CARDIAC REHABILITATION What is Cardiac Rehab??? Cardiac rehabilitation (rehab) is a medically supervised program that helps improve the health and well-being of people who have heart problems. Rehab programs include exercise training, education on heart healthy living, and counseling to reduce stress and help you return to an active life. What is the Purpose??? Cardiac rehab helps people who have heart problems: • Recover after a heart attack or heart surgery. • Prevent future hospital stays, heart problems, and death related to heart problems. • Address risk factors that lead to CAD and other heart problems. – These risk factors include HTN, hypercholesterolemia, being overweight or obese, diabetes, smoking, lack of physical activity, depression and other emotional health concerns. • Adopt healthy lifestyle changes. These changes may include a heart healthy diet, increased physical activity, and learning how to manage stress. Cardiac Rehab Team Includes: • Doctors (family doctor, a heart specialist, and/or a surgeon) • Nurses • Exercise specialists • PT and OT • Dietitians or nutritionists • Psychologists or other mental health specialists. Who Needs Cardiac Rehab??? Rehab may help people who have had: •A MI •A heart transplant •An angioplasty •A lung transplant •A CABG •Stable angina •Heart valve repair or replacement •Heart failure When does rehab begin??? Usually the patient will be seen while still in the hospital to start the rehab process AND then after being discharged they will continue the process at a rehab outpatient center. What do patients learn??? THEY LEARN HOW TO: • Increase their physical activity and exercise safely • Follow a heart healthy diet • Reduce risk factors for future heart problems • Improve their emotional health Increasing Physical Activity The rehab team will work with the patient to create an easy-to-follow exercise plan. • It will include time for a warm-up, flexibility exercises, and cooling down. • It also may include aerobic exercise and muscle-strengthening activities. Aerobic Exercise • Typically, aerobic exercise are done 3 to 5 days per week for 30 to 60 minutes. • Examples of aerobic exercise are walking (outside or on a treadmill), cycling, rowing, or climbing stairs. PRACTICE TIME • http://www.youtube.com/watch?v=yRNjWcZxrZs Muscle-Strengthening Activities • Muscle-strengthening activities are done for 2 or 3 days per week. • An exercise plan will show how many times to repeat each exercise. • Muscle-strengthening activities may include lifting weights (hand weights, free weights, or weight machines), using a wall pulley, or using elastic bands to stretch and condition your muscles. Lifting Weights Equipment Used • Treadmills • Bicycles (stationary) • Weights • Elastic bands • Walking tracks • EKG monitor • BP cuff • And much more… Heart Healthy Diet This diet will help the patient reach their rehab goals! Heart Healthy Diet Guidelines -- you should eat: •8-10% of the day's total calories from saturated fat. •30% or less of the day’s total calories from fat. •Less than 300 milligrams of dietary cholesterol a day. •Limit sodium intake to 2400 milligrams a day. •Just enough calories to achieve or maintain a healthy weight and reduce your blood cholesterol level. (Ask your doctor or registered dietitian what is a reasonable calorie level for you.) Reducing Risk Factors to Prevent Future Problems Risk factors include high blood pressure, high blood cholesterol, overweight or obesity, diabetes, and smoking. ACTIVITY Talk with your table and come up with ways that patients you can reduce the risk factor that is handed to you. Improving Emotional Health FACT…Psychological factors increase the risk of getting heart disease or making it worse. FACT…Depression, anxiety, and anger are common among people who have heart disease or have had a MI or heart surgery. FACT…Depression is linked to complications such as irregular heartbeats, chest pain, a longer recovery time, the need to return to the hospital, and even an increased risk of death. What types of things can you do to get the most out of your rotation with Cardiac Rehab???