Patient Education Reference Center™

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Patient Education Reference Center™

PERC features a comprehensive collection of current, evidence-based patient education information for clinicians to print and distribute right at the point-of-care. The handouts provided by PERC are easy to read, include illustrations, and are structured to enhance patient knowledge and understanding of material. Handout topics covered include:

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: Evidence-based patient educationhandouts on diseases, health conditions and injuries

: Patient discharge handouts and

: Evidence-based patienteducation handouts for hundreds of procedures and lab tests

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In addition, PERC provides the following benefits: More than 12,000 individual patient handouts

Material is written at a 3rd – 7th grade reading level

Easy integration with any EMR system for direct access from patient records

All content is reviewed and updated on a regular basis through a rigorous systematic surveillance of available literature & editorial processes

Content is available in both English and Spanish

Adding patient education to patient care...

More than 4,000 common and chronic diseases and conditions

Over 750 specific procedures and lab tests

More than 2,800 lifestyle and wellness topics

Over 1,500 unique drugs (more than 8,000 brand and generic names)

Discharge and home care information for more than 800 related topics

PERC content can also be accessed via the Nursing Reference Center™ interface for those subscribing to both resources…

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Patient’s Name:Healthcare Provider’s Name:Department:Phone:Date:Documents received:

John Q. PatientFirst HospitalCardiology617.555.1212Tuesday, June 23, 20091) Heart Healthy Diet, by Adams M, (et al)

Heart Healthy DietSodium, Fat, Cholesterol Controlled Dietby: Maria Adams, MS, MPH, RD

What Is a Heart Healthy Diet?A heart healthy diet is one that limits sodium, fat, and cholesterol. This type of diet is recommended for:

People with any form of cardiovascular disease (e.g., coronary heart disease,

peripheral vascular disease, previous heart attack, previous stroke)

•

People with risk factors for cardiovascular disease, such as high blood pressure,

high cholesterol, or diabetes

•

Anyone who wants to lower their risk of developing cardiovascular disease

•

Sodium is a mineral found in many foods. In general, most people consume much more sodium than

they need. Diets high in sodium can increase blood pressure and lead to edema (water retention).

On a heart healthy diet you should consume no more than 2,300 milligrams of sodium per day—about

the amount in one teaspoon of table salt. The foods highest in sodium include table salt

(about 50% sodium), processed foods, convenience foods, and preserved foods.Cholesterol is a fat-like, waxy substance in your blood. Our bodies make some cholesterol, and in addition

it’s found in animal products, with the highest amounts found in meat, egg yolks, and organ meats.

On a heart healthy diet you should limit your intake of cholesterol to less than 300 milligrams per day.

It’s normal and important to have some cholesterol in your bloodstream. But too much cholesterol

can cause plaque to build up within your arteries, which can eventually lead to a heart attack or stroke.

The two types of cholesterol that are most commonly referred to are:

Sodium

Low-density lipoprotein (LDL) cholesterol – also known as “bad” cholesterol, this is the

cholesterol that tends to build up along your arteries; bad cholesterol levels are increased by

eating fats that are saturated or hydrogenatedHigh-density lipoprotein (HDL) cholesterol – also known as “good” cholesterol, this type of

cholesterol actually carries cholesterol away from your arteries and may therefore help lower your

risk of having a heart attack

•

•

Fat is calorie dense, and therefore packs a lot of calories into a small amount of food. But even though

fats should be limited to some extent due to their high calorie content, not all fats are bad and need to

be avoided. In fact, some fats are quite healthful. Fat can be broken down into four main types.

Fat

The “good-for-you” fats are: Monounsaturated fat – found in oils such as olive and canola; can decrease cholesterol levels,

while keeping levels of HDL cholesterol high

•

Polyunsaturated fat – found in oils such as safflower, sunflower, soybean, corn, and sesame;

can decrease total cholesterol—both HDL and LDL cholesterol

•

FIRST HOSPITALWhere Care Comes First

FPatient’s Name:

Healthcare Provider’s Name:

Department:

Phone:

Date:

Documents received:

John Q. Patient

First Hospital

Cardiology

617.555.1212

Tuesday, June 23, 2009

1) Coronary Stenting, by Chwistek M

Coronary Stenting

by: Editorial Staff and Contributors

Definition

The procedure involves the placement of a stent, which is a mesh, metal tube placed in an artery in the

heart (a coronary artery) to help keep the artery open after an angioplasty procedure.

