New zealand primary care handbook 2012 cardiovascular risk assessment and diabetes screening cardiovascular risk factor management management of type 2 diabetes smoking cessation weight management stroke and transient ischaemic attack coronary heart disease heart failure prevention of infective endocarditis rheumatic fever. Heart disease is the number one cause of death among women although450000 women die annually from it this fact is unknown to many women because heart disease is frequently preventable increasing awareness of personal risk and preventative measures is a key element of healthcare for women. 3 guidelines for the management of absolute cardiovascular disease risk national vascular disease prevention alliance endorsed by publication approval these guidelines were approved by the chief executive officer of the national health and medical research council nhmrc on 27 april 2012 under. Concept and categories of risk at the core of primary prevention lies the concept of risk the general notion has evolved that the intensity of preventive efforts should be adjusted to a patients risk for developing chd ie the higher the risk the more aggressive the intervention should be 13 this strategy seeks to achieve a reasonable balance among 3 factors efficacy safety and . An excellent handbook which covers all aspects of coronary heart disease and will serve as a very useful reference for nurses working in primary and secondary health preventionnursing in general practice has been the handbook for many nurses undertaking courses on coronary heart disease chd
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