Rehabilitation and Cardiac Care Quiz

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Questions and Answers

Which of the following is NOT a common goal of rehabilitation?

Promoting social inclusion

Achieving personal financial independence (correct)

Improving physical, mental, or cognitive functions

Maintaining continuity of care

Which professional is typically NOT part of an interdisciplinary rehabilitation team?

Social Worker

Physical Therapist

Accountant (correct)

Speech-Language Pathologist

Home rehabilitation is most suitable for patients who:

Cannot leave home despite needing professional services (correct)

Are in a stable condition requiring minimal therapy

Require extensive daily visits from multiple specialists

Can travel easily to rehabilitation centers

What is a key benefit of an effective interdisciplinary team in rehabilitation?

Increased patient satisfaction and better care outcomes Signup and view all the answers

Which of the following represents a specific area for rehabilitation application?

Long-term care centers Signup and view all the answers

What is the duration of Phase II in cardiac rehabilitation?

2-12 weeks Signup and view all the answers

Which of the following is NOT a focus of Phase III in cardiac rehabilitation?

Medication management Signup and view all the answers

What is the main purpose of Phase IV in cardiac rehabilitation?

Continuation of skills learned in previous phases Signup and view all the answers

Which service is primarily focused on preventing diseases before they occur?

Preventive Care Signup and view all the answers

Curative health services are aimed at which aspect of healthcare?

Treating diseases or conditions Signup and view all the answers

Which type of rehabilitation is aimed specifically at improving functional abilities after injury or illness?

Rehabilitative health services Signup and view all the answers

Which of the following is a common goal of rehabilitation?

Restoring or improving functional abilities Signup and view all the answers

What is an example of curative health services?

Chemotherapy Signup and view all the answers

What is the primary goal of cardiac rehabilitation?

To achieve and maintain optimal health Signup and view all the answers

Which of the following conditions would benefit from cardiac rehabilitation?

Heart attack Signup and view all the answers

What component is NOT typically included in cardiac rehabilitation?

Cosmetic surgery advice Signup and view all the answers

How does cardiac rehabilitation help reduce the risk of heart disease?

By addressing cardiovascular risk factors Signup and view all the answers

Which benefit of cardiac rehabilitation relates to lifestyle changes?

Building healthier habits Signup and view all the answers

What percentage of mortality reduction is attributed to exercise-based cardiac rehabilitation?

28% Signup and view all the answers

How does increased physical activity contribute to cardiac rehabilitation?

Reduces risk factors for heart disease Signup and view all the answers

Which statement is true regarding the evolution of cardiac rehabilitation?

It now encompasses a wide range of cardiac problems. Signup and view all the answers

What is one of the primary goals of rehabilitation?

To assist patients adapt to a new state of functioning Signup and view all the answers

Which role of the professional nurse focuses on advocacy for the patient's rights?

Patient Advocate Role Signup and view all the answers

What is a key objective of rehabilitation nursing?

To restore affected abilities to the highest possible level of function Signup and view all the answers

In which role does a nurse engage in critical thinking for making treatment recommendations?

Decision Maker Role Signup and view all the answers

What is the primary focus of the caregiver role in nursing?

To provide understanding and support to patients Signup and view all the answers

Which statement about the manager role of a nurse is true?

Coordination of healthcare workers in patient care is part of the role Signup and view all the answers

What is one of the most common home therapies mentioned?

Physiotherapy Signup and view all the answers

What does the rehabilitative role of a nurse include?

Providing the lost function of the patient as much as possible Signup and view all the answers

What is one of the primary purposes of cardiac rehabilitation exercises?

To regulate blood pressure Signup and view all the answers

What distinguishes Phase IV of cardiac rehabilitation from Phase III?

Continuation without support Signup and view all the answers

Which of the following is not typically a goal of cardiac rehabilitation?

Muscle enhancement Signup and view all the answers

Which of the following benefits is associated with cardiac rehabilitation?

Enhanced psychosocial well-being Signup and view all the answers

Which indication may suggest the need for cardiac rehabilitation?

Post-myocardial infarction Signup and view all the answers

What is the primary goal of enhancing the quality of life for patients in rehabilitation?

