, women hesitate to call 911, and get to the hospital 40 to 60 minutes later than men.

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The Impact of Stroke Property of Cone and the AHA/ASA, all rights reserved 22 What Is Stroke ? A stroke occurs when blood flow to the brain is interrupted Ischemic Stroke (Blockage) Blockage in the blood vessel (clot in the artery inside the brain) Hemorrhagic Stroke (Bleeding) Burst or leaking blood vessel ( blood vessel ruptures)

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The Impact of Stroke Property of Cone and the AHA/ASA, all rights reserved 23 Stroke Warning Signs Sudden weakness or numbness of the face, arm or leg, especially on one side of the body Sudden confusion, trouble speaking or understanding Sudden trouble seeing in one or both eyes Sudden trouble walking, dizziness, loss of balance or coordination Sudden, severe headaches with no known cause (for hemorrhagic stroke)

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The Impact of Stroke Property of Cone and the AHA/ASA, all rights reserved 24 Transient Ischemic Attacks (TIAs) TIAs are “warning strokes” that can happen before a major stroke They occur when blood flow through a brain artery is blocked or reduced for a short time TIA symptoms are temporary but similar to those of a full-fledged stroke A person who has a TIA is 9.5 times more likely to have a stroke

What Can I Do To Prevent Heart Disease and Stroke? : 

What Can I Do To Prevent Heart Disease and Stroke? Choose to take ACTION and Lower Your Risk Eat a healthy diet low in saturated fat, trans fat, cholesterol and sodium. Keep your weight under control. Be physically active at least 30 minutes on most or all days of the week. Control your blood pressure and cholesterol levels. Manage your blood sugar if you have diabetes. Get regular medical check-ups. Talk to your doctor about a prevention plan and medicines that may be right for you. Don’t smoke, and avoid tobacco smoke.

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Diet high in fiber, vegetables and fruit and low in fat and cholesterol and definitely follow your physician prescribed diet plan Stress reduction Annual physical exams that include: EKG Blood glucose Blood pressure Total lipid panel

Take Action! : 

Take Action! A woman who Goes Red… takes action to reduce her risk of heart disease. exercises more frequently. has lost weight. has had her cholesterol checked. modifies her diet to include healthy food. encourages others to join Go Red For Women. has taken the Go Red Heart CheckUp. Join Go Red For Women at www.GoRedForWomen.org and get your free red dress pin.

PowerHealth Impact : 

PowerHealth Impact Action taken after participating in Power: 61% got their BP checked 54% got their cholesterol checked 50% started walking/exercising Outcomes after participating in Power: 54% eat more nutritiously 44% are more active 38% feel better 34% lost weight

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Heart Attack and Stroke are Medical Emergencies –Call 911!

North Carolina PTES and GO Red Goals : 

North Carolina PTES and GO Red Goals To have a minimum of 7,000 African Americans and other at risk individual join the Power movement and make a commitment to reduce their risks) by June 30, 2010. To engage a minimum of 200 NC PTES Ambassadors in the who complete at least one activity by June 30, 2010. To have a minimum of 8,000 women register for the Go Red movement by June 30. 2010.

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LET’S TALK ABOUT AHA/ASA – WISEWOMAN PARTNERSHIP GOALS, MATERIALS and RESPONSIBILITIES

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GOALS WISEWOMAN Coordinators become Go Red - PTES Ambassadors All WISEWOMAN patients join the Go Red/PTES movement by completing the registration form provided to them by the WISEWOMAN Coordinator *****(completed forms to be sent to Jessica Pyjas who will then forward them to AHA)

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WISEWOMAN Coordinators Roles and Responsibilities Have each WISEWOMAN patient complete the Go Red – Power to End Stroke registration (forms will be provided to each coordinator in folder from AHA) Provide each WISEWOMAN patient with the educational/materials bag from AHA/ASA once she has completed the registration sign up form ****Send all completed GR – PTES registrations to Jessica Pyjas each month with your monthly reports

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Each patient, that completes the GRFW - PTES registration form, will receive materials from AHA/ASA AHA bag that contains the following: PTES pill box Go Red/PTES family history tree heart healthy recipes stroke risk quiz assessment 2 pg. risk factor, sign and symptom and prevention fact sheet Go Red or PTES know your numbers wallet tracker card Go Red wrist bands You’re The Cure 1 page overview Once registrations are returned to Jessica/AHA the patient will receive a RED DRESS pin and educational materials from AHA National office

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WISEWOMAN Coordinators will receive from AHA for securing registrations: Annual Go Red and PTES certificate of appreciation PTES Lapel Pin and Red Dress Lapel Pin Recognition on AHA’s local website of their participation Quarterly recognition in the Affiliate PTES Newsletter of all WISEWOMAN Coordinators who secure PTES pledge registrations and the Health Department they represent Incentives for each coordinator who reaches 100% of goal, 75% of goal, 50% of goal or 25% of goal

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PLEASE VISIT OUR WEBSITES FOR ADDITIONAL INFORMATION WWW.GOREDFORWOMEN.ORG AND WWW.POWERTOENDSTROKE.ORG

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Questions?