Heart to Heart Nurses

While cancer survivorship rates continue to improve, there are CVD-related complications for patients before, during, and after cancer treatment. Guests Chelsea Kriesberg, DNP, CPNP-AC, CCRN, and Lisa Nodzon, PhD, APRN, AOCNP, describe the intersection of cancer and cardiovascular disease across the lifespan. Collaborative, team-based, and life-long care is illustrated in through a case-based discussion. Cardiovascular risk calculator: https://ccss.stjude.org/resources/calculators/cardiovascular-risk-calculator.html Cardiac Disease in Childhood Cancer Survivors: Risk Prediction, Prevention, and Surveillance. Leerink, J, de Baat, E, Feijen, E. et al. Cardiac Disease in Childhood Cancer Survivors: Risk Prediction, Prevention, and Surveillance: JACC CardioOncology State-of-the-Art Review. J Am Coll Cardiol CardioOnc. 2020 Sep, 2 (3) 363–378.https://doi.org/10.1016/j.jaccao.2020.08.006 Cardioprotective impacts of dexrazoxane: Lipshultz SE, Scully RE, Lipsitz SR, et al. Assessment of dexrazoxane as a cardioprotectant in doxorubicin-treated children with high-risk acute lymphoblastic leukaemia: long-term follow-up of a prospective, randomised, multicentre trial. Lancet Oncol. 2010 Oct;11(10):950-61. doi: 10.1016/S1470-2045(10)70204-7. Epub 2010 Sep 16. PMID: 20850381; PMCID: PMC3756093. Improving quality and quantity of life for childhood cancer survivors: Ehrhardt MJ, Krull KR, Bhakta N, et al. Improving quality and quantity of life for childhood cancer survivors globally in the twenty-first century. Nat Rev Clin Oncol. 2023 Oct;20(10):678-696. doi: 10.1038/s41571-023-00802-w. Epub 2023 Jul 24. PMID: 37488230. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Treating inflammation in cardiovascular disease includes helping patients to understand the safety and efficacy of prescription and over-the-counter products. Joseph Saseen, Pharm D, FNLA, CLS discusses best practices in clinical decision-making, mechanisms of action , and guideline-based evidence for various anti-inflammatory medications. 2023 AHA/ACC Guideline for the Management of Patients with Chronic Coronary Disease: https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000001168 CANTOS trial: https://www.nejm.org/doi/full/10.1056/nejmoa1707914 ACC guidelines & clinical documents: https://www.acc.org/Guidelines ICER (Institute for Clinical and Economic Review): https://icer.org/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Excess fat cells have the potential to cause more than 200 other obesity-associated disorders, including cardiovascular disease and diabetes. Guest Angela Golden, DNP, FNP-C, FAANP, FOMA, discusses effective communication strategies, resources, and treatments to assist patients with overweight and obesity live their healthiest life. STOP Obesity Alliance: https://stop.publichealth.gwu.edu/ Canada Obesity Alliance resources HCPs and patients: https://obesitycanada.ca/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

[CE contact hours--see below.] While cardiac rehabilitation can reduce disease progression, these programs are significantly underutilized. Learn from guest Robert Scales, PhD about strategies for improved patient health, including using a combination of well-planned facility- and home-based exercise. American Association of Cardiovascular and Pulmonary Rehabilitation: (ACVPR): aacvpr.org CE LINK: pcna.net/online-course/cardiac-rehabilitation-makes-a-difference-ce-podcast See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What is the role of a nurse navigator--whether or not that is your job title? Guest Susan Bush, RN, BSN, CCRP, FPCNA, describes how these individuals can help patients with heart failure and other diseases find information, resources, support, and much more.  PCNA heart failure resources for patients: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/ PCNA heart failure resources for professionals: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/ American Association of Heart Failure Nurses: https://www.aahfn.org/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Team-based cared for patients with heart failures and related comorbidities is an effective management practice, helping support patients in both inpatient settings and beyond. Guest Anita Rich, DNP, RN, CHFN, CDCES, describes how to instill confidence in team members, be an effective change agent, and inspire hope in these complex patients.  