how do disease prevention programs try to reduce cardiovascular disease This is a topic that many people are looking for. bluevelvetrestaurant.com is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, bluevelvetrestaurant.com would like to introduce to you Health Matters: Cardiovascular (CVD) disease prevention. Following along are instructions in the video below:
Friends. This is susie or candy crush guru. Here to help you solve the puzzle puzzle of level 15.
32. Where we have 20 moves to collect 2 ingredients andll get us our 20000. Points.
But this is kind of tricky and treacherous the ingredients come from here we drop them onto the conveyor. We eventually get them to hear this portals into here. If we can get rid of these.
However if we dont drop it down immediately. Itll come back up to here. So its a bit tricky.
Lets see if we can at least get it down onto the conveyor belt quickly and then well work on making some specials that can help us with this descent. Now. We dont have another ingredient on the board.
Yet it shows up at about move. 11. If we can make a move here to bring it down and this is a nice setup.
I have right here. But id like it even lower notice that everything kind of moves together if we keep it but it all moves together except when it gets to the end. And it has to you know they kind of get split up if theyre on different rows.
So thats a bit tricky sorry. Im trying to think about how best to maneuver this i could make that but that wouldnt how much if i could bring this all the way down and take this out this would be a good move. But i cant this isnt down far enough and then whats going to happen is this is going to come here and then back up and recycle.
So i think what im going to do oh. I didnt mean to bring it all the way down. I didnt mean to set enough oh good it had enough force that it took it out.
I guess. I didnt quite understand how that worked now i need to bring this other ingredient down should happen now. And i need to construct more specials.
Oh thats kind of perfect. What just happens there spontaneously created color bomb is very very handy. Its probably going to end up being an detonated color bomb thats just how things go found here.
So i have to be very careful this travel through now if i take this down and get this to the bottom. Then i could use this to probably propel this through because only have five moves. I have to be a bit careful about what i do but if i just did this it would take it down one now.
Im going to try to bring it all the way down close. Were getting there look at all that its a lot of activity. And i got my heart going here.
I dont know what to do um here. We go well do this now we switch over and now i need just need to be able to take out this screen right there we go so. Thats how i beat level 15 32.
This was my third playthrough so it doesnt take forever. But you just have to really think about each move. If youre still struggling dont forget boosters can help especially those sweet chants that can move things over for you if youd like to see more videos you can subscribe and as always thanks so much for watching.
tter we could do so. The commonwealth fund report of years here we go this looked at health care systems in the united kingdom compared with other similar economies around the country and as youd expect because weve got a great health care system in the uk. We did well and when the other top at the top.
Only the top and most of the things that were measured. But on health outcomes actually we were next to last just behind. The united states and the reason for that much of the reason is our poor performance in in cardiovascular disease.
So i think the long term plan is shedding a light on the real opportunity that we have and its going to focus on not just that weve got to do better about how we can do things differently in order to improve outcomes for people a risk of cardiovascular disease partly that will be about mobilizing communities to do things differently. Part of its abusing. The wider primary care.
Works force so improve outcomes for patients by diagnosing and managing these conditions earlier. But at the same time taking burden of general practice so. Topping all of this.
Now we have these really bold ambition 150000. Heart attacks approach to prevent over 10 years. And was setting clear aims for atrial fibrillation from high cholesterol and clear ambitions of what were going to name to achieve in order to live in that 150 thousand so i think a really exciting bold ambition.
Thank you so juliet as chief executive of the stroke association. What do these ambitions mean to you in your organization. Well as matt sort of said straights.
One of the biggest health challenges of our time. Its a fourth biggest killer in the uk is the single biggest cause of complex adult disability. And as a consequence.
It costs the nhs. The state individuals and their families unnecessary distress and money as well. But the good news about stroke.
Is it is preventable. Nine out of ten strokes are found to be preventable and we know what the two main risk factors are for stroke. Which is high blood pressure an atrial fibrillation and i thought i might just talk a little bit about atrial fibrillation because a lot of people dont really know what it is and dont know how prevalent and how treatable.
It is so atrial fibrillation is a form of irregular. Heartbeat it actually affects as many as 14. Million people in the uk and its a major risk factor for stroke you are five times more likely to have a stroke.
If you have atrial fibrillation and unfortunately youre more likely to have a severe stroke. If you have a f now the good news is we know exactly what works in terms of effective detection and management of af and we now have excellent anticoagulant treatments. Which means that people can live really well long term with this condition.
But the reality is its both not well managed in a large proportion of that population. And there are about half a million people in the uk wandering around. Who dont yet have their af detected.
So were calling on gps and different parts of the system to focus on af detection and management. Weve got some great examples through the academic health science networks. Whove really spearheaded change in this area.
And weve set ourselves a bolder. Mission which is in ten years time we want nearly 20000. Af related strokes to be prevented and that in turn will also prevent the avoidance of other cardiovascular.
Its so jenny in your role as director of innovation and health and well being at the british heart foundation. What do you make of these ambitious do you think theyre bold and i think theyre bold and i think actually having a tangible ambition that you can actually work towards that everybody is signed up to actually helps to create that social movement. It helps to create that shared narrative that shared ambition that you can then frame with the activities and the deliverables and the opportunity to make a difference around so were all working towards that common goal.
Its probably worth knowing that of the the blood pressure ambitions five million people in the england currently right now are undetected theyre walking around with high blood pressure. They dont know they have it and if they did know they have it they might not even know why its important because as juliet said. Its one of the major causes.
It is probably the major cause of heart attacks and strokes and aligned with atrial fibrillation and high cholesterol. So i think its incredibly important secondly. Theres the lia ambitions around high cholesterol in particular.
