blood pressure and coronary artery care kitcoronary artery disease and blood pressure control step...

1
1-877-CAREKIT 1-877-227-3548 Item #434HH Results The only kit for patient education that integrates two self care regimens and shows how these conditions impact each other. With one plan, not two your patient compliance rates will rise significantly. Blood Pressure and Coronary Artery Care Kit • The Short Story on Blood and Arteries • Coronary Artery Disease and Blood Pressure Control Step x Step • How to “Watch What You Eat” • The Right Pills at the Right Time • How to Stop Smoking? • “From Stress to Calm” Card • Get Out and Walk/ Healthy Walking Plan • Record Book • How to Take Your BP, Step X Step • Auto BP Monitor* • Magnet Board for Emergencies • 28-Dose Pill Organizer • Loose Food Guide • Nitro Necklace Step One How to “Watch What You Eat” How to Eat Less Salt Get salt out of reach: Take the salt shaker off the table. . Everybody says they “watch what they eat.” Some people say it just to get others off their back about food. But if you’re going to keep your heart from failing again, here’s what you really need to watch: salt and fat out--animal fat. Cut the salt to make the load lighter. Cut the fat to make the road easier. 1 *Larger BP Cuffs Available SKU #43460 You will need a Scale, a Calendar, and a Pencil. This guide is not a substitute for you health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only. © 2008 CSI. 1-877-CAREKIT. All rights reserved. It is a violation of United States copyright laws to reproduce any portion of this publication in any form or by any means without written permission from the publisher. 10.21.09 453406 Magnet Board in the Kit. Write your Emergency Number in the boxes. Put Magnet Board on the refrigerator. Record Book. Open it to the first page. Fill in the answers. Six Steps to Handle Blood and Arteries Get Organized If you don’t know the emergency numbers or need answers to any questions, call your doctor’s office and ask. Don’t be shy! You need to know. The doctor’s office cannot be “too busy.” First, understand. Find the Short Story on Blood and Arteries in the Folder. This heart problem of yours is a big surprise--it is for everybody. The Short Story will give you the big picture of what went wrong and what you have to do to put it right. Stay organized. Find a comfortable place to write. Record Book, Folder, Calendar, and Pencil together in this place all the time. Store the Blood Pressure Monitor here, too. Next, get busy. There are six steps to get control of blood pressure and arteries. In the Kit, you’ll find one paper for each Step. The Stress Card is Step Four. All Six Steps are on the back of this page. Post them on the wall in your bedroom or bathroom. Pill Organizer in a place where you will see it every morning and not miss it. If there are children around, make sure they can’t reach it. Stress Card for tips. Keep it with you. Use the Loose Food Guide to plan meals. Handle on Health Coronary Artery Disease and Blood Pressure Control Step by Step “Managing enrollees with several conditions is a challenge. The combo kit has made my job easier and the enrollee more open to change.” R. Scott Care Manager Las Vegas, NV Call the Doctor or 911 if: Things to say when I’m with the doctor or nurse: Doctor’s Number: . . . O N E THING I’VE NOTICED IS . . . IS IT TR U E T H AT. . . I’D LIKE TO KNOW IF . . . IT’S PROBABLY NOTHING, BUT. . . ON E T H I N GI’VE NOTICED IS . . . I’DLIKE TOK N O W I F. . . XA heavy weight is crushing my chest XChest pain keeps coming back XI’m sweaty, cold and clammy XI have indigestion, gas or vomiting XPain spreads to my shoulders, across my back, neck, arm or jaw XI’m suddenly dizzy or passout XI feel extra tired and weak XNext Appointment: ____________ ONE THING I’VE NOTICED IS . . . IS IT TRUE THAT Pharmacy Number: Call the Doctor if I’ve gained ____ pounds in a week. Are the pills getting low? Is it time to refill? Smoking puts nicotinein your body. Nicotine is a drug. You are addicted to a drug. To get the nicotine out, follow the 4-Day Flush plan. You’ll be 90% nicotine-free at the end. Don’t wait till the pack is done or “life settles down.” There’s never a perfect time. Fat hangs on to the nicotine. It fights the cranberry juice. Instead, eat lean meat and fish, with veggies. 1 Year: our risk of a heart attack s cut in half. In 5 Years: Your risk of a stroke goes down so far it’s as if you never smoked. At least 1 cup a day Make sure it’s sugar-free. Cranberry juice grabs the nicotine and flushes it out of your body. Cranberry juice also flushes potassium out of your body. But the heart needs potassium. A banana puts potassium back. Don’t Eat Starch Don’t Eat Sugar The Four-Day Meal Plan Eat A Banana Drink Cranberry Juice Don’t Eat Fat ng-Term Sugar turns intofat. Instead, eat treats like sugar-free gelatin and frozen yogurt. Starch turns into sugar. Instead, eat 100% whole grain bread, cereal and pasta. ter how on’t think ther. o, two you’re hink: Plan you ad. st that long! How to Stop Smoking The Four-Day Flush Using Simple Foods Step 3 Five Steps From Stress to Calm How to Take Your Blood Pressure Step by Step Set Date Set Time "Pressure" is one thing pushing on another. Blood pushing on the inside walls of arteries is blood pressure. For example: Healthy blood pressure could be 120 for when the heart pushes, and 80 for when the heart rests. These are good numbers: enough pressure to move blood through clear, open arteries. Sometimes the heart starts to push harder. The top number goes up, more than 120. When the heart pushes harder, it doesn’t rest well between pushes. So the bottom number goes up, more than 80. 1 2 4 The Short Story on Blood and Arteries This guide is not a substitute for your health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only. © 2008 CSI. All rights reserved. It is a violation of United States copyright laws to reproduce this publication in any form or by any means without written permission from the publisher. 1-877-CAREKIT. www.carekit.com 10.21.09 4554STORY Blood pushes on the arteries when the heart pushes on the blood. It pushes like a pump: push and rest, push and rest. Pressure is higher when the heart pushes and lower when it rests. That's why you measure blood pressure with two numbers: a higher one, when the heart pushes a lower one, when the heart rests. The coronary arteries make a short loop back to feed the heart itself, like getting off the highway at the first exit. The reason the heart pushes blood is to deliver food and oxygen through the arteries to all parts of the body. 3 It’s normal for blood pressure to go up and down during a day. When you need extra energy, like at work, the heart pumps harder. These short times of high blood pressure are not a problem. High blood pressure all the time is a problem. ...turn the page... Blood leaves the heart with its cargo like THRU TRAFFIC on the highway. Step Five Get Out and Walk SHOES: Comfortable shoes, the right size, made of canvas or soft leather. 1 WALK EVERY DAY WHY WALK? Did the doctor say walking is right for you? How many minutes a day? If you haven’t asked yet, don’t start until you ask. Walking is good exercise--most anyone can do it. Walking: • Gets the blood flowing in your feet and legs • Helps bring the blood pressure down if it’s too high You’ll feel the payoff in 3 monthsor less: • You’ll have more energy • You’ll sleep better You need five things to be a regular walker: TIME: Pick a regular time of day to walk. Stick to it. If you try for every day, you’ll probably make it 5 times a week. Five times a week is good! 2 WRISTWATCH: Wear a watch to time yourself, out and back. 3 WATER: Take a bottle along and drink often. 4 GUTS: Go! Find someone to walk with you--you’ll be more likely to get up and out. But even if you have to go alone, just go--try a shopping mall. 5 Don’t overdo it! If you can talk or sing easily while walking, you are exercising at the right pace. Breathing deeply is OK, but if you are puffing and panting or can't talk, slow down!

