Heart Disease Risk

Reduction
Program for
Ramon Jordana
(Patient #4)
BY: BRADY PETERS

Heart-Related Medical Issues and

Risk Factors
Harmful Risk Factors

Occasionally smoking a pipe

Familial history of heart disease

Low number of fruits and vegetables in diet

High cholesterol

Protective Risk Factors

High amount of physical activity

Low amount of saturated fats in diet

Plenty of whole grains in diet

Lifestyle Modifications

Lifestyle modifications play an important role in

treatment and prevention

Risk of heart disease can be lowered and even

completely prevented if the correct lifestyle choices
are made

Lifestyle modifications are easy and quite simple

Heart Disease Calculator Results for Ramon

8.8 % is Ramons risk of a heart attack or stroke within

10 years
This

number is based on if Ramon does not control

his risk factors within the next 10 years

4.8 % is Ramons risk of a heart attack or stroke within

10 years if his risk factors are controlled

Outlined Plan to Lower Risk of

Heart Disease for Ramon
1.

2.

3.

Completely eliminate the occasional smoking of a pipe for two months

1.

(If completely stopping is difficult, limit the smoking to only one pipe every three weeks)

2.

Try not to start smoking cigarettes and/or using tobacco

Continue to play wheelchair basketball and other sports

1.

At least 75 minutes of strenuous exercise each week for two months

2.

At least 90 minutes of moderate exercise each week for two months

Continue to Eat a Healthy Diet (Also helps lower cholesterol)

1.

Emphasizes fruits (2 cups per day), vegetables (2.5 cups per day), and whole grains (1.5 cups
per day)

2.

Low-fat dairy products and low-fat proteins, such as poultry, fish and legumes

3.

Moderate amounts of healthy fats, such as unsalted nuts, and vegetable and olive oils

4.

Limit saturated fats (under150 calories)

5.

Follow this diet for two months

This plan was instituted in agreement with Ramon on November 28 th, 2016. If the plan is
followed, Ramon should lose about 10 pounds.

Recommendations
Recommendation for Medical Procedures

Right now, there is no recommendation for a medical procedure

Re-evaluation will be conducted at the next appointment on

January 30th, 2017 to determine if a procedure will be needed in
the future

Recommendation for Medications

Take 10 mg of Atorvastatin (Lipitor) once daily for two months

Atorvastatin can be taken with or without food

Re-evaluation of the effectiveness of the medication will be

conducted at the next appointment on January 30 th, 2017

Schedule for Post-Intervention

Testing and Goals
Initial appointment for Ramon was on November 28 th, 2016
Things to check for at the appointment on January 30 th, 2017 (2 months after
initial appointment):

Make sure blood pressure levels have not changed (Should be 120/71 mmHg)

Make sure cholesterol levels have not significantly increased or decreased

Total cholesterol should be around 190 mg/dL

LDL cholesterol should be around 90 mg/dL

HDL cholesterol should be around 45 mg/dL

Make sure Ramon is completing the amount of exercise recommended by

performing a stress test on his heart

Are there any significant findings from the stress test that could hint at heart
disease?

Did Ramon reach the goal of losing 10 pounds within the two month time
period?

Yes or No?