The health determinants that can affect a patient
There are two types of health determinants namely the modifiable and the non-modifiable. The modifiable determinants are the changeable risk factors while the non-modifiable cannot change (Tabei, Senemar, Saffari, Ahmadi, & Haqparast, 2014). This paper is an analysis of the two types of risk factors in relation to the coronary heart disease.
Modifiable determinants
Smoking
Smoking predisposes one to the risk of contracting coronary heart attack especially if the victim is an active user of the substance. According to health records, smoking increases the risk of heart diseases than any other known drugs (Mallaina et al., 2013).
High blood pressure
High blood pressure is a condition characterized by high pulse rates. Its major causes include stress, unhealthy feeding habits, smoking, and alcoholism just to mention a few.
Being overweight
Being overweight predisposes one to high blood pressure, diabetes, and stroke (Friedemann, 2012). These health conditions increase the risk of contracting coronary heart attack. Therefore, it is imperative to manage weight to avoid the risk of developing heart diseases.
Non-modifiable risk factors
Age
The risk of contracting coronary heart complications increases with age with the aged groups at a higher risk of getting the diseases. Older persons are at a higher risk of suffering from heart illnesses, obesity, and stroke as compared to the young people (Mallaina et al., 2013). These health conditions predispose one to the risk of coronary heart attack.
Ethnic background
Coronary heart complication is highly prevalent among certain communities around the world. For instance, research indicates that South Asian communities living in the UK are more likely to suffer from the illness as compared to other communities in the country (Zaman et al., 2013). Besides, people from the African Caribbean backgrounds are at a higher risk of suffering from the condition as compared to their counterparts from other ethnical backgrounds.
Family history
The risk of suffering from a coronary heart attack is highly dependent on the family backgrounds. The following individuals are at high risk of suffering from the condition
- Persons who their mother or sister was diagnosed with the disease or had a cardiac event under 65.
- Persons who their father or brother was diagnosed with the disease or had a cardiac event under the age of 55
The challenges to improving health outcomes for such patients
Poverty
Poverty increases the risk of developing stress among patients suffering from coronary heart disease. Stress is a predisposing factor of the illness, and it may affect the treatment outcome (Huang, Webb, Zourdos, & Acevedo, 2013).
Addiction
Both smoking and alcoholism increases the risk of contracting the illness. The two behavioral factors may also lower treatment outcomes if not managed properly.
Addiction may be easily managed through the administration of certain interventions such as cognitive behavior therapy. In this case, one should prioritize addiction to help patients get rid of the undesirable behaviors.
The appropriate teachings for such patient
Given the nature of the health determinants described above, patients may be trained on some of the best ways to prevent the advancement of the illness. The training would center on
- Addiction prevention
- Healthy eating habits
- Stress management
- Body weight management
Smoking as the health risk behavior
Smoking predisposes one to diabetes, which increases the severity of coronary heart disease and thus it should be managed effectively to improve the health outcome of a patient. Diabetes predisposes one to the risk of high blood pressure and obesity due to the unregulated blood sugar levels (Saisho, 2014). Both high blood pressure and obesity are health determinants of coronary heart illness hence the condition is a serious health risk factor.
Smoking also predisposes one to high blood cholesterol. High blood cholesterol increases the chances of contracting high blood pressure and diabetes, which predispose one to the risk of contracting coronary heart complication.
References
Friedemann, C., Heneghan, C., Mahtani, K., Thompson, M., Perera, R., & Ward, A. (2012). Cardiovascular disease risk in healthy children and its association with body mass index: systematic review and meta-analysis. BMJ, 345(4759), 1-16. Web.
Huang, C., Webb, H., Zourdos, M., & Acevedo, E. (2013). Cardiovascular reactivity, stress, and physical activity. Frontiers in Physiology, 4(314), 1-13. Web.
Mallaina, P., Lionis, C., Rol, H., Imperiali, R., Burgess, A., Nixon, M., & Malvestiti, M. (2013). Smoking cessation and the risk of cardiovascular disease outcomes predicted from established risk scores: Results of the Cardiovascular Risk Assessment among Smokers in Primary Care in Europe (CV-ASPIRE) Study. BMC Public Health, 13, 1-11. Web.
Saisho, Y. (2014). Glycemic Variability and Oxidative Stress: A Link between Diabetes and Cardiovascular Disease?International Journal of Molecular Science, 15(10), 18381-406. Web.
Tabei, B., Senemar, S., Saffari, B., Ahmadi, Z., & Haqparast, S. (2014). Non-modifiable Factors of Coronary Artery Stenosis in Late Onset Patients with Coronary Artery Disease in Southern Iranian Population. Journal of Cardiovascular and Thoracic Research, 6(1), 51–55. Web.
Zaman, M., Philipson, P., Chen, R., Farag, A., Shipley, M., Marmot, M.,…& Hemingway, H. (2013). South Asians and coronary disease: is there discordance between effects on incidence and prognosis?Heart, 99(10), 729-36. Web.