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Page 1: Blood Pressure and Coronary Artery Care KitCoronary Artery Disease and Blood Pressure Control Step by Step “Managing enrollees with several conditions is a challenge. The combo kit

1-877-CAREKIT 1-877-227-3548Item #434HH

Results

The only kit for patient education that integrates two self care regimens and shows how these conditions impact each other. With one plan, not two your patient compliance rates will rise significantly.

Blood Pressure and Coronary Artery Care Kit

• The Short Story on Blood and Arteries • Coronary Artery Disease and Blood Pressure Control Step x Step

• How to “Watch What You Eat” • The Right Pills at the Right Time • How to Stop Smoking? • “From Stress to Calm” Card • Get Out and Walk/ Healthy Walking Plan

• Record Book • How to Take Your BP, Step X Step • Auto BP Monitor* • Magnet Board for Emergencies • 28-Dose Pill Organizer • Loose Food Guide • Nitro Necklace

Your goal is to wake up feeling good about yourself the next day.

You don’t need anythingwith batter on it.

You don’t need anythingwith cheese on it

How to Survive a Night Out

Watch out for fried Find something broiled,baked, grilled, poached,steamed or roasted.

Watch out for sauces

Ask for low fat on the side.

Watch out for dressing

Take red sauce on pasta, notwhite.

Women: 1 drink Men: 2 drinks

Limit alcohol Take small sips for a long time.

Ask for lemon slices tosqueeze on the salad instead.

1

4

3

2

The Shopping List Take this page with you to the store!

ChickenFishFat-free milkFat-free yogurt

Fat-free salad dressing

Soft tub margarineCanola oil

Egg whites Sugar-free hard

candies and gumFat-free cheese

Check out all the saltsubstitutes and sauces.

Read the labels--even some that say

“Low Salt” are still nearlyall salt. For example,

“Lite Soy Sauce” is stillnot good.

From the Spices & Extracts Shelf:

No-sugar ApplesauceGinger Ale

Non-sweet cocoaFat-free sour cream

Table Wine (if thedoctor says OK)

Caraway SeedCardamomChili PowderCinnamonClovesCoconut extract

CurryDry mustardHot PaprikaLemon GrassMaple FlavoringPeppermint extract

Red PepperRosemaryPoppy seedsSesame seedsTarragonWalnut extract

Basil LeavesCilantroChivesFennelGreen Onions

Horseradish rootMintMushroomsOnionParsley

Red PeppersDillLemonsLimesGinger Root

Try these for flavors, too:

In the Fresh Section:

If you make these changes, you will begin to lose weight. To make progress faster,call 1-877-227-3548 and order “Getting Down to the Real Me”.

