Cardiovascular Risk as a Context of Care - Juniper Publishers
Nutrition & Food Science - Juniper Publishers
Abstract
Cardiovascular
diseases stand out in terms of high mortality and the association of various
cardiovascular risk factors. It is inferred that these involve a context of
care with the interrelation of factors that accompany a situation of individual
and/or collective cardiovascular vulnerability. This context demands a review
and clarification of concepts and the development-based care protocols are in
theory s to guide health policies and targeted assistance programs for health
promotion and cardiovascular disease prevention in the world.
Keywords: Cardiovascular
risk; Context; Care; Health; Prevention of diseases; Promotion of Health.
Opinion
Cardiovascular
diseases stand out in terms of high mortality and the association of various
cardiovascular risk factors, being the main cause of death in the world, with
more than three quarters of these occurring in low- and middle-income countries
[1]. Individuals at cardiovascular risk have a double chance of death, three
times more likely to develop diseases of the circulatory system and five times
more likely to suffer from type 2 diabetes mellitus [2]. It is inferred that
cardiovascular risk is a context of care that involves the interrelation of factors
that accompany a situation of individual and/or collective cardiovascular
vulnerability.
Care in
the context directed at people at cardiovascular risk should be developed
through disease prevention and health promotion actions, with the potential to
generate health indicators in the perspective of collaborating with the
advancement of knowledge about the health phenomena involved. In view of this
panorama, it is questioned what is the impact of care in the context of
cardiovascular risk to be developed by health professionals in the world in
which the concept of cardiovascular risk is often linked to cardiovascular
disease itself, which seems to hinder the broad and structuring effective care.
Regarding
the definition, the concept of cardiovascular risk is underwritten and not
clarified, with restriction in punctuating the main factors involved (gender,
age, smoking, physical inactivity, inadequate diets, hypertension, diabetes
mellitus, dyslipid emia, overweight and obesity) and diseases consequent. In this
perspective, it is understood that the definition of the concept of
cardiovascular risk, as a context of care, is scarce, despite being widely
presented, given the relevance of the theme and the impact on the life of the
population, requiring critical analysis to contribute to the advancement in the
identification and implementation of care directed at people at risk,
regardless of the stratified score.
It is
essential to overcome the reductionist view that links cardiovascular risk
factors strictly to biological aspects, which can compromise care from the
perspective of the complexity and comprehensiveness of interventions developed
by health professionals, such as nurses, doctors and nutritionists. These
health professionals should investigate cardiovascular risk with a broad view
of the concept, understanding it as a context of care, in the varied profiles
of patients and their community, with a focus on disease prevention and health
promotion at the primary level, thus contributing to advance knowledge about
the concept and refine its definition.
The
literature also discusses the insertion of the metabolic syndrome in the
context of cardiovascular risk, as a central phenomenon, due to the highlight
of new and relevant empirical data, such as the psychosocial and cultural
factors involved and the perspective of vulnerability in which people with the
syndrome are inserted [3]. There is a need to analyze and understand the
breadth of the concept of cardiovascular risk as a context of care for use in
practice, teaching and research in health and to enable the recognition of the
variables involved in this phenomenon to guide health professionals in the
identification process human needs of these individuals and care planning.
Conclusion
Care in
the context of cardiovascular risk should involve clarifying concepts and
developing care protocols based on theories to guide health policies and
assistance programs aimed at health promotion and cardiovascular prevention.
Health professionals should strive to improve the concept and verify the
occurrence of cardiovascular risk in individuals and the community, in order to
contribute to the development of care for cardiovascular prevention in this public
and to expand the investigation regarding the referred context of health care.
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