The risk reduction consultation is a one-on-one lifestyle evaluation for individuals with significant cardiovascular disease risk factors or chronic heart-related diseases. St. Luke’s multidisciplinary lifestyle specialists will provide education and coaching for lifestyle/behavior change to meet personalized goals for risk reduction or chronic disease management. All consultations will require a physician order and a copy of patient’s history/physical, medications, lab results and most recent stress test.
Exercise Consultations
People of all ages who are habitually sedentary can improve their health, fitness, and well-being by becoming even moderately active. Physical activity reduces the risk of cardiovascular mortality, coronary heart disease, obesity, hypertension, breast and colon cancer and diabetes mellitus while improving musculoskeletal strength and mental health. Consistent exercise routine can reduce the amount of necessary interventions and medications while improving the overall management of chronic disease. The staff utilizes standards set by the American College of Sports medicine and the American Association of Cardiovascular and Pulmonary Rehabilitation.
Fitness Consultation (2 hours) plus three months of structured motivational coaching
| Staff: | Exercise Physiologist |
| Who it's for: | - People with significant risk factors for disease: Sedentary lifestyle, obesity (BMI>30), tobacco dependence, high cholesterol, high blood pressure, low HDL cholesterol, pre-diabetes/Impaired fasting glucose
- Clients with chronic disease (Heart failure, Cardiovascular Disease, Peripheral Vascular Disease, Diabetes Mellitus)
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| What happens: | - Evaluation of aerobic endurance
- Evaluation of muscular endurance
- Evaluation of flexibility and body composition
- Discussion of barriers and preparation of personalized goals
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| Follow up: | - 15-minute session
- Includes Motivational Coaching: phone/e-mail review of progress at 2 weeks, 4 weeks, 2 months and 3 months.
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Fitness Orientation (1 hour)
| Staff: | Exercise Physiologist |
| Who it's for: | - All clients should schedule one orientation after their initial consultation
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| What happens: | - Review of assessment and personalized exercise prescription
- Orientation to prescription and review of treatment plan
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| On site training: | - St. Luke's Gym, located at O'Quinn Medical Tower at St. Luke's (Limited availability)
- $10/session for therapeutic lifestyle modification program participants
- Vital sign monitoring, personalized exercise review, weekly rhythm monitoring and physician available for symptom management.
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Nutrition Consultations
Medical Nutrition Therapy can increase your health and well-being, and increase your quality of life through decreased doctor visits, hospitalizations and reduced prescription drug use. The staff utilizes the standards set by the American Dietetic Association, American Heart Association, American Diabetes Association, National Cholesterol Education Program and the National Institutes of Health.
Behavioral Health Evaluation (1 hour)
| Staff: | Behavioral Health Clinician |
| Who it's for: | - Have you had emotional barriers that have impacted your personal health?
- Does your current health have a significant impact on your daily activities?
- Has your work or other activities been affected by emotional feelings of anger, depression or anxiety?
- Are you implementing a significant change in your lifestyle to manage your weight or eliminate tobacco use?
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| What happens: | - One-hour consultation focusing on strengthening of emotional wellbeing to
prevent disease and promote adaptation of healthy lifestyles |
| Follow up: | - Follow up schedule personalized with all clients
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Osteoporosis Prevention Nutrition Evaluation (1 hour)
| Staff: | Registered Dietitian |
| Who it's for: | - Postmenopausal women
- Women with osteopenia (weak bones)
- Women with a family history of osteoporosis
- M. D. recommendation / other risk factors
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| What happens: | - Evaluation of calcium intake
- Individualized strategies for optimizing calcium intake, including information on nutritional supplementation
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| Follow up: | - 15 minute phone call/e-mail provided at 6 weeks
- Repeat consultations suggested with results of repeat bone density measurement at physician’s discretion
- A consult with an Exercise Physiologist is also recommended
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Diabetes Prevention Nutrition Evaluation (1 hour)
| Staff: | Registered Dietitian |
| Who it's for: | - BMI > 25
- Waist circumference > 35 inches
- Diagnosis of metabolic syndrome
- Family history of diabetes
- History of gestational diabetes or babies > 10 lb. at birth
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| What happens: | - Evaluation of food intake and eating patterns
- Individualized strategies for weight management are based on National Institutes of Health guidelines
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| Follow up: | -
15 minute phone call/e-mail provided at 6 weeks -
Additional follow up suggested for active weight management as well as ongoing risk factor modification -
A consult with an Exercise Physiologist is also recommended. |
Hypertension Prevention/Control Nutrition Evaluation (1 hour)
| Staff: | Registered Dietitian |
| Who it's for: | - Individuals with blood pressures in the prehypertensive range or above according to JNCVII guidelines
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| What happens: | - Education on Dietary Approaches to Stop Hypertension (DASH)
- Individualized strategies, including kcal adjustment for weight management
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| Follow up: | -
15 minute phone call/e-mail provided at 6 weeks -
Additional follow up suggested for active weight management as well as ongoing risk factor modification -
Consults with an Exercise Physiologist and Behavioral Health Clinician are also recommended for optimal treatment. |
Lipid Management Nutrition Evaluation (1 hour)
| Staff: | Registered Dietitian |
| Who it's for: | People with: - LDL-C > 100 mg/dl
- HDL-C < 50 mg/dl
- Triglycerides > 150 mg/dl
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| What happens: | - Implementation of Therapeutic Lifestyle Change (TLC) according to NCEP-ATP III guidelines (including individualized strategies)
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| Follow up: | |
Behavioral Health
Behavioral health services can provide support and planning to reduce the emotional symptoms of stress (anxiety, hostility, depression) related to chronic disease and help clients focus on their healthy lifestyle plan.
Behavioral Health Evaluation (1 hour)
| Staff: | Behavioral Health Clinician |
| Who it's for: | - Have you had emotional barriers that have impacted your personal health?
- Does your current health have a significant impact on your daily activities?
- Has your work or other activities been affected by emotional feelings of anger, depression or anxiety?
- Are you implementing a significant change in your lifestyle to manage your weight or eliminate tobacco use?
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| What happens: | - One-hour consultation focusing on strengthening of emotional wellbeing to prevent disease and promote adaptation of healthy lifestyles
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| Follow up: | |
Tobacco Cessation
One in five deaths from cardiovascular disease are attributable to smoking. As a result of the high rates of relapse with cessation, the U.S. Public Health Service Clinical Practice Guidelines on Treating Tobacco Use and Dependence suggests that tobacco dependence must now be considered a chronic condition that requires repeated intervention.
Tobacco Cessation Consultation (2 hours) plus three months of structured motivational coaching
| Staff: | Tobacco Cessation resource and Behavioral Health Clinician |
| Who it's for: | - Current tobacco user
- Someone who has completed tobacco cessation within the past year
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| What happens: | - Two one-hour consultations by Tobacco Cessation Resource.
- Consultations include: behavioral assessment and modification, carbon monoxide
analysis, education, medication prescription with cessation planning. |
| Follow up: | |
