Cardiac Rehabilitation Nursing

Cardiac rehabilitation is a complex intervention for heart disease patients
Components include health education, advice on cardiovascular risk reduction, physical activity, and stress management.
Cardiac rehabilitation has three equally important parts: exercise counseling and training, education for heart-healthy living, and counseling to reduce stress.
Components and organization include patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management, aggressive coronary risk factor management, and psychosocial counseling.
Cardiac rehabilitation programs typically span three months, with sessions two or three times a week (usually 36 sessions over a 12-week period).
Dieticians provide practical workshops on healthy eating, label reading, and cooking demonstrations.
General dietary recommendations include reduced saturated fats, cholesterol, increased polyunsaturated and monounsaturated fats, adequate calorie distribution (50-60% carbohydrates, 15% protein, 25-35% fat), and increased fiber intake (20-30g/day).
Recommendations emphasize moderation and plant-based foods.
Weight management: 88 cm or more waist circumference in women, 102 cm or more in men indicates central obesity.
Turkish society considers waist circumference >80 cm for women and >94 cm for men as high risk.
BMI>25 kg/m2 indicates a high risk.
Individualized short and long-term targets are determined.
Blood pressure management-High blood pressure is common.
A 10 mmHg reduction in systolic blood pressure can lower cardiovascular mortality by 20-40%.
5-6 mmHg reduction in diastolic blood pressure lowers stroke risk by 42% and coronary heart disease events by 15%.
Patients learn the importance of blood pressure control, medications, measures to lower their blood pressure.
Diabetes management-26% of cardiac rehabilitation patients have diabetes.
High risk profile is seen frequently (>93%)
Risk factors include smoking (16%), hypertension (54%), hypercholesterolemia (51%), overweight(40%), and obesity (34%).
Multidisciplinary approach and therapeutic education tools are necessary to manage diabetes and improve glycemic control
Goal is an HbA1c concentration <7%.

Pulmonary Rehabilitation (PR)

Pulmonary rehabilitation is a multidisciplinary approach improving physical and emotional well-being of respiratory disease patients.
PR utilizes supervised exercise, education, support, and behavioral intervention to enhance lung disease function in daily life and boost quality of life.
Indications include Chronic Obstructive Pulmonary Disease (COPD), Interstitial Lung Disease (ILD), Cystic Fibrosis, Pulmonary Hypertension, Severe Asthma, Post-lung transplant, Post-surgical recovery (pneumonectomy), and Pulmonary Fibrosis.
Benefits include improved exercise capacity, reduced breathlessness, improved survival rates, reduced hospitalizations, reduced anxiety and depression, improved health-related quality of life, improved psychological well-being.
Pulmonary rehabilitation programs may improve quality of life by reducing shortness of breath, increasing exercise tolerance, promoting a sense of well-being, and decreasing the number of hospitalizations.
Goals include improving exercise capacity, enhancing quality of life, reducing symptoms (dyspnea), preventing hospital readmissions, enhancing emotional well-being and self-management.
Components include exercise training, inspiratory muscle training, psychosocial counseling, nutritional evaluation and counseling, and education on prescribed drugs.
Nursing assessment, vital signs monitoring, physical function assessment, and psychological assessment are crucial for pulmonary rehabilitation.

Neurological Rehabilitation Nursing-1

Neurological rehabilitation improves function and well-being through therapy.
The program improves or restores functionality in neurological conditions within the environment.
The goal is to restore health, independence, and functionality.
A vital tool for assessment is the Barthel Index.
The index measures functional ability and dependency in activities of daily living (ADLs).
Activities measured include feeding, bathing, grooming, dressing, bowel control, bladder control, toilet use, chair/bed transfer, mobility (walking or wheelchair use), and stair climbing

Neurological Rehabilitation Nursing-2

Targeted exercise programs are essential for recovery from neurological conditions.
Functional movement training involves activities that mirror daily life to improve overall functionality and ease transition to everyday life.
Tailored workouts are an important part of these programs.
These programs address specific neurological challenges.
Adaptive equipment integration, such as wheelchairs and walkers, enhances recovery.
The utilization of augmented reality tools boosts patient participation and improves the rehabilitation process.
Smart wearables provide real-time data to monitor patient progress.
Robotic-assisted therapy enhances independence through precise movement.

Oncological Rehabilitation Nursing 1&2

Oncology rehabilitation focuses on managing and enhancing the functional limitations experienced by cancer patients due to the disease or treatment side effects.
Cancer rehabilitation is a tailored, interdisciplinary approach for individuals with cancer.
The goal is to improve physical, emotional, and psychological well-being.
Rehabilitation includes four phases:
Prehabilitation (preventative): interventions before treatment to minimize the impact of cancer care.
Restorative: aimed at restoring function to pre-illness levels.
Supportive: addresses functional limitations that arise from ongoing cancer treatment or progression.
Palliative: aims for patient comfort and function in the terminal stage of cancer.
Oncology rehabilitation takes place in various settings: post-acute care, outpatient, and home.
The benefits include improved function (strength, mobility), pain management, and quality of life enhancement.
There is also an emphasis on psychological well-being and community/support.
Outcomes are measured using various assessment tools (quality of life, daily living activities, fatigue, mobility).