A Public Health Model for Cardiovascular Risk Reduction

Gemson, Donald H.; Sloan, Richard P.; Messeri, Peter; Goldberg, Ira J.

doi:10.1001/archinte.1990.00390170043011

Cited by 26 publications

(3 citation statements)

References 17 publications

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“…A number of programs have described public health interventions to reduce cardiovascular risk among school‐aged children and their families. Some are broad‐based approaches involving multidisciplinary groups to provide education and counseling programs ( Downey, Greenberg, Virgilio, & Berenson, 1989; Gemson, Sloan, Messeri, & Goldberg, 1990). Other programs have been more specific, focusing on stress management strategies or dietary interventions to reduce cholesterol levels ( Resnicow, Orlandi, Vaccaro, & Wynder, 1989; Walter, Hofman, Vaughn, & Wynder, 1988; Schifman & Hannaman, 1989; Grey & Hayman, 1987).…”

Section: Review Of Literaturementioning

confidence: 99%

Identification of Cardiovascular Risk: Use of a Cardiovascular‐Specific Genogram

Wimbush

Peters

2000

Public Health Nursing

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Cardiovascular disease (CVD) affects nearly 50 million Americans of all ages, races, and educational levels. Many of the risk factors for CVD are modifiable and public health nurses (PHNs) are in unique position to impact this major health problem because of their access to individuals, families, and groups. Addressing this major health problem requires early identification of those at risk for CVD. This article describes the implementation of a cardiovascular-specific genogram (CVSG) which can be used to identify persons at risk for CVD. Rationale for the development of this disease-specific tool and suggestions for its clinical application are discussed. The genogram was distributed to the parents of 100 6th grade students. All of the respondents reported cardiovascular risk factors present in at least one of three generations examined. The risk factors in the two younger generations were at the primary and secondary levels of prevention and were modifiable with intervention. Only the older generation in this sample had tertiary level risk factors. The CVSG can easily be incorporated into all aspects of public health nursing practice, from assessment for case finding to planning and implementing disease management strategies. The CVSG can identify individuals, families, and groups at risk for CVD allowing the nurse to focus attention on those most at risk, and to implement proactive assessment, screening, and educational programs.

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Section: Review Of Literaturementioning

confidence: 99%

Identification of Cardiovascular Risk: Use of a Cardiovascular‐Specific Genogram

Wimbush

Peters

2000

Public Health Nursing

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“…the cholesterol measurements of those employees who returned and those who did not return was not done in all screenings. However, a study of a cholesterol screening conducted by the occupational health service following the appointment method during 1988 revealed that frequent nurse counseling follow up was significant in the reduction of an individual's coronary heart disease risk factors (Gemson, 1990). In addition to the cholesterol follow up, individuals with multiple risk factors for coronary heart disease were referred to the occupational health service for further evaluation.…”

Section: The Lipoprotein Profile Testmentioning

confidence: 99%

“…srstmg of initial cholesterol screening, dietary consultation, and follow up evaluations for company employees. Significant statistical improvements in total cholesterol, blood pressure, weight, exercise, and smoking were demonstrated in individuals who returned for their 6 month follow up (Gemson, 1990). Since this cholesterol screening, the occupational health service has implemented a number of cholesterol screening programs throughout their office locations in two states.…”

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confidence: 99%