PCNA membership: https://pcna.net/member-center/join-pcna/ Heart Failure Nurse Certification: https://www.aahfn.org/mpage/certificationboard 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001063 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Caring for yourself can help you in your role of helping others. Learn strategies to nurture well-being in your daily life, and the ripple effects that can positively influence those around you, including in the workplace. Guest: Keith Jones, MA, BS Tips for embracing joy in daily life: https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/tips-for-embracing-joy-in-daily-life Joy in the Workplace: The Mayo Clinic Experience: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248366/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What are the latest guidelines for the prevention, diagnosis, and treatment of heart failure (HF)? Guest Nancy Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, discusses new HF classifications, diagnostic strategies including BNP measurement, the four pillars of HF medications, and overcoming barriers to ensure the most effective treatment for our patients.. Four pillars: 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: https://professional.heart.org/en/science-news/2022-guideline-for-the-management-of-heart-failure Heart Failure Society of America (HFSA): https://hfsa.org/ American Society of Heart Failure Nurses: https://www.aahfn.org/ PCNA HF Resources for Patients: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/ PCNA HF Resources for Professionals: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/  PCNA HF online courses: https://pcna.net/professional-development/online-learning/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The prevalence of mental health issues is greater in patients with cardiovascular disease than the general population--but do you know what to look for? Guest Valerie Hoover, PhD, discusses the connection of both positive and negative psychological factors on cardiac outcomes, the importance of symptom recognition, and how regular screening for depression using a validated tool can make a significant difference for patients. Assessment of Depression and Depressive Systems. Depression and Coronary Heart Disease (AHA 2008): https://www.ahajournals.org/doi/full/10.1161/circulationaha.108.190769  Screening and Management of Depression in Patients with CVD (ACC 2019): https://www.jacc.org/doi/abs/10.1016/j.jacc.2019.01.041  Depression Screening and Treatment Guidlines in Cardiac Patients (2022). https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.122.009338 PHQ-2: https://www.hiv.uw.edu/page/mental-health-screening/phq-2  Comparison of PHQ-2 and PHQ-9 to Predict Death or Rehospitalization in Heart Failure (Circulation, 2015): https://www.ahajournals.org/doi/full/10.1161/circheartfailure.114.001488  PHQ-2 and PHQ-9 (Heart Foundation): https://www.heartfoundation.org.au/getmedia/52e4d9ab-dbb1-47a6-bb41-94b986176910/Depression-screening-support-tool.PDF  Cardiac Distress Inventory (Australian Centre for Heart Health): https://www.australianhearthealth.org.au/resources/p/cardiac-distress-inventory Psychosocial Factors and CVD (JACC 2020): https://www.ahajournals.org/doi/10.1161/JAHA.120.017112  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Learn about advocacy actions that you can take every day, and the importance of nurses sharing their voices on issues that matter. Guest Lynne Braun, PhD, CNP, CLS, FAHA, FPCNA, FAAN, describes how to get involved, and shares examples of engagement that made a difference. PCNA Advocacy Toolkit https://pcna.net/about/advocacy/advocacy-toolkit/ PCNA Advocacy https://pcna.net/about/advocacy/ PCNA Advocacy Award--nominate your self or others; submissions open July through November. https://pcna.net/member-center/member-benefits/awards/advocacy-award/  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