Step One How to “Watch What You Eat”

How to Eat Less Salt

Bouillon Catsup Tomato pasteChili sauceCooking wine or sherryFrozen dinners Horseradish in a jarMeat tenderizerRegular mustard Olives

PicklesSalad dressing Canned soup or soup mixSoy sauceWorcestershire sauceLunch meatPretzels, chipsRelishSalted nutsAnything with “salt” in its name!

Get salt out of reach: Take the salt shaker off the table. Practice saying “NO” to salty snacks. You’ll need to get awayfrom cooking with salt.

Check the kitchen. Learn what has too much salt. Use theseas little as possible. If that’s hard to do, read the Short Storyon Blood and Arteries again. Ask yourself, “Is this soy sauce orolive worth going back to the hospital?”

Know what to look for on labels: “Sodium” means salt.More than 400mg of sodium in a serving is too much. Thesoup label in the picture shows 890mg of sodium. Too much!When you’re tempted to grab some fast food, think twice.You’ll be shocked at how much salt they put in those meals!

Did your doctor say it’s all right to use a salt substitute withpotassium? Check Page 1 in the Record Book. If it’s OK,look for it with the spices in the grocery store. Find the wordon the ingredients label. You may never even notice it’snot salt.

Get some new flavors into the house. When you go to thegrocery store, take this paper with you. Inside are ideas fornew flavors to use instead of salt. Find what works for youand your family.

Everybody says they “watch what they eat.” Some people say it just to get others off their back about food. But if you’re goingto keep your heart from failing again, here’s what you really needto watch: salt and fat out--animal fat.

Cut the salt to make the load lighter. Cut the fat to make the road easier.

1

2

3

4

These things have too much sodium:

OThis guide is not a substitute for your health care professional’s instructions; they are supplementary only. © 2008 CSI. All rights reserved. It is a violation of US copyright laws to reproduce this publication in any form or by any means without written permission from the publisher.

9.29.10 455412

*Larger BP Cuffs Available

SKU #43460

You will need a Scale, a Calendar, and a Pencil.

This guide is not a substitute for you health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only. © 2008 CSI. 1-877-CAREKIT. All rightsreserved. It is a violation of United States copyright laws to reproduce any portion of this publication in any form or by any means without written permission from the publisher. 10.21.09 453406

Find the Magnet Board in the Kit. • Write your Emergency Number in the boxes. • Put Magnet Board on the refrigerator.

Find the Record Book. Open it to the first page.Fill in the answers.

Six Steps to Handle Blood and Arteries

Get Organized

If you don’t know the emergency numbers or needanswers to any questions, call your doctor’soffice and ask. Don’t be shy! You need to know.The doctor’s office cannot be “too busy.”

A

First, understand. Find the Short Story on Blood and Arteries in the Folder.This heart problem of yours is a big surprise--it is for everybody.The Short Story will give you the big picture of what went wrongand what you have to do to put it right.

B

C

D Stay organized. Find a comfortable place to write.Keep the Record Book, Folder, Calendar, and Penciltogether in this place all the time. Store the BloodPressure Monitor here, too.

E

Next, get busy. There are six steps to get control of blood pressure and arteries. In the Kit, you’ll find one paper for each Step.The Stress Card is Step Four.

All Six Steps are on the back of this page. Post them on the wallin your bedroom or bathroom.

Put the Pill Organizer in a place where you will see itevery morning and not miss it. If there are childrenaround, make sure they can’t reach it.

F Read the Stress Card for tips. Keep it with you. Use theLoose Food Guide to plan meals.

Handle on HealthCoronary Artery Disease and Blood Pressure Control Step by Step

“Managing enrollees with several conditions is a challenge. The combo kit has made my job easier and the enrollee more open to change.” R. Scott

Care Manager Las Vegas, NV

Careguide Systems, Inc.Questions and Orders toll free: 1-877-CAREKIT

Email: [email protected] www.carekit.com01.31.06 535LOOSE

1-877-CAREKIT 1-877-227-3548Item #434HH

Results

The only kit for patient education that integrates two self care regimens and shows how these conditions impact each other. With one plan, not two your patient compliance rates will rise significantly.

Blood Pressure and Coronary ArteryCare Kit

• The Short Story on Blood and Arteries • Coronary Artery Disease and Blood Pressure Control Step x Step

• How to “Watch What You Eat” • The Right Pills at the Right Time • How to Stop Smoking? • “From Stress to Calm” Card • Get Out and Walk/ Healthy Walking Plan

• Record Book • How to Take Your BP, Step X Step • Auto BP Monitor* • Magnet Board for Emergencies • 28-Dose Pill Organizer • Loose Food Guide • Nitro Necklace

Call the Doctor or 911 if:

Things to say when I’m with the doctor or nurse:

Doctor’s Number:

...ONE

THING

I’VEN

OTICE

DIS.

..ISI

TTRU

ET

HAT . .

. I’D LIK

E TOKNO

W IF .. . I

T’SPRO

BABLY N

OTHING

, BUT. .

. ONE THING I’VE NOTICED IS . . . I’D LIKE TO KNOW

IF...