If we actually focus in on one element. There is a condition. A genetically inherited condition.
Called familial hypercholesterolemia and that affects one in. 270. People thats a lot of.
People its over 220000. In in england. Alone.
Who are walking around and only 5 of those know that they have it and the reason. Why its important to know that they have it is because if its treated if its detected and treated optimally. They will live a normal life like the rest of the population untreated undetected.
They are not likely to live beyond the age or a significant proportion will will live to the age of 50 or 60 maximum some died much younger than that so its a really significant health risk and thats so easy to treat. Its actually a really really important to know so having an ambition around cholesterol. But also then having a specific ambition around the genetic causes of high cholesterol is is incredibly important juliette.
So weve set up these bold ambitions and weve got many partners working with us in now making these real. But what is it the stroke associations going to do to help us achieve these so theres a number of things that were going to do and weve just agreed our new strategy for the next ten years. And that includes a focus on prevention working in partnership with other actors in the system.
And really driving the population level impacts and in particular targeting support to communities that we know are most at risk of stroke. We know the people in more socioeconomically. Deprived areas people from certain vme communities are more likely to have a stroke.
So well be targeting our support on those areas. Were also working closely with the integrated care systems. And weve set up a community of practice.
So that the integrated care systems can be learning and sharing and adopting the best practice and becoming exemplars for the implementation of our cvd ambitions and then finally through our own services. Because we have a network of over 300 services. All across the uk where stroke coordinators are providing essential information and support to help people with their recovery through those services.
We provide a lot of information and advice about secondary prevention. Because if youve had a stroke. You are unfortunately at risk of other strokes.
And so its so important that youre adopting a healthy lifestyle. Youre taking your medication. Appropriately you were aware of what the risk factors are and what you can do about them so through our own services we hope to be supporting secondary prevention as well as primary prevention great so matt we know that theres huge variation across the country and therell be some areas that havent got too far to go to reach these ambitions.
But therell be some that actually theres a long way to go what would you say to those that theyre setting out in probably. What is quite a long and what appears to be a difficult journey. I think weve identified three three pillars of improvement that you really need to have in place.
And if youre a setting out youve got to work at the pillars and the first pillar is data you need robust real time data that tells you we currently performing no quaff data might be the best youve got but lots of paper places now they have data shared across practices and i getting better at analyzing and looking at how well and theyre performing the second area is leadership clinical leadership and i know when weve spoken to people in canada. They identified clinical leadership was absolutely key to making this happen. Local clinicians gps.
Like myself need to own this and say. This is our problem. We want to do something about it and the third pillar is doing things differently.
General practice is struggling hunter workload at the moment. Its a very busy complex place the gp consultation. Were not going to improve this stuff by getting gps to work harder or faster.
So its about where this has been successful as in lambeth or cheshire and merseyside is because theyve done things differently mobilizing that wider work force a pharmacist etc and to help out so i think if if areas are considering. And i guess. Most areas will be considering taking this on its in the long term plan for most integrative care systems.
Care. Diversities prevention is a priority and already it is already there that you can use so jenny finally youre part of the system leadership forum that weve established no weve got probably going for 30 40 partners around the table. But what is it the bhf will do to really help us deliver against these ambitions.
I think one of the challenges and all the opportunities that the the charity sector. Have is to really create the the context and the space to have that innovative conversation to consider where the challenges are and to start looking at potentially pump priming. Some of those solutions and pump priming isnt always money it can be about bringing the right people together it can be about connecting.
It could be all sorts of reasons. So thats so thats thats probably a key one and i dont think that its just the bhf stroke association. Do it weve actually done something in partnership historically havent we quite a few times.
So and noting that theres that i think one of the other things we saw as an emerging theme probably three years ago was the opportunity to really test their that sort of non medical model. Which is the community mobilization element of it so we we have now got fifteen pilot sites working across the uk who are really testing different models that are designed to reach and test individuals in the community giving them access to blood pressure testing again building on some of the great work that stroke association has done this is we havent started this from scratch in fact you know we have representation on our steering group and thats really looking at how things can be done differently. So theres some really great examples already emerging of building options on to fire and rescue service.
Saying well programs. Barber shops places. Where there is quite a lot of footfall of the type of individual who is unlikely or least likely to take up health checks and so football stadiums and community contests and write wide rating of king to context.
And what were finding is that theres some really good and strong emerging thinking. But its not just seeing that happening in those individual. 15 pockets.
Its then bringing them together. Evaluating iteratively taking the learning from those sharing that across the system. So that those programs are evolving as the evaluation continues.
And i think thats an incredibly important context to build on because thats how we can then share learning and really develop the spread adoption. I think one of the most important parts of that is that we have patients and the public involved in the design not just the health system. But it is also then considering the barriers and the opportunities to implementation.
Im afraid weve come to the end of our time. But i would like to thank. Our expert panel for joining me today public health.
England and its partners are committed to reducing cardiovascular disease. Morbidity and mortality. We have heard that by meeting these ambitions.
We can pretend prevent a hundred and fifty thousand heart attacks strokes and dementia cases over the next ten years. Reducing the burden on the nhs and social care. We know that other countries such as canada are already exceeding in the management of these conditions and other areas in england are also making great and strong progress.
Nevertheless. There is still a huge gap in cvd morbidity and mortality between our richest and poorest communities and we need to address and take action on this urgently existing mechanisms such as the nhs health check and new models of delivery. Which puts pharmacists in general practice put england in a good and strong position to achieve these ambitions.
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