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Cardiac Rehabilitation
Ms Tarika Sharma
MSN(Cardiology/CTVS),RN,RM
Nursing Tutor
M M College Of Nursing
Maharishi Markandeshwar University, Ambala
Haryana (INDIA)
Ask this question….
Cardiac Rehabilitation
The sum of activities required to ensure cardiac
patients the best possible physical, mental and social
conditions so that they may, by their own efforts,
resume and maintain as normal a place as possible in
the community.
Simply stated…
Cardiac rehabilitation is a combination of services
that helps patients with cardiovascular disease:
• Improve their functional abilities, particularly
their tolerance for physical activity
• Decrease their symptoms and
• Achieve and maintain optimal health.
Goal of Cardiac Rehabilitation
To restore normal functioning and lifestyle.
Indications for Cardiac Rehab
MI
Angina (stable)
Coronary artery bypass Sx
Compensated heart failure
Cardiac surgery
High risk for CAD
High risk for high blood pressure
End stage renal failure
Status post pacemaker insertion
Cardiomyopathy
PVD
Heart transplant
High risk for diabetes
Phases Of Cardiac Rehabilitation
Phase 1:
The
inpatient
stay
Phase 2:
The
immediate
post-
discharge
period until
patient
commences
phase 3
Phase 4:
The long-
term
maintenan
ce period
Phase 3:
The
exercise
and
education
programm
e post-
discharge
CORE COMPONENTS
Baseline Patient Assessment
Nutritional Counseling
Risk Factor Management (Lipids, Hypertension,
Weight, Diabetes, And Smoking)
Psychosocial Management
Physical Activity Counseling
Exercise Training
Benefits of Cardiac Rehabilitation
The Evidence
Reduces
Improves
Supports
All cause mortality by 11-26%
Cardiac mortality by 26-36%
Morbidity
Unplanned admissions by 28-56%
Heron et al 2011
Quality of Life
Functional capacity
Early return to work
The development of self management skills
Underutilization Of Cardiac
Rehabilitation
Strategies For Improvement
Patient education by physicians, nurses and
other healthcare providers regarding
cardiac rehabilitation
Strategies For Improvement
Home-based cardiac rehabilitation
programs as an alternative to hospital-based
cardiac rehabilitation
Strategies For Improvement
The use of modern technologies (internet,
phone and other communication tools)
Technological developments (mHealth,
social media, etc.)
Strategies For Improvement
Traditional approaches such as yoga for
Cardiac Rehabilitation.
Strategies For Improvement
Task Shifting
Conclusion
‘If there was a pill that cost very little, reduced cardiac
deaths by 27% , improved quality of life, and reduced
anxiety and depression, every cardiac patient would be
expected to take it. There is no such pill but taking part
in a Cardiac Rehabilitation Programme can provide all
these benefits
Prof Bob Lewin 2005
Cardiac Rehabilitation: The Magic Pill
MAGIC PILL CARDIAC
REHABILITATION
THANK YOU…

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Cardiac Rehabilitation

  • 1. Cardiac Rehabilitation Ms Tarika Sharma MSN(Cardiology/CTVS),RN,RM Nursing Tutor M M College Of Nursing Maharishi Markandeshwar University, Ambala Haryana (INDIA)
  • 3. Cardiac Rehabilitation The sum of activities required to ensure cardiac patients the best possible physical, mental and social conditions so that they may, by their own efforts, resume and maintain as normal a place as possible in the community.
  • 4. Simply stated… Cardiac rehabilitation is a combination of services that helps patients with cardiovascular disease: • Improve their functional abilities, particularly their tolerance for physical activity • Decrease their symptoms and • Achieve and maintain optimal health.
  • 5. Goal of Cardiac Rehabilitation To restore normal functioning and lifestyle.
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  • 7. Indications for Cardiac Rehab MI Angina (stable) Coronary artery bypass Sx Compensated heart failure Cardiac surgery High risk for CAD High risk for high blood pressure End stage renal failure Status post pacemaker insertion Cardiomyopathy PVD Heart transplant High risk for diabetes
  • 8. Phases Of Cardiac Rehabilitation Phase 1: The inpatient stay Phase 2: The immediate post- discharge period until patient commences phase 3 Phase 4: The long- term maintenan ce period Phase 3: The exercise and education programm e post- discharge
  • 9. CORE COMPONENTS Baseline Patient Assessment Nutritional Counseling Risk Factor Management (Lipids, Hypertension, Weight, Diabetes, And Smoking) Psychosocial Management Physical Activity Counseling Exercise Training
  • 10. Benefits of Cardiac Rehabilitation
  • 11. The Evidence Reduces Improves Supports All cause mortality by 11-26% Cardiac mortality by 26-36% Morbidity Unplanned admissions by 28-56% Heron et al 2011 Quality of Life Functional capacity Early return to work The development of self management skills
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  • 14. Strategies For Improvement Patient education by physicians, nurses and other healthcare providers regarding cardiac rehabilitation
  • 15. Strategies For Improvement Home-based cardiac rehabilitation programs as an alternative to hospital-based cardiac rehabilitation
  • 16. Strategies For Improvement The use of modern technologies (internet, phone and other communication tools) Technological developments (mHealth, social media, etc.)
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  • 18. Strategies For Improvement Traditional approaches such as yoga for Cardiac Rehabilitation.
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  • 23. Conclusion ‘If there was a pill that cost very little, reduced cardiac deaths by 27% , improved quality of life, and reduced anxiety and depression, every cardiac patient would be expected to take it. There is no such pill but taking part in a Cardiac Rehabilitation Programme can provide all these benefits Prof Bob Lewin 2005
  • 24. Cardiac Rehabilitation: The Magic Pill MAGIC PILL CARDIAC REHABILITATION

Editor's Notes

  1.  Reduces or eliminates the risk of future heart diseases.  Improves heart strength & function  Reduces Blood Pressure  Reduces Cholesterol levels  Improves Diabetes  Weight loss  Improved physical fitness and energy levels  Improved management of stress  Increased ability to perform job or tasks