A heavy weight is crushing my chest

Chest pain keeps coming back

I’m sweaty, cold and clammy

I have indigestion, gas or vomiting

Pain spreads to my shoulders, across

my back, neck, arm or jaw

I’m suddenly dizzy or passout

I feel extra tired and weak

Next Appointment: ____________

ONE TH

INGI’V

E NOTIC

EDIS

. .. IS

ITTR

UETH

ATPharmacy Number:

Call the Doctor if

I’ve gained ____ pounds in a week.

Are the pills getting low? Is

it time to refill?

Smoking puts nicotine in your body. Nicotine

is a drug. You are addicted to a drug.

To get the nicotine out, follow the 4-Day Flush

plan. You’ll be 90% nicotine-free at the end.

Don’t wait till the pack is done or “life settles

down.” There’s never a perfect time.

Fat hangs on to the nicotine.

It fights the cranberry juice.

Instead, eat lean meat

and fish, with veggies.

In 1 Year:

Your risk of a heart attack

is cut in half.

In 5 Years:

Your risk of a stroke goes

down so far it’s as if you

never smoked.

At least 1 cup a day

Make sure it’s sugar-free.

Cranberry juice grabs

the nicotine and flushes

it out of your body.

Cranberry juice also flushes

potassium out of your body.

But the heart needs potassium.

A banana puts potassium back.

Don’t Eat StarchDon’t Eat Sugar

The Four-Day Meal Plan Eat A Banana

Drink Cranberry Juice

Don’t Eat Fat

Long-Term

Sugar turns into fat.

Instead, eat treats

like sugar-free gelatin

and frozen yogurt.

Within 9 Months

• All coughing and

wheezing are gone.

• Your nose isn’t

stuffed up.

Starch turns into sugar.

Instead, eat 100%

whole grain bread,

cereal and pasta.

In 2-3 Weeks

• Your breath smells

normal again.

• Blood is flowing

easier.

• Lungs hold more air.

• Sex is better.

The Four-Day Flush is over. What Now?

Start to Eat Fruit

Do it only if you’re feeling strong enough to

not smoke. If you’re unsure stick with the

Meal Plan a few more days.

The Long-Term High keeps getting better:

Stay Alert

You are a smoke-a-holic. No matter how

long you’ve been smoke-free, don’t think

you can safely take a puff.

One puff and you want another.

One cigarette becomes two, two

becomes a pack and then you’re

hooked again. Instead, think:

Keep up the Dodge & Distract Plan

Add new places or events that make you

want to smoke and what to do instead.

The urge only lasts three minutes or less. I can resist that long!

Make a Ciggy Bank

Save the money you would have spent on

smokes. Use it for a special new purchase.

This guide is not a substitute for your health care professional’s instructions. These instructions are supplementary only.© 2008 CSI. Buffalo Grove, IL 60089.

All rights reserved. It is a violation of US copyright laws to reproduce this publication in any form or by any means without written permission from the

publisher. 1-866-766-5077 www.carekit.com

5.12.11 5

22013F

How to Stop Smoking

The Four-Day Flush Using Simple FoodsStep 3

Your goal is to wake up feeling good about yourself the next day.

You don’t need anythingwith batter on it.

You don’t need anythingwith cheese on it

How to Survive a Night Out

Watch out for fried Find something broiled,baked, grilled, poached,steamed or roasted.

Watch out for sauces

Ask for low fat on the side.

Watch out for dressing

Take red sauce on pasta, notwhite.

Women: 1 drink Men: 2 drinks

Limit alcohol Take small sips for a long time.

Ask for lemon slices tosqueeze on the salad instead.

1

4

3

2

The Shopping List Take this page with you to the store!

ChickenFishFat-free milkFat-free yogurt

Fat-free salad dressing

Soft tub margarineCanola oil

Egg whites Sugar-free hard

candies and gumFat-free cheese

Check out all the saltsubstitutes and sauces.

Read the labels--even some that say

“Low Salt” are still nearlyall salt. For example,

“Lite Soy Sauce” is stillnot good.

From the Spices & Extracts Shelf:

No-sugar ApplesauceGinger Ale

Non-sweet cocoaFat-free sour cream

Table Wine (if thedoctor says OK)

Caraway SeedCardamomChili PowderCinnamonClovesCoconut extract

CurryDry mustardHot PaprikaLemon GrassMaple FlavoringPeppermint extract

Red PepperRosemaryPoppy seedsSesame seedsTarragonWalnut extract

Basil LeavesCilantroChivesFennelGreen Onions

Horseradish rootMintMushroomsOnionParsley

Red PeppersDillLemonsLimesGinger Root

Try these for flavors, too:

In the Fresh Section:

If you make these changes, you will begin to lose weight. To make progress faster,call 1-877-227-3548 and order “Getting Down to the Real Me”.

Step One How to “Watch What You Eat”

How to Eat Less Salt

Bouillon Catsup Tomato pasteChili sauceCooking wine or sherryFrozen dinners Horseradish in a jarMeat tenderizerRegular mustard Olives

PicklesSalad dressing Canned soup or soup mixSoy sauceWorcestershire sauceLunch meatPretzels, chipsRelishSalted nutsAnything with “salt” in its name!

