Exercise Motives Of Long Term Phase Iv Cardiac Rehabilitation Participants

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

The primary evidence that I have chosen is a study conducted by Brodie et al (2008) about how a physical activity ‘lifestyle’ intervention based on motivational interviewing, compared to standard care, can improve quality of life for people with chronic heart failure. The authors of this article included an account of its

The key steps involved in evidence based practice come from a thirst for knowledge that once ignited makes the next step to asking a well worded clinical question easier. A well formulated question improves patient outcomes and supports the implementation of change. One such method looks at foreground and background questions. A background question is usually a basic knowledge question and is usually answered by a textbook. Foreground questions are usually specific and once answered can help in clinical changes. An acronym useful for formulating a well worded question is PICOT. ( Stillwell, Fineout-Overholt, Melnyk, Williamson, 2010).

As a HNC Health Care student I am required to provide evidence of the following principal aims and objectives: to integrate knowledge, theory and practice, to develop and apply a broad knowledge and skills and to have an individual patient/client focus in my practice. To achieve all of the above I am required to complete project in a form of Graded Unit which consists of three stages: planning, development and evaluation.

Cardiac hypertrophy is the enlargement, or thickening, of the heart muscle. After lots of strenuous exercise the heart muscle will increase. If a person does exercise, a thirty minute jog every day, for six months there will be an obvious increase in many other factors but the heart muscles will have grown in size. These changes are reversible when you discontinue aerobic training.

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.

Review the article, “A qualitative study of the psychological experience of patients during and after mechanical cardiac support” from the Journal of Cardiovascular Nursing. Using the worksheet provided, complete a critique of the qualitative research. Each question was worth 1.5 points with a total point value of 240 points. As with every assignment we are to utilize spelling and grammar check to minimize errors, and it should be in APA formatting and citation.

Mountings of evidence exist on the benefits of physical activity and exercise for patients who have experienced a heart failure (HF) in recent years. HF occurs irrespective of age, therefore there will be no age categorisation within this report even though it is decidedly prevalent in older people, however, distinction will be made in relation to the group most likely to experience an event where pertinent. Owing to that, the intent of this report will be to asses the impact of physical activity and exercise on mortality and morbidity outcomes of those who have experience an event, as well as the advancement of quality taking into account the prognosis of the patients and their ability to undergo a particular exercise prescription.

Based on this finding triangulation was not used in this study. The study used a written interview guide completed by one interviewer. As a reference for interviewers, four selected guideline bundles were given. According to the meetings and observations made in the SICU’s the guidelines were developed. To ensure understanding and usefulness of the questions pilot interviews were utilized, which included five participants to help prompt for well thought out responses and ideas. For the researcher to ask correct questions the interview guide included two general open ended questions and prompts to find out more about a topic. For instance, one of the questions asked for task ambiguity stated, “What tasks need to be completed for this patient per guidelines?” (Gurses et al., 2013). Since several interviewees had different views and perceptions to understand their viewpoint, there were follow up questions and clarifications that were conducted. Each interview was recorded in an appropriate fashion and transcribed verbatim. Enough data were gathered with depth and richness within the study (Gurses et al., 2013).

The module presented by Professor Beckie was aimed in preparing nursing students to provide appropriate, evidence based care to older adult with heart disease. I learnt the face of heart disease is changing and more American die from heart disease than any other diseases combined. And also women are twice to die from heart disease than men. I also learned how to use motivational interviewing techniques which will promote collaborative of care. Genetic and environmental factors that contribute to heart diseases such as family history, hypertension, diet, smoking, obesity, and also psychosocial factors such as stress and depression. She talked about management of heart disease which include lifestyle modifications and how to modify the patient

The findings showed that more patients improved in the intervention group (22.3%, n=21) at 6 months compared to the control group (9.5%, n=10). The improvement was due to self-efficacy care in the person centered care approach (Fors et al., 2015).

A great amount of time, money and resource is devoted to improving the transition to home from hospital in the heart failure patient (Qaddoura, Ashoori, Kabali, Thabane, Haynes, Connolly & Spall, 2015). With extensive research available on heart failure and readmission, this study will focus on four main categories. This four category approach allows the clinician to best formulate and prepare for practice in the outpatient setting. The four categories will include various articles based upon evidenced based practice approaches with ultimate goal of reducing admission by implementing successful outpatient care. The four categories are as follows: Frequent monitoring or reporting to the PCP; Medication and Diet compliance; Predictors of

The aim of this ten minute reflection is to show my experience of how my mentor and I used the ABCDE approach when dealing with a patient with chest pain. The concept of this ten minute reflection is to outline the areas that I can develop on for my future placements. This ten minute reflection will show my emotional state and my knowledge that I applied in this situation. It will outline my learning and development when in my placement area and help me to decide if a better outcome could have been achieved if I performed differently. From my learning to date, by completing this ten minute reflection it has enabled me to critically analyse my own practice and compare this to what I would of done now upon completion of this module. This reflection has highlighted how much my skills, knowledge and performance has improved from last year. In accordance of the NMC (2008) a pseudonyms will be used in order to protect the patients’ identity.

INTRODUCTION: High-Intensity Interval Training (HIIT) is known as one method to treat Cardiovascular Diseases (CD), such as Coronary Arterial Disease (CAD) and Heart Failure (HF), due to its potential to improve cardio respiratory fitness (1, 15). This exercise format is characterized as aerobic exercise performed in a high intensity - usually controlled by either maximum oxygen uptake or maximum heart rate – with active and low intensity. Performing exercise in high intensities mixed with active rest allows patients to tolerate a higher effort before they become tired. Heart failure patients present a diminished exercise capacity, due to a smaller Ejection Fraction (EF), which tells us how well the heart pumps blood to body. To these patients, High-Intensity Interval Training has been reported for improving Systolic Function due to the increased effort in which the heart is working (16). The necessity to provide nutrients through circulation during exercise leads to an increased contractility and consequently LV Remodeling (15). Coronary Arterial Disease Patients have a decreased blood flow to the myocardial tissue due to an obstruction inside the coronary arteries. HIIT increases the arteriovenous O2 difference, which means there is an elevated consumption of oxygen by the tissues as result of a higher stroke volume. All those benefits have been shown in the literature, but most of the studies present data with short-term interventions. A few studies discuss the benefits

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.