Cardiopulm

Question 1

cardiac rehab: phase 1

Answer 1

inpatient:

• monitoring of electrocardiogram, blood pressure, and pulse
• clinical pathway: checklist of therapy tx for a particular diagnosis,
• progression of ADLs and activity according to the MET levels
• monitoring of symptoms of activity intolerance
• development of a home program (pacing, simplification activities, temp precautions, risk factors, etc)

Question 2

cardiac rehab: phase 2

Answer 2

outpatient:

• OT 3 days a week for 3-8 weeks
• exercise and activity tol. with progression of MET levels
• weight training at 2-4 weeks if symptoms controlled
• education in risk factor mod.
• eval for psychosocial issues and referral if indicated
• work hardening if indicated

Question 3

cardiac rehab: phase 3

Answer 3

Community:

• physician referral
• stress test
• cont. of phase 2 activities and progress as tolerated, with less therapy supervision and in community settings.

Question 4

respiratory conditions: eval

Answer 4

ADLs, ROM, MMT, sensation ,cog, psychosocial, monitor heart rate, BP, and O2 saturation, daily activity interview

Question 5

intervention:

Answer 5

• adl training, administration of O2 if saturation goes below 90%, bathing and dressing one extremity at a time, frequent rest breaks.
• education of client to use pursed lip and diaphragmatic breathing during activity and to lean arms on thighs and practice breathing to decrease anxiety and panic/SOB
• UE strengthening: weights, elastic bands, arm bike
• adapt community activities to foster increased participation
• stress management training