Get salt out of reach: Take the salt shaker off the table. Practice saying “NO” to salty snacks. You’ll need to get awayfrom cooking with salt.

Check the kitchen. Learn what has too much salt. Use theseas little as possible. If that’s hard to do, read the Short Storyon Blood and Arteries again. Ask yourself, “Is this soy sauce orolive worth going back to the hospital?”

Know what to look for on labels: “Sodium” means salt.More than 400mg of sodium in a serving is too much. Thesoup label in the picture shows 890mg of sodium. Too much!When you’re tempted to grab some fast food, think twice.You’ll be shocked at how much salt they put in those meals!

Did your doctor say it’s all right to use a salt substitute withpotassium? Check Page 1 in the Record Book. If it’s OK,look for it with the spices in the grocery store. Find the wordon the ingredients label. You may never even notice it’snot salt.

Get some new flavors into the house. When you go to thegrocery store, take this paper with you. Inside are ideas fornew flavors to use instead of salt. Find what works for youand your family.

Everybody says they “watch what they eat.” Some people say it just to get others off their back about food. But if you’re goingto keep your heart from failing again, here’s what you really needto watch: salt and fat out--animal fat.

Cut the salt to make the load lighter. Cut the fat to make the road easier.

1

2

3

4

These things have too much sodium:

OThis guide is not a substitute for your health care professional’s instructions; they are supplementary only. © 2008 CSI. All rights reserved. It is a violation of US copyright laws to reproduce this publication in any form or by any means without written permission from the publisher.

9.29.10 455412

*Larger BP Cuffs Available

SKU #43460

Five Steps FromStress to Calm

When stress hits, you have

3 things for your body Breathe Stretch Sleep

2 things for your mind Act Rate

Five Steps from Stress to Calm: BSSAR.

To do anything else would be bizarre.

RateWhatever your stress...

Task too big? Break it down. Get help.

Nervous? Cut out coffee and sugar.

Made a mistake? Admit it and move on.

Overwehelmed? Make a To-Do list.

No time? Say NO—suggest someone else.

100

75

50

25

0

Where does today’s stress rate on this meter?

Act4 5Total Nuclear Holocaust

Newborn Sleeping

To change the number, press When the number is right, press

Now the Day blinks. Press to change it. Press when it’s right.

How to Take Your Blood Pressure Step by Step

Press and release the Memory Button.The screen quickly shows how many past readings are inside. M03 means there are three scores.

The first time you use the Monitor and any time the Replace Batteries light comes on:• Lay the Monitor face down.• Press down on the tab. Lift off the cover.• Put in AA batteries. Match the + and - on

the batteries to the marks inside the case. • To snap the cover back on, match the

hooks. Push the cover down until it snaps.

Set Date

Set Time

When you finish, the monitor stops blinking.

A time of day and date appear at the top of the screen. If they are not correct, follow these 3 steps:

©2005-2009 Communication Science, Inc. All rights reserved. 534016

Press and release both buttons at once: The Month blinks.

Repeat Steps 2-3 to set the hour and minutes.

The Monitor uses a 24-hour clock. If it’s nowafternoon or night, add 12 to the time on your watch. Use that number to set the hour.

Example: It’s 3:00 PM right now. Add 12. It’s 15:00 for the Monitor

Blood Pressure

Pulse 88

155

Then it shows the last reading you took, M01.

Blood Pressure

Pulse 88 87 85

153 15294 94

15595

Open the Log Book to this week. Find the line for Blood Pressure. Write the: • Top number before the slash• Middle number after the slashFind the line for Pulse.Write the Bottom number here.

Track Your Score

If the numbers are going down and getting more regular it’s probably because you’re doing a good job relaxing and avoiding salt and fat.

See the TrendWhen you have at least three readings, look for the trend.Ask yourself:• Are the numbers getting closer to 120/80 or farther away?• Are numbers getting more regular or are they jumping high and low?

Memory From time to time you may want to check a score from the past.

It’s good to have a Monitor memory, but seeing one score

at a time doesn’t show you the trend. The trend is what

matters. Keeping your own Log Book puts you in control.

Press the Memory Button again for the score before that, M02. Each press shows the score before.

You will need a Scale, a Calendar, and a Pencil.

This guide is not a substitute for you health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only. © 2008 CSI. 1-877-CAREKIT. All rightsreserved. It is a violation of United States copyright laws to reproduce any portion of this publication in any form or by any means without written permission from the publisher. 10.21.09 453406

Find the Magnet Board in the Kit. • Write your Emergency Number in the boxes. • Put Magnet Board on the refrigerator.

Find the Record Book. Open it to the first page.Fill in the answers.

Six Steps to Handle Blood and Arteries

Get Organized

If you don’t know the emergency numbers or needanswers to any questions, call your doctor’soffice and ask. Don’t be shy! You need to know.The doctor’s office cannot be “too busy.”

A

First, understand. Find the Short Story on Blood and Arteries in the Folder.This heart problem of yours is a big surprise--it is for everybody.The Short Story will give you the big picture of what went wrongand what you have to do to put it right.

B

C

D Stay organized. Find a comfortable place to write.Keep the Record Book, Folder, Calendar, and Penciltogether in this place all the time. Store the BloodPressure Monitor here, too.

