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Cardiac Rehabilitation

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chap 5 presentation

chap 5 presentation

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    Cardiac Rehabilitation Cardiac Rehabilitation Presentation Transcript

    • CARDIAC REHABILITATION
      • CHAPTER 5 PRESENTATION
      • SAMSON VAS
      • Cardiac rehabilitation aims to reverse limitations experienced by patients who have suffered the adverse pathophysiologic and psychological consequences of cardiac events.
      • The major goals of a cardiac rehabilitation program are:
      • Curtail the pathophysiologic and psychosocial effects of heart disease
      • Limit the risk for reinfarction or sudden death
      • Relieve cardiac symptoms
      • Retard or reverse atherosclerosis by instituting programs for exercise training, education, counseling, and risk factor alteration
      • Reintegrate heart disease patients into successful functional status in their families and in society
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    • Indications for cardiac rehab
      • Acute myocardial infarction
      • Coronary artery bypass grafting
      • Percutaneous coronary vessel remodeling (i.e. angioplasty, atherectomy, stenting)
      • Valve replacement or repair
      • Heart transplantation
      • Major pulmonary surgery, great vessel surgery, sustained ventricular tachycardia or fibrillation
      • Class III or IV congestive heart failure unresponsive to medical therapy
      • Chronic stable angina pectoris unresponsive to medical therapy which prevents the member from functioning optimally to meet domestic or occupational needs
    • Cardiac Rehabilitation Phases
      • Phase I – Inpatient
      • Cardiac rehabilitation begins during in-hospital recovery following surgery or a cardiac event. The first phase is conducted by an exercise physiologist. Before each cardiac patient is discharged, questions regarding personal recovery are answered, and preparation for the second phase of cardiac rehabilitation takes place.
      • Phase I includes:
      • Monitored hall walking program.
      • Education about coronary artery disease, the need for aerobic exercise and the fundamentals of exercise. An outline of the symptoms of exercise intolerance, and a home walking program.
      • Personal plan of risk-factor management and activity progression
      • Phase II – Outpatient
      • The outpatient phase of cardiac rehabilitation begins two to six weeks after discharge from the hospital. The second phase is conducted by an RN and exercise specialist. The patient attends one-hour outpatient sessions, two to three times per week.
      • Phase II includes:
      • Up to 36 sessions of EKG monitored exercise (Two to three sessions per week, one hour per session).
      • Blood pressure and heart rates monitored.
      • Exercise performed on treadmills, stationary bikes, rowing machines, stairmasters and light weight-lifting.
      • Individual dietary consultation.
      • Phase III – Outpatient Maintenance
      • This optional phase of cardiac rehabilitation promotes independence within a structured exercise program. The third phase is conducted by an exercise physiologist in consultation with the program director. At the outpatient facility, cardiac patients exercise under supervision two times a week during regular facility hours. Pulse rate and blood pressure continue to be monitored.
      • Phase III includes:
      • Two sessions per week, one hour per session.
      • Blood pressure and heart rate monitoring.
    • CARDIAC REHABILITATION HOME EXERCISE PROGRAM
      • GUIDELINES FOR EXERCISE
      • ♥ Try to walk on level surfaces. Walk slower if you do walk on hilly terrain.
      • ♥ Space your activities. Wait at least 1 hour after you eat a heavy meal or bathe before exercising.
      • ♥ Avoid exercising in extremely hot/humid weather: greater than 80°F/75 percent humidity.
      • ♥ Avoid exercising in extremely cold/damp weather: less than 32° F unless you cover your face with a scarf or mask.
      • ♥ If you are feeling ill, do not exercise. When you are feeling better, start your program again slowly.
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