In April 2003 the US Food and Drug Administration (FDA) approved a new type of coronary stent, called

a drug-eluting stent. This type of stent is coated with a medication that is slowly released and helps

decrease the rate of reblockage in the artery in which it is inserted.

Early experience with the stent suggested that there may be an increased early risk of clotting with the

stent. This seems to be confirmed by review of four years of data gathered from clinical trials.

A small percentage of patients treated with drug-eluting stents, especially those with blockages in more

than one vessel and/or diabetes, might be at higher risk for reblockage after one year since the time the

stent was put in. This, in turn, may lead to an increased rate of heart attacks in this group. Talk to your

doctor to see whether those types of stents might be appropriate for you.

Coronary Artery: Stent Procedure

FIRST HOSPITALWhere Care Comes FirstF

© 2008 Nucleus Medical Art, Inc.

Diseases & ConditionsPERC provides patient handouts on more than 4,000 common and chronic diseases and conditions.

Procedures & Lab TestsFrom common vaccinations to the most complex surgical procedures, PERC includes more than 750 handouts covering a wide range of procedures and lab tests.

Patient-FriendlyDrug InformationProvide patients with the most up-to-date drug information. PERC contains handouts covering over 1,500 unique drugs searchable by more than 8,000 brand and generic names.

Handouts can be branded with organization name and logo

Educate patients about all aspects of the care process...P

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rpowered by EBSCOhost

Create/share customized folders to access commonly needed patient education materials

Personalize handouts for individual patients with customized printing feature

All handouts can be printed, emailed, or saved

PERC offers a variety of options for customizing patient handouts...

Wellness & PreventionProvide patients with comprehensive information that will aid them in the care/recovery process and help them live a healthier life overall. More than 2,800 lifestyle and wellness topics (diet, exercise, etc.) are available in PERC.

Discharge InstructionsEnsure that patients have all of the information that they need to continue the care process at home. PERC offers discharge and home care information for more than 800 related topics.

Patient’s Name:

Healthcare Provider’s Name:

Department:

Phone:

Date:

Documents received:

John Q. Patient

First Hospital

Cardiology

617.555.1212

Tuesday, June 23, 2009

1) Heart Attack, by Carson-Dewitt R, (et al)

Heart Attack

(Myocardial Infarction)

by: Rosalyn Carson-DeWitt

Definition

A heart attack occurs when blood flow to the heart muscle is interrupted. This deprives the heart muscle

of oxygen, causing tissue damage or tissue death.

Heart Attack

FIRST HOSPITALWhere Care Comes FirstF

© 2008 Nucleus Medical Art, Inc.

CausesA heart attack may be caused by:

• Thickening of the walls of the arteries feeding the heart muscle (coronary arteries)

• Accumulation of fatty plaques in the coronary arteries

• Narrowing of the coronary arteries

• Spasm of the coronary arteries

• Development of a blood clot in the coronary arteries

Risk Factors

A risk factor is something that increases your chance of getting a disease or condition.

Death of heart tissue due

to blocked coronary artery

I have received and understand the instructions in this handout.

Patient’s Name: John Q. Patient

Signature

Healthcare Provider’s Name: First Hospital

Signature

Department:

Phone:

Notes:

Date:

Documents received:

Cardiology

617.555.1212

Special Discharge Instructions;

• VNA will call you this afternoon to schedule daily assessments

for one week, then weekly;

• You have a follow up appointment with Dr. Burns for further tests,

on Monday May 20th at 2:30pm;

• Continue weekly weight reduction classes at the FH Rehab Center,

and Heart Healthy Diet as instructed by Nutrition Services;

• Take medications as ordered – DO NOT SKIP DOSES!

• Signs to watch for: chest pain, shortness of breath, weight gain,

excessive fatigue. Call 911 if you have chest pain

unrelieved with NTG.