E

Next, get busy. There are six steps to get control of blood pressure and arteries. In the Kit, you’ll find one paper for each Step.The Stress Card is Step Four.

All Six Steps are on the back of this page. Post them on the wallin your bedroom or bathroom.

Put the Pill Organizer in a place where you will see itevery morning and not miss it. If there are childrenaround, make sure they can’t reach it.

F Read the Stress Card for tips. Keep it with you. Use theLoose Food Guide to plan meals.

Handle on HealthCoronary Artery Disease and Blood Pressure Control Step by Step

High Density means tight--HDL is tough bits of hard fat.GOOD cholesterol. It mops up the bad.

Like most good things, there’s neverenough of it: The test number is low. You work to make it higher--40 or more.

Low Density means loose--LDL is squishy blobs of flabby fat.BAD cholesterol. It sticks to the arteries.

Like most bad things, there’s always too much of it: The test number is high. You work to make it lower--less than 100.

"Pressure" is one thing pushing on another. Blood pushing on the inside walls of arteries isblood pressure.

For example:Healthy blood pressure could be

120 for when the heart pushes, and80 for when the heart rests.

These are good numbers: enough pressure to move blood through clear, open arteries.

Sometimes the heart starts to push harder. The top number goes up, more than 120.When the heart pushes harder, it doesn’t rest well between pushes. So the bottom numbergoes up, more than 80.

1

2

4

The Short Story on Blood and Arteries

This guide is not a substitute for your health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only. © 2008 CSI. All rights reserved. It is a violation of United States copyright laws to reproduce this publication in any form or by any means without written permission from the publisher. 1-877-CAREKIT. www.carekit.com 10.21.09 4554STORY

Blood pushes on the arteries when the heartpushes on the blood. It pushes like a pump:

push and rest, push and rest.Pressure is higher when the heart pushes andlower when it rests. That's why you measureblood pressure with two numbers:

a higher one, when the heart pushes a lower one, when the heart rests.

The coronary arteries make a shortloop back to feed the heart itself, likegetting off the highway at the first exit.

The reason the heart pushes blood isto deliver food and oxygen throughthe arteries to all parts of the body.

3

1

2

3

4

It’s normal for blood pressure to go up and downduring a day. When you need extra energy, like at work, the heart pumps harder. These shorttimes of high blood pressure are not a problem.

High blood pressure all the time is a problem. ...turn the page...

Blood leaves the heart with its cargolike THRU TRAFFIC on the highway.

Three Wrong Ideas about Cholesterol

The tests measure two kinds of cholesterol: High Density and Low Density.“Density” means how tight-packed something is.

People joke that an angioplasty drills cholesterol out of the arteries like a plumberscrapes roots out of pipes. WRONG. Angioplasty just smashes cholesterol againstthe artery wall, to get it out of the way.

Some people believe cholesterol testsmeasure how much cholesterol is stuck to thearteries. WRONG.The tests only measure how much cholesterolis floating in your blood.

Some people think cholesterol drugs scrapeold cholesterol off the arteries. WRONG.Some pills keep new cholesterol from forming.Other pills mop cholesterol out of the blood.Only eating fiber gets rid of old cholesterol.

L = LOOSE = BAD H = HARD = GOOD

What Cholesterol Tests Mean

Now you’ve got the basics: the Short Story on Blood and Arteries. Go back to the Step-by-Step and get started with the program.

This guide is not a substitute for your health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only.

© 2008 CSI. All rights reserved. It is a violation of United States copyright laws to reproduce this publication in any form or by any means without

written permsion from the publisher. 1-877-227-3548. www.carekit.com

5.13.11 529018

Step Five

Get Out and Walk

SHOES: Comfortable shoes, the right size, made

of canvas or soft leather.

1

WALK EVERY DAY

WHY WALK?

Did the doctor say walking is right for you? How many

minutes a day? If you haven’t asked yet, don’t start until

you ask.

Walking is good exercise--most anyone can do it. Walking:

• Gets the blood flowing in your feet and legs

• Helps bring the blood pressure down if it’s too high

You’ll feel the payoff in 3 months or less:

• You’ll have more energy• You’ll sleep better

You need five things to be a regular walker:

TIME: Pick a regular time of day to walk. Stick to

it. If you try for every day, you’ll probably make it

5 times a week. Five times a week is good!

2

WRISTWATCH: Wear a watch to time yourself, out

and back.3

WATER: Take a bottle along and drink often.

4

GUTS: Go! Find someone to walk with you--you’ll

be more likely to get up and out. But even if you

have to go alone, just go--try a shopping mall.

5

Don’t overdo it! If you can talk or sing easily while

walking, you are exercising at the right pace.

Breathing deeply is OK, but if you are puffing and

panting or can't talk, slow down!

“Managing enrollees with several conditions is a challenge. The combo kit has made my job easier and the enrollee more open to change.” R. Scott

Care Manager Las Vegas, NV

Careguide Systems, Inc.Questions and Orders toll free: 1-877-CAREKIT

Email: [email protected] www.carekit.com01.31.06 535LOOSE

Call the Doctor or 911 if:

Things to say when I’m with the doctor or nurse:

Doctor’s Number:

...ONE

THING

I’VEN

OTICE

DIS.

