Presented by Kimberly Akin RN Abstract A comprehensive cardiac rehabilitation program is highly beneficial for people who have experienced a cardiac event such as a heart attack or bypass surgery ID: 356572
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Slide1
What is role of cardiac rehabilitation in the outcome of patients who experience a major cardiac event, within their first year of recovery?
Presented byKimberly Akin, RNSlide2
Abstract
A comprehensive cardiac rehabilitation program is highly beneficial for people who have experienced a cardiac event, such as a heart attack or bypass surgery. Cardiac rehabilitation can reduce the risk of death after cardiac event by 20-25% (Case Management Advisor).
Cardiac
rehabilitation programs that include finding a lifetime activity for exercise as well as dietary and psychosocial counseling are dramatically effective in helping people make the lifestyle changes that will increase the likelihood of outliving their disease.
Patients
must understand that a procedure, such as bypass surgery, and prescribed medications do not protect completely from the progression of the disease (Case Management Advisor). Slide3
Cardiac Rehab Programs Can Improve Patients’ Health
Highly Beneficial for people who have experienced a cardiac event, such as heart attack, bypass surgery or PCICan reduce the risk of death after a cardiac event by 20-25% (Case Management Advisor)Programs are dramatically effective in helping people make the lifestyle changes that will increase the likelihood of outliving their disease
Cardiac Rehab Programs include finding a lifetime activity for exercise as well as dietary and psychosocial
counseling
A
new set of performance measures aimed at increasing patient enrollment in cardiac rehab programs and setting standards of excellence for program operation were released in 2007 by the American Association of Cardiovascular and Pulmonary Rehabilitation; The American College of Cardiology; and the American Heart Association (Consumer Reports on Health)Slide4
Cardiac Rehab ProgramsRequires a multi-disciplinary approach
Performance measures pull all the pieces together to define a high-performing program that is providing all of the necessary servicesPatients must understand that a procedure, such as bypass surgery, and prescribed medications do not protect completely from the progression of
the
disease
Patients are seen 2-3 times/week in a medical setting for about 3
monthsSlide5
Patient Education
The foundation of a good cardiac rehab program is exercise trainingAn individualized exercise prescription is developed for each patient that is safe and effective
Patients Preform the exercise prescription in a supervised
environment
Patients need education on a wide array of topics including heart disease, medications used to control symptoms, risk factors, diet related to heart healthy lifestyle, and the importance of cardiac rehabSlide6
Patient Education
Once patients have information they must learn how to apply it to in order to reduce their risk for subsequent cardiac problemsPatient education improves outcomes for cardiac patients by teaching them how to make the changes
Greater knowledge about heart disease and how to achieve positive outcomes reduces fear and anxietySlide7
Cardiac Rehab Referrals
Although research shows that cardiac rehabilitation programs help improve the health and life expectancy of people with heart conditions, the referral rate is lowAcross the United States, only about 20% of eligible patients are referred to cardiac rehab
To improve numbers, new standards were created by the American Heart
Association
The referral for cardiac rehab for specific diagnoses or procedures should be automatic and systematic within a hospital
Patients who might stand to gain more from rehab- older people and those with other conditions, such as diabetes or prior stroke might be less likely to be referred to itSlide8
MethodsAn integrative literature review was conducted to research the topics of major cardiac events, cardiac rehabilitation, and cardiac rehab outcomes
CINAHL electronic database was used for research purposesThe date range for selected research was 2008-2014
A nurse at a local hospital cardiac rehab program was consulted, as well as their website which they encourage their patients to use for reference and information.
Further teaching and research in the area of cardiac research is needed. Many patients who suffer a cardiac event are not using their cardiac rehab benefits. An expert medical association calculates that only 14% to 35% of bypass patients get cardiac rehab. Some patients never hear about it from their doctors. Others, older women in particular, tend not to use it, even when their doctors prescribe it (Don’t skip cardiac rehab after an event).Slide9
ResultsHospital admissions for cardiac disease exceed six million each year at a cost of $393.5 billion U.S., and mortality rates exceed 900,000/year. (Scotto, et al). A study was conducted to determine cardiac rehab participants’ knowledge of their diet and exercise regimen and the degree of adherence to diet and exercise two months after completing cardiac rehab.
Of 174 participants, 111 (64%) completed the entire protocol. One hundred and fourteen (65%) returned the surveys and 137 (79%) completed the follow up call. Research has indicated that post-cardiac rehab, rates for diet and exercise adherence were poor. The failure to develop strong practices that promote healthy daily diet and exercise habits indicates a need for interventions to improve adherence beginning in the immediate post-cardiac rehab period and also within the cardiac rehab program itself (Scotto, et al). Slide10
ConclusionPatient education improves outcomes for cardiac patients by teaching them how to make the changes
Greater knowledge about heart disease and how to achieve positive outcomes reduces fear and anxietySlide11Slide12
ReferencesCardiac rehab programs can improve patient health: education is a
key to successful lifestyle change (2008). Case Management Advisor,
19(11), 127-128.
Cardiac rehab: The road back to heart health. (2010). Consumer
Reports on Health, 22(9), 10.
Don't skip cardiac rehab after a heart event. (2013).
Harvard Heart
Letter
,
24
(3), 3.
Ellismedicine.org. 2014. Customized Cardiac Rehab. Helping patients
return to normal
activity.
Scotto, C. J.,
Waechter
, D. J., &
Rosneck
, J. (2011). Adherence to
Prescribed Exercise and Diet Regimens Two Months Post-Cardiac
Rehabilitation. Canadian Journal Of Cardiovascular Nursing, 21(4),
11-17.