Overview of phases of cardiac rehabilitationnihal Ashraf
Cardiac Rehabilitation
Cardiac rehabilitation programs aim to limit the psychological and physiological stresses of CVD, reduce the risk of mortality secondary to CVD, and Improve cardiovascular function to help patients achieve their highest quality of life possible.
physiotherapy management for chronic obstructive pulmonary disease Sunil kumar
role of physiotherapy in chronic obstructive pulmonary disease, principles of physical therapy management in copd, physiotherapy assessing and treatment for copd
What does cardiac rehab involve? Cardiac rehabilitation doesn't change your past, but it can help you improve your heart's future. Cardiac rehab is a medically supervised program designed to improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty or heart surgery.
THIS PPT IS MADE ONLY FOR LEARNING PURPOSE AND IT CAN BE WRITTEN AS PT MANAGEMENT FOR ANY PULMONARY DISEASE WHETHER OBSTRUCTIVE OR DESTRUCTIVE IN EXAMINATION. PROTOCOL VARIES FROM PATIENT TO PATIENT IN CLINICAL PRACTICE.
Cardiac Rehabilitation has been defined as:
Coordinated, multifaceted interventions designed to optimize a cardiac patient’s physical, psychological, and social functioning so that they may, by their own efforts, resume and maintain as normal a place as possible in the community
CHEST MOBILIZATION EXERCISES, COUNTER-ROTATION TECHNIQUE, BUTTERFLY TECHNIQUE, BREATH CONTROL DURING WALKING. These Mobilization Techniques are useful to improve Chest Wall Mobility and Expansion in Patients with Restricted Chest wall movements and also Postoperative patients
Definition, epidemiology, physiology, effects of physical inactivity, benefits of habitual physical activity, contraindications, phases, physical assessment, exercise sessions, description of cardiac rehabilitation program phase II @ University Hospital University of Puerto Rico School of Medicine
Overview of phases of cardiac rehabilitationnihal Ashraf
Cardiac Rehabilitation
Cardiac rehabilitation programs aim to limit the psychological and physiological stresses of CVD, reduce the risk of mortality secondary to CVD, and Improve cardiovascular function to help patients achieve their highest quality of life possible.
physiotherapy management for chronic obstructive pulmonary disease Sunil kumar
role of physiotherapy in chronic obstructive pulmonary disease, principles of physical therapy management in copd, physiotherapy assessing and treatment for copd
What does cardiac rehab involve? Cardiac rehabilitation doesn't change your past, but it can help you improve your heart's future. Cardiac rehab is a medically supervised program designed to improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty or heart surgery.
THIS PPT IS MADE ONLY FOR LEARNING PURPOSE AND IT CAN BE WRITTEN AS PT MANAGEMENT FOR ANY PULMONARY DISEASE WHETHER OBSTRUCTIVE OR DESTRUCTIVE IN EXAMINATION. PROTOCOL VARIES FROM PATIENT TO PATIENT IN CLINICAL PRACTICE.
Cardiac Rehabilitation has been defined as:
Coordinated, multifaceted interventions designed to optimize a cardiac patient’s physical, psychological, and social functioning so that they may, by their own efforts, resume and maintain as normal a place as possible in the community
CHEST MOBILIZATION EXERCISES, COUNTER-ROTATION TECHNIQUE, BUTTERFLY TECHNIQUE, BREATH CONTROL DURING WALKING. These Mobilization Techniques are useful to improve Chest Wall Mobility and Expansion in Patients with Restricted Chest wall movements and also Postoperative patients
Definition, epidemiology, physiology, effects of physical inactivity, benefits of habitual physical activity, contraindications, phases, physical assessment, exercise sessions, description of cardiac rehabilitation program phase II @ University Hospital University of Puerto Rico School of Medicine
Inspiratory Muscle Training or Respiratory Muscle Training or Ventilatory Muscle Training. IMT is the physiotherapy technique, with the help of different breathing exercises.
THIS PRESENTATION INCLUDES DEFINITION, INDICATIONS, CONTRAINDICATIONS, AIMS, GOALS, PR TEAM, AND COMPONENTS OF THE PULMONARY REHABILITATION. THIS PRESENTATION IS MADE ONLY FOR LEARNING AND GUIDANCE PURPOSE.
this power point presentation provides main emphasis on the phases of the rehabilitation post op. it will enhance the knowledge about do's and dont's during the rehabilitation phases in brief. U may ask the questions if you have in your mind in the comment section. this ppt includes upper extremity as well as lower extremity exercises and also provides easy understanding with the help of suitable and intresting diagrams
Inspiratory Muscle Training or Respiratory Muscle Training or Ventilatory Muscle Training. IMT is the physiotherapy technique, with the help of different breathing exercises.
