HEART DISEASE # 1 Killer 1 death every 34 seconds 80% of deaths in low-to- middle income families Globally... Cardiovascular diseases (CVDs), commonly referred to as heart disease or stroke, are the number 1 cause of death around the world 1 in 3 deaths globally are a result of CVD, yet the majority of premature heart disease and stroke is preventable In 2010 CVD cost US$ 863 billion –this is estimated to rise by 22% to US$ 1,044 billion by 2030 80% of CVD deaths occur in low-to middle-income countries. In Mexico... Non-communicable diseases (NCDs), including CVDs, are estimated to account for 77% of total adult deaths in Mexico CVDs account for almost a quarter (24%) of these deaths Some of the CVD related risks factors in adults in Mexico are outlined below: 17% of the population smoke tobacco 7.2 litres of pure alcohol consumed per person 22.8% have hypertension which can increase risk of heart attack, heart failure, kidney Disease or stroke More than 1 in 3 (32.1%) adults in Mexico are obese KEY FACTS CVDs are the number 1 cause of death globally: more people die annually from CVDs than from any other cause. An estimated 17.5 million people died from CVDs in 2012, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke . Over three quarters of CVD deaths take place in low- and middle-income countries. Cardiovascular disease (CVD) is the number one killer of women, with over 2 million premature deaths every year. This represents one-third of all deaths, and CVD kills more women than cancer, tuberculosis, HIV/AIDS and malaria combined. Despite progresses in the past years, women are still discriminated against when it comes to the management and treatment of CVD. They are more likely than men to be under-diagnosed and under-treated, mostly because the presentation, progression and outcomes of the disease are different and less understood in women than in men.  1.5 million heart attacks occur in the United States each year with 500,000 deaths. More than 233,000 women die annually from cardiovascular disease. From 1983 to 1993, heart attack deaths fell about 30% overall but have not fallen nearly as much for women. Costs related to heart attack exceed 60 billion dollars per year; 444 billion in lost of productivity # 1 Killer Source: AHA, 2017; Million Hearts Initiative 2011

Project Title: “Cardiac Readmissions: Nurse-Caregiver-Patient-Community Exploratory Project”

Background/Significance High Cardiac Readmissions Known contributors Unknown contributors ? Cardiac rehab is a program that helps to prevent readmissions Known contributors Nurse communication skills Patient barriers Environmental factors and timing

Purpose Short-term Goal Long-term Goal Identify factors contributing to preventable readmissions of patients with heart disease (Phase 1) Long-term Goal Reduce hospital readmissions for patients with heart disease (Phase 2)

Methods Nurses Caregivers or family members Sample: Nurses Caregivers or family members Patients: > 65 years or older Community: hospital administrators Site: Cardiac rehabilitation program; Local community hospital, Hays County Nurses who deliver care to patients with heart disease Caregivers or family members of patients with heart disease Patients, > 65 years with heart disease discharged from the hospital after a cardiac event Community representatives are hospital administrators

Implement Intervention Interviews Themes Pilot Intervention Focus Group Testing Implement Intervention Evaluation NCPC

Budget and 1-Year Timeline Months 1-2 Preparation/ IRB approval Budget: Supplies Months 3-6 Recruitment Data collection/entry Budget: Equipment, Personnel Months 7-10 Data analysis/ interpretation Budget: Personnel Months 10-12 Dissemination Budget: Travel $500 $3000 $5000 $1500 Total: $10,000

TEAM HEART Thank You! EDUCATION THERAPY HEALTH RESEARCH ASSESSMENT Viola Benavente – Nursing Stephanie Dailey – Communication Studies DeDe Gardner – Respiratory Therapy Grace Kim – Social Work Ranjini Mohan – Communication Disorders Jessica Raley – Research Erik Timmerman – Communication Studies