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Disease Register to be identified using Battersea
Drug Searches3.
READ codes as standardised
and circulated by IT dept1.
Register maintained by:
- Summarising all records including new records as
registered with practice
- Entering diagnosis from hospital discharge letters
and OPD reports
- Entries made at the time of diagnosis in surgery
Patient records
All consultations pertinent to CHD diagnosis to include use
of standard CHD Monitoring template as circulated by IT dept.
All repeat medications to be recorded, including the use
of over the counter aspirin.
CHD Clinics / Individual appointments
To deliver systematic care to patients in a nurse led, GP
supported clinic4 as recommended in the NSF.
Patients invited to attend will be identified and prioritised
from the practice disease register.
Recall
Administration support may be required to invite patients
for their initial CHD review, and to ensure they are recalled
when their next review is due.
All patients will be seen at least once annually to review
their current CHD status and symptom control2. Date for review
to be generated by accessing template.
Process
Data collected using CHD Monitoring template (Practice can
add information to template)
Additional information to record:
- History
- Social History including occupation, ethnicity and
family support
- Patients understanding of diagnosis, including perception
of self
- Hospital OPD appointments
- Any self management interventions
- Contact with other therapists if relevant
- Further info on diet taken / restrictions
- Investigations inc. ECG reports, Cardiac Echocardiogram
- Patient's access to Cardiac Rehabilitation
- Symptoms
Recording a patient's level of angina can help to assess
effectiveness of any intervention or drug therapy.
Angina is usually gripping or crushing in nature in
the chest and/or left arm and jaw, felt when there is insufficient
blood supply to the heart muscle2.
Stable angina is the term used for angina (pectoris)
which is relatively predictable and the intensity and frequency
of which remains similar over long periods2.
Unstable angina (pectoris) is angina, which is severe,
and unpredictable and which threatens to progress to an acute
myocardial infarction2. Cardiovascular
Limitations and Symptoms Profile
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