This text provides a comprehensive how-to approach to cardiopulmonary rehabilitation, plus gives students the information they will need to develop the decision-making skills necessary to provide comprehensive and quality rehabilitation programs for cardiac and pulmonary clients. A volume in the Contemporary Perspectives in Rehabilitation Series Edited by Steven L. Wolf, PhD, PT, FAPTA
This book fulfills the need for practical guidance among all professionals involved in the management of these patients, from residents and fellows of cardiology and internal medicine, surgical teams, physiotherapy professionals, critical care physicians and family medicine practitioners. The thoroughly updated content takes into account recent developments in cardiac rehabilitation, and incorporates practical advice on how to use guidelines in clinical practice. There will be one new chapter on patients with cardiac resynchronization therapy and all the others will be updated to keep up-to-date with the guidelines and current practice. Cardiac rehabilitation is of key importance to ameliorate long-term morbidity and mortality resulting from cardiac diseases and events. However, much of the current literature is dense, unwelcoming and academic in style and format. For those physicians understanding the scope of cardiac rehabilitation there is a need to distill the guidelines and various management options available to them into a concise practical manual. Up until now, all references have looked at the general options, but there is definite need to investigate the practicalities of individual patient groups.
Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, offers procedures for providing patients with low-cost, high-quality programming that moves them toward a lifelong commitment to disease management.
This edition addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention.
AACVPR Cardiac Rehabilitation Resource Manual is the companion text to Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs. It complements and expands on the guidelines book by providing additional background material on key topics, and it presents new material concerning cardiac rehabilitation and secondary prevention. AACVPR Cardiac Rehabilitation Resource Manual combines reference-based data with practical information from the field. It applies current position statements, recommendations, and scientific knowledge from medical and scientific literature to aid in designing and developing safe, effective, and comprehensive cardiac rehabilitation programs. Useful for practitioners as well as students and instructors who are learning and teaching key concepts, AACVPR Cardiac Rehabilitation Resource Manual provides strong background support to topics addressed in the guidelines, such as risk factors for coronary heart disease, secondary prevention, psychosocial issues, and patients with special considerations. In addition, each chapter opens with a cross-reference box so that readers know where to reference the topic in the guidelines book. In addition to supporting information for the guidelines, the manual contains new information to help round out cardio programs. Topics include the atherosclerotic disease process, cardiovascular and exercise physiology, exercise prescription, and the electrocardiogram. AACVPR Cardiac Rehabilitation Resource Manual is divided into three parts. Part I examines the development and prevention of coronary artery disease, including reduction of risk factors, psychosocial issues and strategies, and contemporary procedures for revascularization. Part II delineates the role of exercise in heart disease, including the exercise and coronary artery disease connection, cardiovascular and exercise physiology, and exercise prescription. Part III focuses on special considerations, including heart disease as it relates to women and to the elderly and considerations for people with diabetes, chronic heart failure, and heart transplants. AACVPR Cardiac Rehabilitation Resource Manual contains pertinent, detailed information on the topics involved in contemporary cardiac rehabilitation and secondary prevention of coronary artery disease. Teamed with Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, the book provides professionals and students with the full range of guidelines and background materials needed for teaching and understanding the key issues in cardiac rehabilitation and secondary prevention.