..ISI

TTRU

ET

HAT . .

. I’D LIK

E TOKNO

W IF .. . I

T’SPRO

BABLY N

OTHING

, BUT. .

. ONE THING I’VE NOTICED IS . . . I’D LIKE TO KNOW

IF...

A heavy weight is crushing my chest

Chest pain keeps coming back

I’m sweaty, cold and clammy

I have indigestion, gas or vomiting

Pain spreads to my shoulders, across

my back, neck, arm or jaw

I’m suddenly dizzy or passout

I feel extra tired and weak

Next Appointment: ____________

ONE TH

INGI’V

E NOTIC

EDIS

. .. IS

ITTR

UETH

ATPharmacy Number:

Call the Doctor if

I’ve gained ____ pounds in a week.

Are the pills getting low? Is

it time to refill?

Smoking puts nicotine in your body. Nicotine

is a drug. You are addicted to a drug.

To get the nicotine out, follow the 4-Day Flush

plan. You’ll be 90% nicotine-free at the end.

Don’t wait till the pack is done or “life settles

down.” There’s never a perfect time.

Fat hangs on to the nicotine.

It fights the cranberry juice.

Instead, eat lean meat

and fish, with veggies.

In 1 Year:

Your risk of a heart attack

is cut in half.

In 5 Years:

Your risk of a stroke goes

down so far it’s as if you

never smoked.

At least 1 cup a day

Make sure it’s sugar-free.

Cranberry juice grabs

the nicotine and flushes

it out of your body.

Cranberry juice also flushes

potassium out of your body.

But the heart needs potassium.

A banana puts potassium back.

Don’t Eat StarchDon’t Eat Sugar

The Four-Day Meal Plan Eat A Banana

Drink Cranberry Juice

Don’t Eat Fat

Long-Term

Sugar turns into fat.

Instead, eat treats

like sugar-free gelatin

and frozen yogurt.

Within 9 Months

• All coughing and

wheezing are gone.

• Your nose isn’t

stuffed up.

Starch turns into sugar.

Instead, eat 100%

whole grain bread,

cereal and pasta.

In 2-3 Weeks

• Your breath smells

normal again.

• Blood is flowing

easier.

• Lungs hold more air.

• Sex is better.

The Four-Day Flush is over. What Now?

Start to Eat Fruit

Do it only if you’re feeling strong enough to

not smoke. If you’re unsure stick with the

Meal Plan a few more days.

The Long-Term High keeps getting better:

Stay Alert

You are a smoke-a-holic. No matter how

long you’ve been smoke-free, don’t think

you can safely take a puff.

One puff and you want another.

One cigarette becomes two, two

becomes a pack and then you’re

hooked again. Instead, think:

Keep up the Dodge & Distract Plan

Add new places or events that make you

want to smoke and what to do instead.

The urge only lasts three minutes or less. I can resist that long!

Make a Ciggy Bank

Save the money you would have spent on

smokes. Use it for a special new purchase.

This guide is not a substitute for your health care professional’s instructions. These instructions are supplementary only.© 2008 CSI. Buffalo Grove, IL 60089.

All rights reserved. It is a violation of US copyright laws to reproduce this publication in any form or by any means without written permission from the

publisher. 1-866-766-5077 www.carekit.com

5.12.11 5

22013F

How to Stop Smoking

The Four-Day Flush Using Simple FoodsStep 3

Five Steps FromStress to Calm

When stress hits, you have

3 things for your body Breathe Stretch Sleep

2 things for your mind Act Rate

Five Steps from Stress to Calm: BSSAR.

To do anything else would be bizarre.

RateWhatever your stress...

Task too big? Break it down. Get help.

Nervous? Cut out coffee and sugar.

Made a mistake? Admit it and move on.

Overwehelmed? Make a To-Do list.

No time? Say NO—suggest someone else.

100

75

50

25

0

Where does today’s stress rate on this meter?

Act4 5Total Nuclear Holocaust

Newborn Sleeping

To change the number, press When the number is right, press

Now the Day blinks. Press to change it. Press when it’s right.

How to Take Your Blood Pressure Step by Step

Press and release the Memory Button.The screen quickly shows how many past readings are inside. M03 means there are three scores.

The first time you use the Monitor and any time the Replace Batteries light comes on:• Lay the Monitor face down.• Press down on the tab. Lift off the cover.• Put in AA batteries. Match the + and - on

the batteries to the marks inside the case. • To snap the cover back on, match the

hooks. Push the cover down until it snaps.

Set Date

Set Time

When you finish, the monitor stops blinking.

A time of day and date appear at the top of the screen. If they are not correct, follow these 3 steps:

©2005-2009 Communication Science, Inc. All rights reserved. 534016

Press and release both buttons at once: The Month blinks.

Repeat Steps 2-3 to set the hour and minutes.

The Monitor uses a 24-hour clock. If it’s nowafternoon or night, add 12 to the time on your watch. Use that number to set the hour.

Example: It’s 3:00 PM right now. Add 12. It’s 15:00 for the Monitor

Blood Pressure

Pulse 88

155

Then it shows the last reading you took, M01.

