Table of Contents
Phase I Cardiac Rehabilitation
Objectives of Phase I
I. Patient & Family Education
Behavior modification
Involve the children
II. Prevent Deleterious Effects Of Bedrest
III. Provide A Safe Discharge To Home
Phase I is meant to be preventative
Phase I is also diagnostic
In order for a patient to enter Phase I Cardiac Rehab, they must be medically stable.
Who Should Be Enrolled In Phase I Cardiac Rehab ?
Who Should Not Do Phase I ?
Patients with acute pericarditis
Goals Of The Evaluation
Clear the patient of any pulmonary problems -
Return the patient home & prepared to go back to work - no home-bound invalids.
Increase the patient’s physical work capacity
Give helpful information back to the cardiac rehab team : the MD, nurse, exercise physiologist, psychologist, & dietician
The Evaluation
Medical Chart Review
What do the cardiac enzymes say about the MI ?
PPT Slide
Look at lipid panels - HDL, TGs, LDL, VLDL, Cholesterol
Catheterization lab report - what percentage of vessels blocked
Patient’s medications ?
Patient & Family Interview
Did they have chest pressure or pain or anginal equivalents ?
Did the patient smoke ?
Is this the first admission ?
Will the patient need to be vocationally retrained ?
Is the patient in denial as to what has happened to them ?
The Patient Evaluation
Surgical sites ?
Auscultate the lungs
Self Care Evaluation
comb hair, brush teeth, shave, perform a limited bed bath, wash the underarms and genital regions, wash the ankles and feet, etc.
Can the patient do all of these things while being monitored on the telemetry unit in the critical care unit for : BP, EKG changes, HR.
Next….Move Out Of Bed
Can the patient do a SPT into a bedside chair or commode ?
Next….Move Out Of The Room
Graduation
PPT Slide
If the patient doesn’t get a LLGXT in the hospital before discharge, then usually they go to their physician’s office 1-2 weeks later for a modified Bruce protocol.
|
Author: David Arnall
Email: David.Arnall@NAU.EDU , DAArnall@AOL.COM
Home Page: http://jan.ucc.nau.edu/~daa/heartlung/
Download presentation source
|