In recent years, research has demonstrated that exercise programs can benefit patients with chronic obstructive pulmonary disease (COPD) and patients with congestive heart failure (CHF). Yet many physicians do not refer such patients to any kind of exercise or rehabilitation program. Advances in Cardiopulmonary Rehabilitation examines the history of how pulmonary and cardiac diseases have been treated and shows how that history tends to constrain contemporary thinking in spite of significant advances in treatment. -Why do only a small percentage of eligible patients enroll in cardiopulmonary rehab programs? -What percentage of patients can be helped, and in what ways? -What are the most cost-efficient allocations of scarce financial resources for cardiac and pulmonary patients? The contributors to this book address these questions and provide answers that are challenging and often quite surprising. The First Québec International Symposium on Cardiopulmonary Rehabilitation was held in Québec City in May 1999, bringing together experts from around the world to discuss every aspect of cardiopulmonary rehabilitation. Editors Jean Jobin, PhD, François Maltais, MD, Pierre LeBlanc, MD, and Clermont Simard, PhD, selected the most groundbreaking papers presented at the conference and expanded on several of them for this reference. The book offers review articles and some original research. The editors' comprehensive introduction and conclusion provide an invaluable synthesis and overview of current understanding and future directions for cardiopulmonary rehabilitation. Whether you are a clinician, a researcher, an educator, or an administrator, Advances in Cardiopulmonary Rehabilitation will give you -an understanding of how trends in cardiopulmonary rehabilitation during the past century affect current practices, -hard data that will help you determine the best practices in cardiopulmonary rehabilitation, -data that will enhance your ability to treat patients you may have assumed were untreatable, and -a clear overview of recent research in cardiopulmonary rehabilitation. Part I explains not only what has happened in the past, but how past and current practices may influence the future. Part II offers thorough scientific reviews of pharmacological treatment for CHF and COPD. Part III, offers the clearest discussion available--accompanied by extensive data--of how to decide who should be referred and who should not. Part IV discusses peripheral muscle limitations and dysfunction. Part V addresses risks and benefits for different kinds of patients, home exercise programs for COPD patients, interactions between exercise and left ventricular remodeling, and effects of temperature extremes on people with cardiovascular disease. Part VI explains how cardiopulmonary illness, as well as various rehab approaches, affect a patient's psychosocial health, and examines economic evaluations of rehab programs. Part VII deals with factors that affect quality of life and how to measure outcomes of treatment in terms of quality of life. Finally, part VIII looks to the future--what is likely to happen in the areas of technology, pharmacology, psychosocial factors, and self-help care. This well-researched volume (more than 2,200 bibliographical references) is essential for anyone who deals with cardiac or pulmonary patients. This is the only single volume that probes the scientific, clinical, economic, and even psychosocial frontiers of cardiac and pulmonary rehabilitation.
As the field of pulmonary rehabilitation has continued to advance and evolve, standards for patient care and for programs have become increasingly important. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers the best practices for patient care and serves as the must-have resource for programs to prepare for the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) pulmonary rehabilitation program certification. Readers will learn to tailor individualized care for respiratory patients as well as to improve new programs or update existing programs. For this revised fifth edition, AACVPR has assembled an expert team of nationally and internationally recognized authors. Together, they present the individuated and interrelated components of pulmonary rehabilitation, including initial and ongoing assessment, collaborative self-management education, exercise training, psychosocial support, and outcome measurement. Highlighted guidelines have been included throughout the book, giving readers easy-to-find guidance for implementing treatment programs and helping patients stay on track. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers an evidence-based review in several areas based on the rapid expansion of high-quality scientific evidence since the last edition. To learn best practices for care and program development, readers will find contributions from expert pulmonary rehabilitation professionals in nursing, medicine, physical therapy, respiratory therapy, and exercise physiology. This text provides a scientific, practical framework to help aspiring and current practitioners do the following: Understand the current requirements for accrediting pulmonary-based facilities Design, implement, or update accredited pulmonary rehabilitation programs Deliver optimal care to patients with symptomatic respiratory needs Address program issues in exercise, outcomes, and management of pulmonary-based programs New to this edition, a web resource provides easy access to practical checklists from the book and offers biannual updates to keep programs current with key changes in the field. The reorganized content provides a more logical flow of information consistent with pulmonary rehabilitation development. A new chapter on nutrition helps readers to understand its importance in the rehab process and to provide rehab patients with the best opportunity for success. In the updated appendixes, readers will find a comprehensive set of forms, questionnaires, and assessment tools. With continued advancements in the science, application, and credentialing of pulmonary rehabilitation programs, the fifth edition of Guidelines for Pulmonary Rehabilitation Programs will assist respiratory practitioners in remaining up to date on the best practices in the field. This edition supports practitioners in understanding the components of pulmonary rehabilitation and applying best practices as well as updating and improving their programs to meet AACVPR certification requirements.
