Cardiac Rehab Essay

The cardiovascular system, which consists of the heart and blood vessels, is the circulatory systems in our body. The major function of the system is transportation; the heart is the system pump and the blood vessels are the delivery routes. The heart transport respiratory gases, nutrients, wastes, and other substances vital to the body’s homeostasis to and from the cells by using the blood as a medium.

This assignment will explore a patient journey (Mr Jones) with coronary heart disease and focus on two therapeutic interventions that would restore, maintain or improve Mr Jones health status. This journey was chosen as the author expresses interest in this chosen area as it has significantly impacted on not only Mr Jones life but in the wider society too. Firstly, it will examine percutaneous coronary intervention (PCI) and how this would benefit him and the potential risks involved, following the nurses’ role with providing after care of this procedure. Secondly, cardiac rehabilitation will be analysed and how it plays a crucial part for a patient to recover after coronary intervention. This was chosen as it has played a significant role in the NHS as many people are having heart problems associated with hypertension and Diabetes Mellitus and these two interventions have been effective in reducing mortality and morbidity rates. Research has shown it will increase by 25% by 2020 as it is the common cause of death, this is fundamental that it should be focused on to address the issues impacting on the future health of the population and to educate patients to reduce hospital admissions by effectively managing their health problems in a holistic manner.

Each year the number of readmissions of the heart failure patient within 30 days of discharge has grown. The Medicare division in relation with the Affordable Care Act is reducing the amount of money they are willing to pay for readmissions to the hospital. Hospitals are now more than ever looking for ways to reduce the number of readmissions to the hospital for the heart failure patient. The purpose of this paper is take a look at a program designed with to reduce the readmission rates of one hospital to reduce the number of readmission through improved education and follow up of the heart failure patient.

“Center for Youth Fitness.” – Valley Health System. N.p., n.d. Web. 25 Aug. 2015. This website describes its facility as a really open and fun environment. It shows a variety of workout equipment which the youth are supervised by. All the staff must acquire a bachelor’s degree or master degree in the field of sports medicine or exercise science. Each student entering the program must complete a safety course before starting the program. Each number will be given to an individualized exercise program to meet their specific goals. Each child will have certain plan to meet healthy diets and how to also be physically active outside of the program. They also provide unique equipment that has games on it, such as virtual

Hello Dr. Hultgren! Thank you for pointing out that my research question represents a longitudinal study. I mentioned in my initial post that a mixed methods research would be better, but I only presented a quantitative question. You made great suggestions of what to consider when asking a qualitative question for this particular study. Perhaps a sound qualitative question to inquire is: In adults 18 years and older who are consuming polyphenols, does ingestion of various types of these compounds give them better energy and performance levels compared to just consuming one particular polyphenol-rich dietary source (for example grapes over cocoa) right after ingesting it? Thank you

Congestive Heart Failure (CHF) and Heart Failure (HF) are serious problems in regards to hospital re-admissions especially regarding the sixty-five year old population. Data demonstrates approximately over 670,000 individuals each year are diagnosed with CHF, along with that there are 6 (six) million Americans affected with CHF. Hersh, Masoudi, and Allen (2013) described readmissions of patients with CHF is increasing by 25% within thirty days of discharge from the hospital. This creates a huge impact on the taxpayers and patients due to the increasing percentages being re-admitted into the hospitals (Post discharge Environment Following Heart Failure Hospitalization: Expanding the View of Hospital Re-admission, 2013). The problem is to identify a plan to decrease the CHF/HF hospital re-admissions into the especially regarding the 65 (sixty-five) year olds and older, in spite of efforts from the hospital staff providing guidelines and nursing education regarding CHF/HF signs and symptoms.

Heart failure is a major health problem worldwide, but especially in the United States. The CDC estimates that over 5.7 million Americans are living with heart failure, and that

The objectives of heart failure and cardiomyopathy education training are to help patients and their families get the learning, aptitudes, methodologies, critical thinking capacities, and inspiration vital for adherence to the treatment arrangement and support in self-care (American Heart Association, 2011). Moreover, the education will include recognition of signs and symptoms of heart failure, activity and exercise recommendations, compliance with medications, daily weight monitoring, and specific diet

This course is a heart failure education and learning program that aims to provide standardized patient education. It also aims to reduce hospital admissions, reduce patient and family anxiety, reduce primary care visits, and promote self-care and self-management. Patients felt that could commit better to a one day course than a course offered weekly. At the end of the course patients received an individualized management plan. Therefore, the hope is that this course will promote patient responsibility, which will increase the prescription of heart failure medications (Briggs, 2012).

Heart failure (HF) is a chronic progressive disease, arising from structural or functional disorders of the heart, in which incidence increases with age. This review attempts to describe the types and causes of HF while focusing on variable aspects of patient education that have a positive effect on patient outcome and quality of life. Specifically, the potential benefits of this education for a 55 year old male patient diagnosed by transthoracic echocardiogram with chronic systolic heart failure, who has refused physician deemed necessary

follow-up appointments are needed to determine how effective the surgery was, to confirm that progressive exercise is safe, and to monitor his or her recovery and control risk factors. The surgeon should refer you to cardiac rehabilitation .Cardiac rehab is a medically supervised program that helps improve the health and well-being of people who have heart problems.

You were encouraged to be more physically active. Explain the exercise program that you implemented in this course. Express your feelings about the outcomes of this program and how well you accomplished your fitness goals. In what ways did you add activity other

Past fitness programs at our facility have used evaluation methods before, during and after programs are implemented. The first evaluation allows us to tailor offerings for current cohort and establish baseline measures. At the midpoint we make sure client’s needs are being met and make adjustments as necessary. The final evaluation demonstrates effectiveness and areas for improvement.

The literature on the effects of exercise of cardiac output maintains the idea that exercise should affect cardiac output- pulse rate, systolic blood pressure, diastolic blood pressure, QRS-pulse lag, P-T and T-P intervals, because of increased heart rate. For our experiment, we tested this theory by measuring our cardiac output before and after some rigorous exercise. We measured the individual cardiac output and then combined the data to compose a class-wide data average. We compared the results of the experiment to what we expected, which was that exercise does affect our heart. Our data from this experiment supported the notion that exercise does, in fact, change cardiac output.

Cardiac Rehabilitation programme is offered to patients post myocardial infarction. Rehabilitation is defined by the Royal College of Nursing RCN, (2000,pg.3) as re-enablement which means "helping people adapt to changes in their life circumstances." Cardiac rehabilitation is defined by Jowcett and Thompson 1996 cited in Noy (1998,pg.1033) as "the process by which patients with coronary heart disease are enabled to achieve their optimal physical, emotional, social and economic status". Furthermore, it is also defined by the World Health Organisation WHO, (1993) cited in the National Service Framework for coronary heart disease DOH, (2000,pg.3) as the "sum of activities required to influence favourably the underlying cause of the disease, as well as the best possible physical, mental and social conditions, so that they (people) may, by their own efforts preserve or resume when lost, as normal a place as possible in the community". Rehabilitation is a complex activity that requires contributions from many members of the healthcare team. Rehabilitation is a planned, goal-directed activity that requires assessment and re-assessment using standardised measures to monitor progress. It must include patients and their families and friends.