THIS PRESENTATION INCLUDES DEFINITION, INDICATIONS, CONTRAINDICATIONS, AIMS, GOALS, PR TEAM, AND COMPONENTS OF THE PULMONARY REHABILITATION. THIS PRESENTATION IS MADE ONLY FOR LEARNING AND GUIDANCE PURPOSE.
this power point presentation provides main emphasis on the phases of the rehabilitation post op. it will enhance the knowledge about do's and dont's during the rehabilitation phases in brief. U may ask the questions if you have in your mind in the comment section. this ppt includes upper extremity as well as lower extremity exercises and also provides easy understanding with the help of suitable and intresting diagrams
1. Phase -1 Cardiac Rehabilitation in CABG patients.ShagufaAmber
Cardiac Rehabilitation refers to the process of restoring psychological, physical, and social functions in people with manifestations of coronary artery diseases(CAD).Why do we need Cardiac Rehabilitation?-Effect upon the mortality and morbidity.-An approach to other risk factor modification.-Impacting the quality of life-Combating stress, depression and behavioural changes-In CABG, the post surgical stiffness and complications are overcome with physical activity.The Cardiac Rehabilitation program is individually tailored depending upon the risk stratification, prognosis ,functional capacity and specific needs. The ACSM classifies it into four distinct phases.
2. Special consideration in cardiac rehabilitation program for older adults.ShagufaAmber
An increasing number of cardiac patients are above the age of 65 years . They are susceptible to the adverse effect of bed rest . So early mobilization is especially important to return them to active and independent lifestyle.
- Most of the patients with heart failure, are elderly patients, shooting up to 80% in both incidence and prevalence.This is due to improved and better survival after cardiac insults, such as myocardial infarction, especially in developed countries.(AHA,2013).
-The safety and efficacy of cardiac rehabilitation have been demonstrated in the elderly (age >65 years) .(Pasquali ,et al.,2001)
-CR has a class IA recommendation by the AHA and ACSM for secondary prevention after any coronary heart disease
Exercise prescription for health and fitness.pptxAvaniAkbari
An effective exercise prescription for health and fitness involves customizing a plan based on personal goals, fitness level, health condition, and preferences. It usually includes a mix of aerobic exercises (like walking, jogging, cycling), strength training (using body weight or weights), flexibility work (such as yoga or stretching), and balance exercises (like Tai Chi). These activities enhance cardiovascular health, build muscle strength, improve flexibility, and prevent injuries. Adjusting the frequency, intensity, duration, and type of exercises gradually over time, while considering individual capabilities and health, is crucial for optimal benefits. Seeking guidance from a healthcare professional or certified trainer ensures a safe and tailored program to achieve fitness goals effectively.
This presentation includes normal fetal heart anatomy and physiology and classification of heart diseases. In this ppt fallot's tetralogy, patent ductus arteriosus, coarctation of aorta, atrial septal defect are discussed in details. This presentation gives basic idea about the congenital diseases to the BPT students.
THIS PRESENTATION INCLUDES DEFINITION, AETIOLOGY, CLINICAL PRESENTATION, CLINICAL FEATURES, MOCK ASSESSMENT AND PT MANAGEMENT OF COPD. THIS PPT IS MADE FOR ONLY LEARNING PURPOSE AND FOR EXAM PURPOSE.
THIS PRESENTATION IS MADE FOR ONLY LEARNING PURPOSE OF FINAL YEAR BPT STUDENTS AND INCLUDES DEFINITION, CLINICAL FEATURES, ASSESSMENT AND PHYSIOTHERAPY MANAGEMENT.
THIS PRESENTATION INCLUDES DEFINITION, TYPES, CLINICAL TYPES, PATHOLOGY, ASSESSMENT AND PT MANAGEMENT. THIS PRESENTATION IS MADE ONLY FOR LEARNING PURPOSE.
THIS PRESENTATION INCLUDES DEFINITION, OVERVIEW, PATHOLOGY, CLINICAL FEATURES, ASSESSMENT AND PT MANAGEMENT OF CYSTIC FIBROSIS. THIS PPT WILL BE VERY USEFUL FOR FINAL YEAR BPT STUDENTS. IT COVERS BASIC KNOWLEDGE REGARDING THE DISEASE AND ALLOWS BETTER UNDERSTANDING. IT IS MADE ONLY FOR LEARNING AND EXAM PURPOSE.
HERE I'M PRESENTING THE ASSESSMENT FORMAT OF CARDIOPULMONARY CONDITIONS.
IT GIVES BASIC IDEA ABOUT THE CARDIO ASSESSMENT.
IT WILL BE HELPFUL TO THE STUDENTS OF FINAL YEAR BPT.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. DEFINITION
▪ Cardiac rehabilitation is the programme or sum of
activities to achieve and maintain optimal physical,
mental, social and psychological health in patients with
cardiac pathologies in partnership with multidisciplinary
team of health professionals.
3. REHABILITATION TEAM
▪ Patient
▪ Cardiac surgeon
▪ General physician
▪ Medical and nursing staff
▪ Physiotherapist
▪ Dietician
▪ Occupational counsellor
▪ Medical social worker
▪ Family members
5. SHORT TERM GOALS
1) To prevent cardiac complications
2) To prevent infections
3) To prevent DVT
4) To prevent bed sores
5) To prevent deconditioning effect of bed rest
6) To improve psychology of patient
7) To return the patient to normal ADL
6. LONG TERM GOALS
1) To decrease the frequency and severity of cardiac
problems.