Blood Pressure

Pulse 88 87 85

153 15294 94

15595

Open the Log Book to this week. Find the line for Blood Pressure. Write the: • Top number before the slash• Middle number after the slashFind the line for Pulse.Write the Bottom number here.

Track Your Score

If the numbers are going down and getting more regular it’s probably because you’re doing a good job relaxing and avoiding salt and fat.

See the TrendWhen you have at least three readings, look for the trend.Ask yourself:• Are the numbers getting closer to 120/80 or farther away?• Are numbers getting more regular or are they jumping high and low?

Memory From time to time you may want to check a score from the past.

It’s good to have a Monitor memory, but seeing one score

at a time doesn’t show you the trend. The trend is what

matters. Keeping your own Log Book puts you in control.

Press the Memory Button again for the score before that, M02. Each press shows the score before.

High Density means tight--HDL is tough bits of hard fat.GOOD cholesterol. It mops up the bad.

Like most good things, there’s neverenough of it: The test number is low. You work to make it higher--40 or more.

Low Density means loose--LDL is squishy blobs of flabby fat.BAD cholesterol. It sticks to the arteries.

Like most bad things, there’s always too much of it: The test number is high. You work to make it lower--less than 100.

"Pressure" is one thing pushing on another. Blood pushing on the inside walls of arteries isblood pressure.

For example:Healthy blood pressure could be

120 for when the heart pushes, and80 for when the heart rests.

These are good numbers: enough pressure to move blood through clear, open arteries.

Sometimes the heart starts to push harder. The top number goes up, more than 120.When the heart pushes harder, it doesn’t rest well between pushes. So the bottom numbergoes up, more than 80.

1

2

4

The Short Story on Blood and Arteries

This guide is not a substitute for your health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only. © 2008 CSI. All rights reserved. It is a violation of United States copyright laws to reproduce this publication in any form or by any means without written permission from the publisher. 1-877-CAREKIT. www.carekit.com 10.21.09 4554STORY

Blood pushes on the arteries when the heartpushes on the blood. It pushes like a pump:

push and rest, push and rest.Pressure is higher when the heart pushes andlower when it rests. That's why you measureblood pressure with two numbers:

a higher one, when the heart pushes a lower one, when the heart rests.

The coronary arteries make a shortloop back to feed the heart itself, likegetting off the highway at the first exit.

The reason the heart pushes blood isto deliver food and oxygen throughthe arteries to all parts of the body.

3

1

2

3

4

It’s normal for blood pressure to go up and downduring a day. When you need extra energy, like at work, the heart pumps harder. These shorttimes of high blood pressure are not a problem.

High blood pressure all the time is a problem. ...turn the page...

Blood leaves the heart with its cargolike THRU TRAFFIC on the highway.

Three Wrong Ideas about Cholesterol

The tests measure two kinds of cholesterol: High Density and Low Density.“Density” means how tight-packed something is.

People joke that an angioplasty drills cholesterol out of the arteries like a plumberscrapes roots out of pipes. WRONG. Angioplasty just smashes cholesterol againstthe artery wall, to get it out of the way.

Some people believe cholesterol testsmeasure how much cholesterol is stuck to thearteries. WRONG.The tests only measure how much cholesterolis floating in your blood.

Some people think cholesterol drugs scrapeold cholesterol off the arteries. WRONG.Some pills keep new cholesterol from forming.Other pills mop cholesterol out of the blood.Only eating fiber gets rid of old cholesterol.

L = LOOSE = BAD H = HARD = GOOD

What Cholesterol Tests Mean

Now you’ve got the basics: the Short Story on Blood and Arteries. Go back to the Step-by-Step and get started with the program.

This guide is not a substitute for your health care professional’s instructions. Always follow your provider’s instructions. These instructions are supplementary only.

© 2008 CSI. All rights reserved. It is a violation of United States copyright laws to reproduce this publication in any form or by any means without

written permsion from the publisher. 1-877-227-3548. www.carekit.com

5.13.11 529018

Step Five

Get Out and Walk

SHOES: Comfortable shoes, the right size, made

of canvas or soft leather.

1

WALK EVERY DAY

WHY WALK?

Did the doctor say walking is right for you? How many

minutes a day? If you haven’t asked yet, don’t start until

you ask.

Walking is good exercise--most anyone can do it. Walking:

• Gets the blood flowing in your feet and legs

• Helps bring the blood pressure down if it’s too high

You’ll feel the payoff in 3 months or less:

• You’ll have more energy• You’ll sleep better

You need five things to be a regular walker:

TIME: Pick a regular time of day to walk. Stick to

it. If you try for every day, you’ll probably make it

5 times a week. Five times a week is good!

2

WRISTWATCH: Wear a watch to time yourself, out

and back.3

WATER: Take a bottle along and drink often.

4

GUTS: Go! Find someone to walk with you--you’ll

be more likely to get up and out. But even if you

have to go alone, just go--try a shopping mall.

5

Don’t overdo it! If you can talk or sing easily while

walking, you are exercising at the right pace.

Breathing deeply is OK, but if you are puffing and

panting or can't talk, slow down!