Preventive Cardiovascular Nurses Association

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Depression-Cardiovascular Disease: Does the Arrow Point Both Ways?
1 CE Credit
Release Date: September 2005
COURSE OVERVIEW:
Psychosocial factors have long been reported to be independently associated with coronary heart disease. Depression is a relatively strong predictor of cardiovascular illness and may predict initial disease onset. Depression also often complicates cardiovascular events and has been found to predict mortality following motivational interviewing. Anxiety may be another factor that contributes to increased risk of cardiovascular events; however, data related to anxiety are less clear than for depression. Certainly, anxiety may predispose people to the onset of depression. Lack of social support is associated with increased cardiovascular risk and acute elevation of risk has been found in association with anger and hostile attitude. The purpose of this presentation is to provide a summary of the evidence related to depression as both a risk factor for, and a consequence of, coronary artery disease. In addition, the nursing role in terms of assessment of risk for and treatment of depression in cardiac patients will be discussed. Finally, a proposed blend of the theoretical models of patient self-management and motivational interviewing will be suggested as an ideal underpinning for nursing practice with cardiac patients who may need intervention related to emotional or behavioral issues.

PRESENTER:
Heather M. Arthur, RN, BScN, MScN, PhD, NFESC
Professor, McMaster University
School of Nursing
Hamilton, Ontario, Canada
CE Course Outline

Step 1: Print slides/handouts (pdf)
Step 2: View Presentation (flash video)
Step 3: Take CE Exam
Step 4: Quick Evaluation
Step 5: Print CE Certificate


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EDUCATIONAL OBJECTIVES:
Upon completion of this program, participants will be able to:
  1. Understand the distinctions among depression, anxiety, psychological stress, and social isolation as they relate to cardiovascular disease.
  2. Appreciate the evidence that links depression to both risk for, and recovery from, cardiovascular events.
  3. Apply assessment, screening and intervention approaches to depression in cardiac populations.
AUDIENCE:
The audience for this program is nurses and nurse practitioners specializing in cardiovascular risk assessment, risk reduction and disease management.

PRESENTER DISCLOSURES:
The faculty member has no commercial relationships to disclose.

SPONSOR/ACCREDITOR:
This activity is sponsored by the Preventive Cardiovascular Nurses Association (PCNA). PCNA is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners (AANP) - provider number 030602. PCNA will provide 1 contact hour of continuing education for this program.

GRANTOR:
This CE activity is supported by an unrestricted educational grant from Pfizer, Inc. as part of Pfizer's support of the Amelia Island Consortium for Healthcare Practitioner Education (AIC).

COST:
This online educational activity is offered free of charge.

PARTICIPATION IN THE ACTIVITY AND RECEIPT OF CERTIFICATE OF CREDIT:
Complete the online course, online exam, and the evaluation form; and submit your results electronically. Exams will be graded and results displayed instantaneously. Participants who receive a passing score of 80% or higher will receive an electronic, printable certificate of completion following the exam. Participants will have 2 opportunities to successfully complete the exam.

DISCLAIMER:
Persons who are taking this online course are urged to remember that scientific knowledge is advancing and changing at an exponential rate. Thus, it is possible that the content of this presentation may quickly become dated. The astute evidence-based practitioner is urged to seek out the most current information following completion of this course.

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