Rehabilitation and Health Promotion
Introduction
This is a case study of Aneka Jacobsen, who seeks cardiac rehabilitation (CR) phase III, after a recent myocardial infarction (MI) which is commonly known as a heart attack. This is considered the intensive supervised phase, usually 4-6 weeks post event and discharge from hospital. It may be offered in supervised groups within the outpatient department of a hospital, in community setting or as part of a home-based package.
The case study briefly examines her past and current history, including data given from an exercise tolerance test (ETT), performed by the patient prior to being discharged from the hospital. Evidences collected from various research studies and guidelines from a number of heart associations worldwide has been used to support and justify clinical reasoning why patients like Aneka would benefit from participating in this rehabilitation phase after her recent cardiac event.
The risks factors for Aneka has been evaluated and following this, an appropriate CR phase III programme has been proposed for her from the role of a physiotherapist as part of the multidisciplinary team (MDT) approach in the management of this patient.
Cardiac Rehabilitation Acevedo et al 2011, reported that coronary heart disease (CHD) is the leading cause of death worldwide and in recent years there has been success in treating modifiable risk factors of CHD, such as high blood pressure and dyslipidemia. However, it has not been as successful to treat other risk factors such as overweight, obesity and physical inactivity, since these required lifestyle changes. Thus, most patients with cardiac disease present as sedentary individuals who do not participate in any form of regular exercise or physical actively accumulating 30 mins. Hence, they are often deconditioned and overweight.
Over the past few decades, CR programmes have been prescribed for patients following MI or coronary artery bypass graft (CABG) surgery but more recently, CR encompasses a
This is a case study of Aneka Jacobsen, who seeks cardiac rehabilitation (CR) phase III, after a recent myocardial infarction (MI) which is commonly known as a heart attack. This is considered the intensive supervised phase, usually 4-6 weeks post event and discharge from hospital. It may be offered in supervised groups within the outpatient department of a hospital, in community setting or as part of a home-based package.
The case study briefly examines her past and current history, including data given from an exercise tolerance test (ETT), performed by the patient prior to being discharged from the hospital. Evidences collected from various research studies and guidelines from a number of heart associations worldwide has been used to support and justify clinical reasoning why patients like Aneka would benefit from participating in this rehabilitation phase after her recent cardiac event.
The risks factors for Aneka has been evaluated and following this, an appropriate CR phase III programme has been proposed for her from the role of a physiotherapist as part of the multidisciplinary team (MDT) approach in the management of this patient.
Cardiac Rehabilitation Acevedo et al 2011, reported that coronary heart disease (CHD) is the leading cause of death worldwide and in recent years there has been success in treating modifiable risk factors of CHD, such as high blood pressure and dyslipidemia. However, it has not been as successful to treat other risk factors such as overweight, obesity and physical inactivity, since these required lifestyle changes. Thus, most patients with cardiac disease present as sedentary individuals who do not participate in any form of regular exercise or physical actively accumulating 30 mins. Hence, they are often deconditioned and overweight.
Over the past few decades, CR programmes have been prescribed for patients following MI or coronary artery bypass graft (CABG) surgery but more recently, CR encompasses a