To address psychological and social well-being Signup and view all the answers

Which type of therapy focuses on helping patients regain skills for everyday activities?

Occupational Therapy Signup and view all the answers

What is a key component of cardiovascular rehabilitation?

Education on heart-healthy living Signup and view all the answers

Which focus area of rehabilitation is designed for improving the lung function of patients?

Pulmonary Rehabilitation Signup and view all the answers

What does psychological support in rehabilitation primarily address?

Mental health challenges such as anxiety Signup and view all the answers

Which aspect is NOT typically a focus of musculoskeletal rehabilitation?

Enhancing speech abilities Signup and view all the answers

In which case would speech and language therapy be particularly beneficial?

A patient recovering from a stroke Signup and view all the answers

What is a common goal of nutritional counseling in rehabilitation?

To develop dietary plans for specific health needs Signup and view all the answers

Study Notes

Course Information

Course Code: HEY413E REHABILITATION NURSING
Course Name: REHABILITATION NURSING
Course Week: 7
Course Day and Time: Tuesday (12:00 to 13:50)
Course Credit/ACTS: 2
Examination Type: Mcqs
Instructor: Dr. Hina Zahoor
Instructor's Email: [email protected]
Instructor's Room: 305
Office Hours: 9.00 to 5.00
GBS Link: https://gbs.gelisim.edu.tr/ders-detay-5-160-6267-1
ALMS Link: https://lms.gelisim.edu.tr/almsp/u/Home/Index
Avensis Link: https://persis.gelisim.edu.tr/Default.aspx

Weekly Learning Outcomes

Discuss the advantages for patients undergoing cardiac rehabilitation.
Explain the specific objectives aimed to be achieved through rehabilitation.
Cover which patient populations or conditions are suitable for this type of program.
Discuss situations or conditions where cardiac rehabilitation may not be appropriate.
Explain the different stages or steps involved in a comprehensive rehabilitation program.

Notes

Attendance is mandatory for all scheduled lectures.
Be responsible; come to class on time.
Be disciplined; avoid talking to friends in the class.
Mobiles are not allowed in the class.

About the Last Lesson

Psychosocial adaptation
Stress
Crisis
Self-concept
Elisabeth Kübler-Ross' 5 stages of grief
Factors that affect an individual's psychosocial responses to diseases
Aims of psychological support in rehabilitation nursing

About Today's Lesson

Cardiac Rehabilitation Nursing part 1

Daily Flow

12.00-12.50 / 1st Hour: Benefits Of Cardiac Rehabilitation, Goals of Cardiac Rehabilitation, The indications for cardiac rehabilitation
13.00-13.50/ 2nd Hour: Contraindications, Phases of Cardiac Rehabilitation

Cardiac Rehabilitation Nursing

Cardiovascular diseases are among the leading causes of mortality and morbidity worldwide.
Ischemic heart disease is expected to remain the number one cause of mortality and insufficiency in 2020.
Cardiac rehabilitation supports those with known cardiovascular disease to achieve and maintain optimal health.
Cardiac rehab is a medically supervised program designed to improve patient's cardiovascular health if a patient has experienced a heart attack, heart failure, angioplasty, or heart surgery.
If a client has a heart attack or other heart problem, cardiac rehabilitation is an important part of recovery.
Cardiac rehab can prevent further progression of disability, improve physical function, and improve quality of life.
Cardiac rehabilitation is an accepted form of management for people with cardiac disease.

Benefits of Cardiac Rehabilitation

Strengthening the heart and body after a heart attack.
Relieving symptoms of heart problems, such as chest pain.
Building healthier habits, including getting more physical activity, quitting smoking, and eating a heart-healthy diet.
Approximately half of the mortality reduction achieved through exercise-based cardiac rehabilitation is attributed to reductions in major risk factors (e.g., smoking).
It improves inflammation, ischemic preconditioning, improves endothelium function, and creates a favorable fibrinolytic balance
An increase in tolerable metabolic equivalents, 33%, and maximal oxygen consumption by 16% is observed.

