Cardiac Rehabilitation Flashcards
1
Q
Cardiac Rehabilitation definition
A
- sum of activities required to influence
favourably the UNDERLYING CAUSE OF CVD, as well as to provide the best conditions so that the patient by their own efforts, PRESERVE OR RESUME OPTIMAL FUNCTIONING in their community and through improved health behaviour, SLOW OR REVERSE PROGRESSION OF DISEASE
2
Q
Who can go to cardiac rehabilitation (5)?
A
- valve/other surgery
- cardiac transplants
- GUCH patients
- complex devices
- POST MI/CABG/PCI, stable CAD, chronic
heart failure
3
Q
Goals of Cardiac Rehabilitation:
A
- reduce the risk of adverse cardiac events:
death, MI, rehospitalisation - improve cardiac symptoms
- curtail physiological and psychosocial
effects of heart disease - reintegrate patients to the community with
good functional status
4
Q
Benefits of cardiac rehabilitation (8):
A
- reduced mortality
- reduced adverse cardiac events (MI)
- reduced re-hospitalisations
- higher smoking cessation rates
- improved functional status
- weight reduction
- lower BP and lipids
- better diabetic control
5
Q
Cardiac rehabilitation evidence is ——- data
A
- observational
- rehabilitation is associated with better
health outcomes
6
Q
Impact of cardiac rehab on lipids as a risk factor
A
- improved compliance with meds (statins)
7
Q
Impact of cardiac rehab on hypertension as a risk factor
A
improved compliance with meds (ACE inhibitors Ramipril0
8
Q
Impact of cardiac rehab on diabetes as a risk factor
A
- improved compliance with healthy diet
- improved compliance with meds
(metformin,insulin)
9
Q
Six core components of cardiac rehab (BACPR):
A
- health behaviour change & EDUCATION
- lifestyle risk factor management
- psychosocial health
- medical risk management
- long term strategies
- audit and evaluation
10
Q
Phase 1 cardiac rehab
A
- in hospital, pre-discharge: clinical
assessment, education, reassurance, risk
factors acknowledged - typically during first week
- mobilisation started
- individualised exxercise programme
11
Q
Phase 2 cardiac rehab
A
- at home
- week 2-6:
- personal exercise programme
- stress management
- reinforcement health ed - 5-30 mins of daily exercise at home, sitting
to standing, stretching, walking - telephone contact with rehab team + home
visit if required
12
Q
Phase 3 cardiac rehab:
A
- community setting
- week 6b onwards for 6 months
- exercise programme: assessent, structured
- health education programme: 6 week
rolling programme - provides psychosocial support
13
Q
Phase 4 cardiac rehab:
A
- life long maintenance
- unsupervised exercise:
- at lest 2.5 hours a week
- bouts of at least 10mins, 5 days a week
- moderate exercise, aerobic
- many settings eg local gym
14
Q
Cardiac Rehab MDT
A
- nurse specialists
- physio
- exercise specialist
- dietician
15
Q
Borg Scale of Percieved Exertion:
A
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