Customizable Tools for your Clinical Practice
The Preventive Cardiovascular Nurses Association’s Customizable Clinical Forms includes downloadable PDF templates of clinical forms and patient handouts that you can use in your CVD risk reduction practice. These forms can be integrated into patient medical records. The tools include:
- Patient assessment forms
- Contracts
- Flow charts
- Follow-up plans and tools
- Patient education materials
- A list of online resource
How do I customize these forms?
Most of these forms include interactive fields in which you may enter patient and clinical information. We have created a sample and instructions for entering this information.
Nutrition
- Nutrition Serving Size Card
- Nutrition Record
- Nutrient Content of Tree Nuts
- Saturated Fat, Total Fat, Cholesterol, and Omega-3 Content of Meat, Fish, and Poultry
- Mediterranean Diet Food Guide
- Sample Menu American Cuisine - Male
- Sample Menu American Cuisine - Female
- Sample Menu Lacto-Ovo Vegetarian - Male
- Sample Menu Lacto-Ovo Vegetarian - Female
Exercise
- Exercise
- Benefits of Exercise/Physical Activity
- How to Start an Exercise Program
- Exercise: Goal Setting
- Tips for Sticking With It!
- Exercise Program for Individuals with Heart Disease
- Exercise Tips for Individuals with Heart Disease
- Exercise for Healthy Older Adults: Benefits
- Exercise for Healthy Older Adults: Getting Started
- Exercise for Healthy Older Adults: Safety First
- Exercise for Healthy Older Adults: Measuring Your Progress
- Exercise Goal-Setting Worksheet
- Weekly Exercise and Physical Activity Plan
- Endurance Daily Record
- Activity/Exercise Log/Journal
- Patient Exercise Prescription
- Behavioral Management Strategies for Initiating and Maintaining Exercise Adherence
Information on Smoking Cessation
- Information on Smoking Cessation
- Getting Started: Ten Key Guideline Recommendations
- Always Identify and Assess Tobacco Users in Your Practice
- The 5As Model for Treating Tobacco Use and Dependence
- For the Patient Willing to Quit
- FDA-Approved Smoking Cessation Medications
- Promoting the Motivation to Quit for the Patient Unwilling to Quit
- Recommendations to Clinicians When Addressing Weight Gain
- Seven Steps for People Who Want to Quit Smoking
- Log for Tracking My Smoking Habit
- Plan for Your Smoking Urges: What to Do Instead of Smoking!
- How to Administer and Score the Smoking Confidence Questionnaire: For the Healthcare Professional
- Smoking Confidence Questionnaire
- Tips for When You Have Stopped Smoking or Relapsed
Hypertension - Ambulatory and Home Blood Pressure Monitoring
- Hypertension - Ambulatory and Home Blood Pressure Monitoring
- Ambulatory Blood Pressure Monitoring For the Clinician
- Home Blood Pressure Monitoring For the Clinician
- Home Blood Pressure Monitoring For Patients
- Home Blood Pressure Monitoring For Patients- Sphygmomanometers for Self-measurement of Blood Pressure
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Disclaimer: Please be aware that these forms include a sample of current clinical guidelines. However, clinical guidelines (federal, state, local, or those issued by clinical organizations) change over time, so the reader should remember to investigate any recent legal or clinical developments.
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