Goals of Cardiac Rehabilitation

Medical: Improve cardiac function, reduce risk of sudden death and re-infarction, relieve symptoms like breathlessness and angina, increase work capacity and prevent progression of underlying disease
Social: Return to work if appropriate and/or previous level of functional capacity, promote independence in ADLs, activities of daily living
Psychological: Restore self-confidence, relieve anxiety, and depression, relieve or manage stress
Behavioral: Quit all forms of smoking, make healthy dietary decisions, be physically active, adhere to medication regimes
Health Service: directly reduce medical costs, promote early mobilisation and discharge from hospital, reduce cardiac related hospital admission

Phases of Cardiac Rehabilitation

Phase I: In-hospital patient period
Phase II: Post-discharge pre-exercise period
Phase III: Exercise and Education Programme
Phase IV: Maintenance

General Phases in Cardiac Rehabilitation

Phase I: Inpatient Program, begins after cardiac event and ends at discharge, includes low-level exercise and education for patient and family.
Phase II: Outpatient Hospital-based, (≥ 4 weeks after discharge), includes dietitians, social workers, etc, emphasizes monitored exercise, education and lifestyle management.
Phase III: Community-based, health facilities, maintenance program.
Phase IV: Community-based, community centre.

Phase I: 1-2 Weeks

Begins after the patient's recovery period from myocardial infarction, angioplasty, or coronary artery bypass graft surgery, involves medical evaluations, rehabilitation training, exercise programs tailored to daily life transitions, psychological support, and proper diet plans.

Phase II: 2-12 Weeks

Begins 2-12 weeks after discharge, involves individualized exercise evaluations and programs in the hospital.

Phase III: 3-9 Months

Diet of the patient throughout their life. Planning of the exercises. Exercises goal is to regulate blood pressure, have proper breathing exchanges, and heart rate reduction.

Phase IV: Lifetime

Continuation of phase III without ongoing support. Patients apply what they learned in previous phases.

Revision

No specific details provided

Health Care Services Types

Preventive care focuses on preventing diseases or conditions before they occur.
Curative health services treat diseases or medical conditions to cure or manage them.
Rehabilitative health services restore or improve functional abilities after an illness or injury.
Includes physical therapy, occupational therapy, speech therapy, and other rehabilitation.
Medical rehabilitation refers to the process of restoring or improving physical, mental, or cognitive functions lost or impaired by illness, injury, or surgery.
Social rehabilitation aims to improve functional capabilities and inclusion in society for individuals to find new jobs and professions.

Common Goals of Rehabilitation

Foster self-care, self-sufficiency
Encourage maximal independence
Maintain function
Prevent complications
Restore optimum function
Promote maximum potential
Emphasize abilities
Promote adaptation
Restore acceptable quality of life
Maintain dignity
Assist with community reintegration
Promote optimal wellness

Interdisciplinary Model

Emphasizes collaboration.
Holistic approach.
Patient-centered care.

Collaborative Team Structure

Team composition includes physicians, physical therapists, occupational therapists, speech-language pathologists, psychologists, social workers, and nutritionists.
Roles and responsibilities are clearly defined for each member to ensure all aspects of patient rehabilitation are addressed.

Characteristics of Effective Interdisciplinary Team

Trust
Mutual understanding
Respect
Effective communication
Coordination of care
Information/enough knowledge
Sharing responsibilities

Benefits of working in an effective interdisciplinary team

Increase the continuity of care.
Cooperate in achieving the target.
Solve problems with a common understanding among professionals.
Know the value of team members.
Increase patient, family, and healthcare professional satisfaction.

Application areas determined by the Association of Rehabilitation Nurses

Independent rehabilitation centers
Hospitals
Long-term subacute care centers
Long-term care centers
Comprehensive outpatient rehabilitation centers
Special application areas
Home care
Clinical and daily rehabilitation programs
Community and state services
Schools and universities

Home Rehabilitation

Patients who cannot leave the home receive rehabilitation therapies in their homes.
Most common therapies include physiotherapy, occupational therapy, and speech therapy.

Goals of Rehabilitation

Prevent secondary disability
Improve body function
Return patients to their former functioning state.
Assist patients adapt to a new functioning state.

