Heart to Heart Nurses Preventive Cardiovascular Nurses Association

Join Nancy Houston Miller, RN, BSN, FAHA, FPCNA, as she discusses the process of health behavior change and resources that can assist you and your patients. Whether the topic is diet, exercise, smoking, medication adherence or other behaviors, partnering with your patients is a key to success.




PCNA Behavior Change mini-certificate(CE course): https://pcna.net/online-course/behavior-change-mini-certificate/ 




Transtheoretical Model of Behavior Change (Prochaska, JO): https://psycnet.apa.org/record/1993-09955-001




Social Learning Theory (Bandura): Bandura A. Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall; 1977.




Steve Rollnick: https://www.stephenrollnick.com/




William Miller: https://williamrmiller.net/

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[CE contact hours--see below.] Improving quality of life for patients with heart failure can include lifestyle modifications and require successful behavior change strategies. Learn best practices to apply into your clinical setting from nurse providers Colleen McIlvennan, PhD, DNP, ANP, FAHA, FHFSA, of the University of Colorado in Denver, and Binu Koirala, PhD, MGS, RN, of the Johns Hopkins University School of Nursing in Baltimore.




CE LINK: https://pcna.net/?p=10717&post_type=online-course&preview_id=10717




PCNA Behavior Change mini-certifice (CE course): https://pcna.net/professional-development/online-learning/ "Behavior Change mini-certificate"




AHA HF Tools & Resources: heart.org/en/health-topics/heart-failure/heart-failure-tools-resources




Adherence to Healthy Sleep Patterns: ahajournals.org/doi/10.1161/CIRCULATIONAHA.120.050792?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed&




Addressing Social Determinants of Health in Patients with HF: ahajournals.org/doi/10.1161/CIR.0000000000000767




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[CE contact hours--see below.] Health equity issues, including access ot medications, significantly impact patients with heart failure. From pharmacy deserts to non-medical switching and beyond, hear strategies to assist patients in getting the medications they need, from nurses Binu Koirala, PhD, MGS, RN, with the Johns Hopkins University School of Nursing in Baltimore, and Kim Newlin, MSN, ANP, FPCNA, of Sutter Roseville Medical Center in Northern California. 




CE LINK: https://pcna.net/?p=10716&post_type=online-course&preview_id=10716 




Access to Innovative Medicines Provider Tools: https://pcna.net/clinical-resources/provider-tools/access-for-innovative-medicines-provider-tools/




Medicare State Pharmaceutical Assistance Program: medicare.gov/pharmaceutical-assistance-program/#state-programs




Extra Help with Medicare Prescription Drug Care Costss: ssa.gov/benefits/medicare/prescriptionhelp.html




CoverMyMeds: covermymeds.com/main/




Solving Medication Access issues: acc.org/latest-in-cardiology/articles/2020/10/01/01/42/feature-advancing-health-equity-for-heart-failure-patients




Non-Medical Switching: cga.ct.gov/2017/rpt/2017-R-0008.htm#:~:text=%E2%80%9CNon%2Dmedical%20switching%E2%80%9D%20broadly,expensive%20but%20therapeutically%20equivalent%20drug




Health Equity: cdc.gov/chronicdisease/healthequity/index.htm




Understanding Copay Accumulators: https://infusioncenter.org/understanding-copay-accumulators-who-really-benefits/




PACH (Partnership to Advance Cardovascular Health): advancecardiohealth.org/

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[CE contact hours--see below.] Often prescribed for obesity, SGLT2is and GLP-1 RAs have a role in heart failure management. Learn about their mechanisms of action, and how their use extends beyond weight loss to cardioprotective and renalprotective properties. Guests: Kim Newlin, MSN, ANP, FPCNA, of Sutter Roseville Medical Center in Northern California, and Colleen McIlvennan, PhD, DNP, ANP, FAHA, FHFSA, from the University of Colorado in Denver.  




CE Link: https://pcna.net/?p=10718&post_type=online-course&preview_id=10718 




2022 AHA/ACC/HFSA 2022 Guideline for the Managment of HF: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063




Pocket Guide: Guidelines for Managing CVD Risk in Patients with Diabetes: https://pcna.net/clinical-resources/provider-tools/diabetes-provider-tools/




HF Pocket Guide: A Guide to Prevention and Management: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/ 




New and Emerging Treatments for Heart Failure: HFrEF and HFpEF (CE course): https://pcna.net/online-course/new-and-emerging-treatments-for-heart-failure-hfref-and-hfpef/ 




SGLT2is in Heart Failure: ncbi.nlm.nih.gov/pmc/articles/PMC8654149/




SGLT2i in HFpEF: multicenter randomized trial: nature.com/articles/s41591-021-01536-x




Empagliflozin in HFpEF: https://www.nejm.org/doi/10.1056/NEJMoa2107038#:~:text=Empagliflozin%20in%20HF%20with%20Preserved%20Ejection%20Fraction&text=Sodium%E2%80%93glucose%20cotransporter%202%20(SGLT2,and%20a%20reduced%20ejection%20fraction. 













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Atrial fibrillation (AFib) management includes both pharmacologic and non-pharmacologic therapies.Guest Bill Miles, MD, FACC, of the University of Florida, Gainsville, describes how to effectively treat AFib--from asymptomatic younger patients without left ventricular dysfunction to older patients with significantly reduced ejection fraction.




AFib resources for patients




AFib resources for healthcare providers

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The interrelationship of sleep apnea and atrial fibrillation (AFib) should be front of mind for clinicians. Learn keys to guideline-directed therapy including diagnosis, risk scores, the importance of anticoagulation, rate- and rhythm-controlling medications, and pacemakers, from guest Lisa Maher, DNP, ARNP, FNP-BC, FPCNA, Unitypoint Health Allen Hospital Cardiovascular Center.




AFib resources for patients




AFib resources for healthcare providers

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