6: Phase II and III Rehab

Question 1

What is the setting for Phase II rehab?

Answer 1

Outpatient with combination of RN, PT, and EP. Need EKG, pulse ox, other vital monitoring tools

Question 2

What is the goal of Phase II rehab?

Answer 2

Pt self-monitoring, signs and symptoms of intolerance to activity

Question 3

What is exercise prescription based on?

Answer 3

HR parameters, typically from Karvonen’s

Question 4

What emergency equipment is needed for a Phase II rehab?

Answer 4

Defibrillator, supplemental O2, suction unit, first ai, oximetry, phone, protocol in place for emergency

Question 5

What are the duration of exercise for Phase II rehab?

Answer 5

1. 5 -10 warm up
2. 30 - 45 min aerobic
3. 5 -10 cool down

Question 6

What are the intensity parameters for Phase II rehab?

Answer 6

• HR 40-60% of max (115-130)
• RPE 10-12 on Borg
• Dyspnea 2-3

Question 7

What should you do if a pt shows intolerance to activity and then symptoms resolve?

Answer 7

Report and follow-up for clinical advice

Question 8

What should you do if a pt shows intolerance to activity and the symptoms persist for more than 15 minutes with rest and meds?

Answer 8

Call PCP for same day urgent care

Question 9

What should you do if a pt shows intolerance to activity and the symptoms of ischemia remain or escalate after an additional 15 minutes?

Answer 9

911

Question 10

What is the goal of Phase III rehab?

Answer 10

Pt controlled, exercise integrated into lifestyle and community based

Question 11

What are is the duration of an exercise session in Phase III?

Answer 11

1. 5-10 min warm up
2. 45-60 min aerobic
3. 5-10 cool down

Question 12

What are the intensity parameters for an exercise session in Phase III?

Answer 12

• HR 125-140 (60-80% max)
• RPE 11-13
• Dyspnea 2-3

Question 13

What % of patients continue with exercise after 1 year?

Answer 13

20-50%