G. Miller, RN, AACN

Tuesday, June 23, 2009

1) Discharge Instructions for Heart Attack, by Neff DM, (et al)

Discharge Instructions for Heart Attack

by: Deanna M. Neff, MPH

A heart attack occurs when blood flow to the heart muscle is interrupted. This deprives the heart muscle

of oxygen, causing tissue damage or tissue death. Common treatments include lifestyle changes, oxygen,

medications, and surgery.

• Rest until your doctor says it is okay to return to work or other activities.

• Take all medications as prescribed by your doctor. Beta-blockers, ACE inhibitors, and

antiplatelet therapy (aspirin and clopidogrel) are often recommended.

• Attend a cardiac rehabilitation program if recommended by your doctor.

DietEat a heart-healthy diet:

• Limit your intake of fat, cholesterol, and sodium. Foods such as ice cream, cheese, baked goods,

and red meat, in large amounts, are not the best choices.

• Increase your intake of whole grains, fish, fruits, and vegetables.

• Consume alcohol in moderation: one to two drinks per day for men, one drink per day for women.

One drink equals 12 ounces of beer, four ounces of wine, or 1.5 ounces of liquor.

• Increase your intake of vitamins C, E, beta-carotene, folic acid, B6, and B12.

Discuss supplements with your doctor.

FIRST HOSPITALWhere Care Comes FirstF

Patient’s Name:Healthcare Provider’s Name:Department:Phone:

Date:Documents received:

John Q. PatientFirst HospitalCardiology617.555.1212Tuesday, June 23, 20091) Metoprolol, by Lexi-Comp, Inc.

MetoprololThe following information is an educational aid only. It is not intended as medical advice for individual

conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical

regimen to see if it is safe and effective for you. Pronunciation(me toe PROE lole)Pharmacologic Category

Beta Blocker, Beta1 SelectiveU.S. Brand NamesLopressor®, Toprol-XL®Canadian Brand NamesApo-Metoprolol®, Betaloc® Durules®, Betaloc®, Lopressor®, Metoprolol Tartrate Injection, USP,

Novo-Metoprolol, Nu-Metop, PMS-Metoprolol, Sandoz-Metoprolol, Toprol-XL®

Mexican Brand NamesLopresor, Prolaken, Nipresol, Procied, Seloken-ZokWhat key warnings should I know about before taking this medicine?

Do not suddenly stop taking this medicine. To avoid side effects, you will want to slowly stop it.

Reasons not to take this medicine

• If you have an allergy to metoprolol or any other part of this medicine.

• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and

how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing;

cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.

• If you have a severely weakened heart or a slow heartbeat without a working pacemaker.

• If you are more than 12 weeks pregnant.What is this medicine used for? • This medicine is used after a heart attack to prevent future

heart attacks and lengthen life. • This medicine is used to prevent migraine headaches.

• This medicine is used to prevent performance anxiety.

• This medicine is used to prevent rebleeding from esophageal

varices in cirrhosis. • This medicine is used to improve a weakened heart.

• This medicine is used to treat aggressive behavior.

• This medicine is used to treat chest pain or pressure.

• This medicine is used to treat a fast heartbeat.

• This medicine is used to treat high blood pressure.

• This medicine is used to treat side effects caused by

mood-stabilizing medicine. • This medicine is used to prevent essential tremor.

FIRST HOSPITALWhere Care Comes First

F

• Arabic• Chinese (Simplified)

• Chinese (Traditional)

• Farsi• French• German• Hindi• Italian• Japanese• Korean• Polish• Portuguese• Russian• Spanish• Tagalog• Vietnamese

Patient’s Name:Healthcare Provider’s Name:Department:Phone:Date:

Documents received:

John Q. PatientFirst HospitalCardiology617.555.1212Tuesday, June 23, 20091) Heart Attack, by Carson-Dewitt R, (et al)

FIRST HOSPITALWhere Care Comes First

F

Shown: Patient Handout for Heart Attack

in Simplified Chinese

Optional upgrades provide information in up to 16 additional languages...

FIRST HOSPITALWhere Care Comes FirstF

Institutions that need to provide patients with information in languages other than English and Spanish may supplement the content in PERC with patient handouts on the 200 most common health topics in up to 16 additional languages. Institutions can subscribe to all or as many of the optional language collections as they require, helping patients understand their individual health care needs by providing them with detailed information written in their own native language.

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