2) To provide psychological benefits of exercise
3) To increase ex. Tolerance and functional capacity
4) To restore patient’s confidence in his/her ability to live
normal life
5) To prevent thromboembolism
6) Reduction in anxiety and depression
7) To increase aerobic capacity
7. PHASES
Phase 1
In pt.
phase
0-5 days
Phase 2
Early out pt.
phase
1-4 weeks
Phase 3
Out pt.
phase
4-6
WEEKS
Phase 4
Home
programme
>6
weeks
8. PHASE – 1 (In pt. phase)
Post op. day
• Immediate post op. assessment include vital
parameters assessment, level of consciousness,
and alertness.
• Positioning of patient
• Nebulizer + Humidification (ventilatory support)
9. PHASE – 1 (In pt. phase)
Post op. day 1 – 2 :
1) Positioning
- to prevent bed sores
2) Ankle-toe movements
- active or active assisted
3) Relaxed passive movements
- to all four limbs
4) Proper posture maintenance
- to prevent kyphotic deformity
5) Suctioning
6) Care of tracheostomy wound
- regular dressing and cleaning
10. PHASE – 1 (In pt. phase)
Post op. day 3 – 5 :
1) Chest PT
2) Positioning
3) Spirometry
4) Vigorous Ankle-toe movements
5) Assisted coughing techniques
6) Relaxed passive or active assisted movements
7) Make the patient sit with support and gradually rise the
bed end in order to prevent postural hypotension
11. PHASE – 2 (Early Out pt. phase)
Continue with Chest PT and Circulatory ex.
Once the patient is stable then patient is shifted to
medical ward.
In this, gradually conditioning programme is started in
order to prevent physical deconditioning.
It is divided into 5 stages:-
Stage 1: Alternate knee bending
Alternate SLR
Alternate arm rising
12. PHASE – 2 (Early Out pt. phase)
Stage 2 : Sitting to standing
May walk to toilet and around the bed.
Stage 3 : Walk to and from the toilet and
around ward more frequently.
Stage 4 : Increase frequency and distance of
walk.
Stage 5 : Add stair climbing.
5-7 steps up and down.
13. PHASE – 2 (Early Out pt. phase)
Intensity of exercise :
- Submaximal work load are used to train the
cardiac patient are compensated by a
greater duration activity.
14. PHASE – 3 (Out pt. phase)
Aims
1. Counselling pt. and family.
2. To prevent secondary complication.
3. To maintain bronchial hygiene.
4. To improve physical performance and maintain ex.
tolerance test.
5. To maintain quality of life.
15. PHASE – 3 (Out pt. phase)
(1)Counselling pt. and family
(2)To prevent secondary complication
Proper diet :- Low calary
Low salt
Low cholesterol
High proteins
Smoking cessation
Control B.P. and DM.
(3) To maintain bronchial hygiene
16. PHASE – 3 (Out pt. phase)
Loosening, mobilize, draining and removal of secretion.
PD, Breathing exs., ACBT, AD, Suction, etc.
(4) To improve physical performance and maintain
ex. tolerance test.
Aerobic ex. :- it includes: warm up
Exercises
Cool down
17. PHASE – 3 (Out pt. phase)
WARM UP
Mode :- Stretching, Relaxation technique,
Spot marching, Walking,
Trunk rotations, Pass and catching ball.
Intensity :- at the RHR. (Resting heart rate)
Frequency :- 3 - 5 session per week.
Duration :- 5 – 10 minutes
Progression :- by increasing duration or frequency and
intensity.
18. PHASE – 3 (Out pt. phase)
EXERCISE PERIOD
Stride jump Jogging
Marching Fast walking
Stair climbing Push-ups
Squatting Treadmill training
Bicycle ergometry Arm swing with dumbells
Free ex.
19. PHASE – 3 (Out pt. phase)
Intensity :- At THR or MHR
Frequency :- 3 – 5 session per week
Duration :- 10 – 15 minutes
COOL DOWN
Mode :- Same as warm up ex.
Intensity :- At RHR or mild above it or below.
Frequency :- 3 – 5 / week
Duration :- 5 – 10 minutes
20. PHASE – 3 (Out pt. phase)
Termination of exercises :-
▪ Breathlessness
▪ Tachycardia >100 bpm
▪ Tachypnoea
▪ Fatigue
▪ Dizziness
▪ Swelling of ankles
(5) To maintain quality of life.
- With regular checkup, ex and follow up.
21. PHASE – 4 (Home programme)
Home ex, adaptation, and instruction should be given to
pt. clearly
Continue gentle ex in routine.
Ex. : walking, Mild jogging, Swimming, etc.
Regular Yoga and Pranayam
Lifestyle modifications
General support and counselling
Family member support and education
Regular check-up.