Lesson 1Adapting communication an' plans fi low-literacy, low-income patients: teach-back, pictorial aids, low-cost medication choicesDis section describe how fi adapt counseling an' care plans fi low-literacy, low-income patients, using teach-back, pictorial tools, simplified regimens, low-cost medication choices, an' culturally sensitive communication techniques. It mek care easy fi everyone.
Assessing literacy an' financial barriersUsing teach-back fi confirm understandingPictorial an' color-coded medication aidsChoosing effective low-cost drug optionsSimplifying dosing schedules an' refillsCulturally sensitive communication skillsLesson 2Statin therapy an' lipid targets: risk-stratified thresholds fi starting statins an' monitoringDis section cover statin indications using risk-based thresholds, intensity selection, LDL-C targets, baseline an' follow-up labs, management a statin-associated symptoms, an' strategies fi improve adherence inna high-risk cardiovascular patients. Yuh learn fi use statin proper.
Estimating ASCVD risk inna primary preventionThresholds fi start moderate vs high-intensity statinsLDL-C targets fi primary an' secondary preventionBaseline labs an' follow-up lipid monitoringManaging statin intolerance an' myalgiasImproving adherence an' shared decisionsLesson 3Lifestyle interventions: evidence-based dietary patterns (DASH, Mediterranean), portion an' sodium targets, practical low-cost adaptationsDis section examine lifestyle interventions fi cardiovascular prevention, emphasizing DASH an' Mediterranean patterns, sodium an' portion targets, label reading, an' practical, low-cost adaptations suitable fi diverse cultural food practices inna Jamaica.
Core principles a DASH an' Mediterranean dietsSetting sodium an' portion size targetsLow-cost substitutions fi staple foodsCounseling pon cooking methods an' oilsReading food labels an' hidden sodiumAdapting plans to cultural food patternsLesson 4Physical activity prescriptions: intensity, duration, step-counts, home-based exercises fi low-resource patientsDis section explain how fi prescribe safe, effective physical activity, including aerobic an' resistance training, step-count goals, an' simple home-based routines tailored to low-resource patients wid varying fitness an' comorbidity profiles. Start small an' build up.
Assessing baseline activity an' functional capacityPrescribing aerobic intensity using METs an' RPESetting weekly duration an' frequency targetsStep-count goals an' use a simple trackersDesigning home-based programs fi low resourcesSafety screening an' red-flag symptomsLesson 5Glycemic management fi cardiovascular prevention: thresholds fi metformin an' glycemic targets relevant to CVD riskDis section review glycemic management fi cardiovascular risk reduction, focusing pon metformin thresholds, individualized A1c targets, selection a agents wid proven CVD benefit, an' coordination wid lifestyle an' blood pressure control. Keep sugar level steady.
Screening fi diabetes an' prediabetesWhen fi start metformin fi CVD preventionIndividualizing A1c targets by comorbidityAgents wid proven cardiovascular benefitAvoiding hypoglycemia inna high-risk patientsIntegrating glucose, BP, an' lipid controlLesson 6Use a aspirin an' antiplatelet therapy: primary vs secondary prevention guidance an' contraindicationsDis section clarify when fi use aspirin an' other antiplatelets fi primary versus secondary prevention, including dosing, duration, bleeding risk assessment, contraindications, an' coordination wid other anticoagulant therapies. Know when fi give an' when not.
Evidence fi aspirin inna primary preventionSecondary prevention indications after MI or strokeDual antiplatelet therapy indications an' durationAssessing bleeding risk an' contraindicationsManaging therapy wid anticoagulant overlapPatient counseling pon adherence an' safetyLesson 7Alcohol, sleep, an' stress management: brief interventions an' local resourcesDis section address alcohol use, sleep quality, an' stress as cardiovascular risk modifiers, outlining brief screening tools, counseling techniques, practical behavior change strategies, an' referral pathways to local or digital support resources inna Jamaica.
Screening fi unhealthy alcohol useBrief alcohol interventions an' limitsAssessing sleep duration an' sleep disordersSleep hygiene strategies fi CVD patientsStress assessment an' basic coping skillsLinking patients to local an' online resourcesLesson 8Tobacco cessation strategies: brief advice, pharmacotherapy indications (NRT, bupropion, varenicline), counseling workflowsDis section review structured tobacco cessation care, covering brief advice models, pharmacotherapy selection an' dosing, counseling workflows, relapse prevention, an' adaptations fi low-literacy or low-resource cardiovascular patients. Help dem quit fi good.
Ask–Advise–Assist brief intervention stepsIndications an' dosing fi NRT productsUsing bupropion an' varenicline safelyBehavioral counseling an' quit planningManaging withdrawal an' relapse preventionAdapting support fi low-resource patientsLesson 9Secondary prevention after MI/stroke: dual antiplatelet duration, high-intensity statin, BP an' glycemic targets, cardiac rehab referralDis section focus pon comprehensive secondary prevention after MI or stroke, including dual antiplatelet duration, high-intensity statins, blood pressure an' glycemic targets, cardiac rehabilitation referral, an' long-term adherence strategies. Keep dem safe after event.
Core medication bundle after MI or strokeDual antiplatelet therapy duration choicesHigh-intensity statin use an' LDL-C goalsBlood pressure an' glycemic targets post-eventCardiac rehab referral an' program elementsCoordinating follow-up an' adherence supportLesson 10Pharmacologic prevention: antihypertensive initiation an' titration protocols, first-line drug classes an' combinationsDis section detail pharmacologic prevention a hypertension, including when fi start medication, first-line drug classes, combination strategies, titration protocols, monitoring fi side effects, an' adapting regimens fi low-resource settings. Control pressure wid medicine.
Confirming diagnosis an' baseline BP profileThresholds fi start antihypertensive therapyChoosing first-line drug classes an' dosesStepwise titration an' combination therapyMonitoring labs an' adverse effectsSimplifying regimens fi low-cost access