One in two U.S. adults has an elevated blood pressure, and for those that have hypertension, only one in four have it controlled. Guest Janet Wright, MD, FACC, describes the critical role nurses play in detection and management, strategies, and resources to help health care professionals and patients partner on accurate blood pressure monitoring. PCNA Patient Education Resources: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/  AHA Blood Pressure Toolkit: https://www.heart.org/en/health-topics/high-blood-pressure/high-blood-pressure-toolkit-resources  AMA Hypertension Resources: https://www.ama-assn.org/delivering-care/hypertension  Million Hearts: https://millionhearts.hhs.gov/  CDC: https://www.cdc.gov/bloodpressure/index.htm  Hypertension Control Change Package: https://millionhearts.hhs.gov/tools-protocols/action-guides/htn-change-package/index.html  Live to the Beat: https://millionhearts.hhs.gov/partners-progress/partners/live-beat-campaign-toolkit.html  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guests Gwen Klinkner, DNP, RN, BC-ADM, CDCES, FADCES, and Melissa Magwire, RN, MSN, CDCES describe how to help patients with diabetes navigate behavior change principles to achieve glucose management including nutrition and exercise. They also examine pharmacotherapies for weight loss with glucose-lowering medications. CE Link: pcna.net/podcast/euglycemia SURMOUNT Trials: https://www.nejm.org/doi/full/10.1056/NEJMoa2206038  ADCES: https://www.diabeteseducator.org/ PNCA.net  AHA.org  Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes: doi: 10.1136/bmj.321.7258.405 Comprehensive Management of Cardiovascular Risk Factors for Adults With Type 2 Diabetes: AHA Scientific Statement: doi:10.1161/CIR.0000000000001040 Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the ADA, ADCES, AND, AAFP, AAPA, AANP, APhA: doi:10.1177/0145721720930959 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Nancy Albert, APN, and Rimsky Denis, MD discuss current studies in ASCVD risk reduction for patients with--or at risk for--Type 2 Diabetes. Thay also describe strategies for shared decision-making in clinical practice for managing both cardiovascular disease and diabetes.  CE LINK: pcna.net/podcast/understanding-and-reducing-cardiovascular-and-cardiometabolic-risks American Heart Association, aha.org American College of Cardiology, acc.org Preventive Cardiovascular Nurses Association, pcna.net Heart Failure Society of America, hfsa.org American Diabetes Association, diabetes.org PCNA Behavior Change Mini-Certificate: https://pcna.net/online-course/behavior-change-mini-certificate-2/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The available novel diabetes therapies and their impact on cardiovascular and cardiometabolic risk reduction are discussed by guests Chris Memering, MSN, RN, CDCES, BC-ADM, FADCES, and Sun Kim, MD. A particular emphasis on GLP-1 receptor agonists, and the patients for whom they are guideline recommended, as well as ongoing research are also covered. CE LINK: pcna.net/podcast/novel-diabetes-therapies-in-cvd-risk-reduction GLP-1 RAs: An updated reivew of head-to-head clinical studies: https://pubmed.ncbi.nlm.nih.gov/33767808/  GLP1-RAs: CV benefts & mechanisms of action (Ussher & Drucker): https://pubmed.ncbi.nlm.nih.gov/36977782/  GLP-1 & Underlying Beneficial Actions in Alzheimer's disease, Hypertension, & NASH: ttps://pubmed.ncbi.nlm.nih.gov/34552561/ Incretins & microvascular complications of diabetes: https://pubmed.ncbi.nlm.nih.gov/37597048/  Management of Type 2 Diabetes 2022. A Consensus Report by ADA, EASD. doi: 10.2337/dci22-0034. ADA Standards of Care in Diabetes 2023. https://diabetesjournals.org/care/issue/46/Supplement_1 AACE Consensus Statement: Comprehensive Type 2 Diabetes Management Algorithm--2023 Update.  https://www.endocrinepractice.org/article/S1530-891X(23)00034-4/fulltext Cardio-renal-metabolic connection: a review of the Evidence. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391899/pdf/12933_2023_Article_1937.pdf  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Utilizing team- and patient-based care makes a significant impact on our patients, including those with hypertension and diabetes. Guest Thomas Hinneh, MScIH, BScN, RN, shares his experience and inspiration from his work in Ghana, with takeaways we all can utilize in clinical practice. PCNA diabetes tools for patients: https://pcna.net/clinical-resources/patient-handouts/diabetes-tools-and-handouts/ PCNA diabetes resources for HCPs: https://pcna.net/clinical-resources/provider-tools/diabetes-provider-tools/ PCNA hypertension tools for patients: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/ HI Foundation Ghana: https://hifoundationgh.org/  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.