This detailed reference provides practical strategies and a scientific foundation for designing and implementing cardiac rehabilitation services to relieve the symptoms of cardiovascular disease patients through exercise training and risk reduction and secondary prevention, improve quality of life, and decrease mortality. Emphasizes multidisciplinary care that includes exercise training, behavioral interventions, and education and counseling regarding lifestyle changes and other aspects of secondary prevention! Written by world-renowned physicians, nurses, exercise physiologists, psychologists, dietitians, educators, and counselors in the field, Cardiac Rehabilitation presents evidence-based medicine as the cornerstone of clinical cardiology practice discusses interventions that limit the physiological and psychological effects of cardiac illness offers guidelines that enable elderly patients to maintain self-sufficiency and functional independence describes means of social and workplace reintegration evaluates policies for maintaining high-quality care, efficacy, and safety in an atmosphere of diminishing resources explains the role of managed care in moving rehabilitative care into the home, workplace, and other nontraditional sites assesses new interactive technologies that aid in tracking patient data gives pragmatic recommendations for the delivery of cardiac rehabilitative care in the next millenium and more! Advocating integrated, high-quality, consistent cardiac rehabilitation services for the well-being of patients recovering from a variety of cardiovascular problems and procedures, Cardiac Rehabilitation is ideally suited for cardiologists, cardiovascular surgeons, primary care physicians, cardiac rehabilitation professionals, cardiac care nurses, dietitians, physical and occupational therapists, exercise physiologists, psychologists, behavioral counselors, hospital managers, health plan designers, and upper-level undergraduate, graduate, and medical school students in these disciplines.
Because many patients reduce exercise following outpatient cardiac rehabilitation (CR), we developed an intervention to assist with the transition and evaluated its feasibility and preliminary efficacy using a one-group pretest–posttest design. Five CR patients were enrolled ~1 month prior to CR discharge and provided an activity tracker. Each week during CR they received a summary of their physical activity and steps. Following CR discharge, participants received an individualized report that included their physical activity and step history, information on specific features of the activity tracker, and encouraging messages from former CR patients for each of the next 6 weeks. Mixed model trajectory analyses were used to test the intervention effect separately for active minutes and steps modeling three study phases: pre-intervention (day activity tracking began to CR discharge), intervention (day following CR discharge to day when final report sent), and maintenance (day following the final report to ~1 month later). Activity tracking was successfully deployed and, with weekly reports following CR, may offset the usual decline in physical activity. When weekly reports ceased, a decline in steps/day occurred. A scaled-up intervention with a more rigorous study design with sufficient sample size can evaluate this approach further.
Cardiopulmonary Physical Therapy: Management and Case Studies, Second Edition is a unique and succinct textbook for the classroom that blends clinical notes on assessment and management together with case-based instructional approaches to cardiopulmonary care for acute and ambulatory care patients. This one-of-a-kind text describes current approaches that cover traditional physical therapist management strategies and includes evidence-based chapters on early mobilization and exercise training on a wide range of cardiopulmonary patient groups. The updated Second Edition presents twenty-four cases that were designed to complement each chapter topic and represent the most common pulmonary, cardiac, and neurological conditions that are typically managed in cardiopulmonary care. These cases have been carefully selected and developed over several years to illustrate a spectrum of clinical issues essential for the preparation of the entry-level therapist. The very interactive nature of the case history approach is engaging and provides the opportunity to work through many of the steps of the clinical decision-making process. Cardiopulmonary Physical Therapy: Management and Case Studies, Second Edition also includes answer guides for the questions posed in the assessment and management chapters, as well as for the twenty-four cases. New in the Second Edition: Twenty-four carefully selected evidence-based cases designed to go “hand-in-hand” with chapter topics An international perspective that is relevant to physical therapy practice in several countries Detailed chapter on noninvasive ventilation and mechanical ventilation Several chapters describe early mobilization and exercise training for a range of cardiopulmonary patient groups including those admitted to an intensive care unit Faculty will benefit from the “Talk Me Through” PowerPoint slides, which provide a great opportunity for independent learning and complement classroom teaching The two-fold evidence and case-based learning approach used by Dr. W. Darlene Reid, Frank Chung, and Dr. Kylie Hill allows for a more engaging experience. The inclusion of interactive materials will allow students to learn and develop skills to prepare themselves for their professional transition while clinicians can use the text as a reference tool.