Objectives of Rehabilitation Nursing

To restore affected abilities to the highest level of function.
To prevent further disability/handicap.
To protect the person's abilities.
To assist the person

Professional Nurse's Roles

Caregiver Role

Deliver understanding and support to patients.
Accept individuals holistically and provide care.
Focus on caring as a central focus of nursing and health care services.

Decision Maker Role

Involved in decision-making process for patient treatment.
Critically assess patient signs to identify potential problems and make appropriate recommendations and actions.
Involve the patient and family in the care plan and treatment decision-making.

Patient Advocate Role

Promote what's best for the patient.
Ensure patient needs are met and rights are protected.
Create healthy environments through community education and involvement in professional organizations.

Manager Role

Primarily manages patient care.
Coordinates other healthcare workers in patient care.
Manages training activities.
Manages communication.

Rehabilitative Role

Provide lost function to the patient as much as possible.
Support daily life activities.
Provide psychological support.

Educator Role

Educate patients, families, communities, colleagues, and other health professionals.
Focuses on health protection, development, health behaviors, and individual care.

Career Developer Role

Increase training opportunities for nurses.
Professionalize nursing.
Expand working fields including master’s degrees, PhDs, and certificates programs.

Researcher Role

Search for new information to improve care and service quality.
Use scientific basics for care and service.
Contribute to scientific knowledge in nursing through research.
Carry out this role by conducting research.

Counselor Role

Focus on helping patients develop new attitudes, feelings, and behaviors about quality of life.
Physician determines medical diagnosis and treatment.
Nurses take responsibility for administering physician-specified treatment.

Therapeutic Role

Physician determines medical diagnosis and treatment.
Nurses are responsible for the treatment administration and fulfill medical requirements.

Chronic Condition and Disability

Chronic diseases are slowly progressive, lasting 6 months or longer, caused by multiple risk factors, and often complicate a person's life.
Leading causes of death in Turkey include circulatory system diseases, benign and malignant tumors, respiratory diseases, endocrine/nutrition/metabolic diseases, and others.
Chronic diseases have complex and multiple causes, occur across the lifespan, and lead to physical limitations and disability. They are long-term and have a gradual deterioration of health.
Risk factors include non-modifiable (age, gender, family history, ethnicity, prior stroke or heart attack) and modifiable (unhealthy diet, high blood sugar, smoking, high blood pressure, high cholesterol, physical inactivity, overweight, excessive alcohol, stress).
Examples of chronic diseases are cardiovascular disease, cancer, chronic respiratory diseases, diabetes, chronic renal disease, arthritis, and musculoskeletal diseases, and mental health problems.
Disability encompasses impairment, disability, and handicap. Impairment means loss or abnormality of function; disability relates to restrictions in activity; handicap is the disadvantage preventing role fulfillment.
Disability involves the interaction between individuals with a health condition (e.g., cerebral palsy, Down syndrome, depression) and their personal experiences, with environmental (e.g., negative attitudes, inaccessible facilities, and limited social support).
Causes and risk factors of disability include malnutrition, occupational hazards (e.g., low safety standards, wheat harvesting), and other factors.
People with disabilities face barriers to education, employment, social and political life, community participation, and health. Disabling barriers include inadequate policies/standards, negative attitudes/discrimination, lack of service provision, problems with service delivery, inadequate funding, and lack of accessibility.
Consequences of these barriers include lower educational achievement, lower employment levels, higher poverty rates, and poorer health outcomes.
A social perspective on disability prioritizes accepting that people with disabilities are complete human beings, respecting their rights, their differences, their life, their dignity, being represented, cooperating for their rights, and ensuring equality of opportunity.
97.3% of the long-term care population consists of elderly individuals.
An increase in the prevalence of disability is reported and is partially associated with aging populations and an increase in chronic health conditions.
Strategies for monitoring current physical health, increasing physical activity in the elderly, and increasing preventive services (e.g., vaccinations, screening programs for early diagnosis), developing healthy behavior, and implementing fall prevention programs are important considerations.
Improving oral health and preparing the healthcare workforce for an aging community are important measures to address the concerns of chronic diseases and disabilities.

Rehabilitation for Chronic Conditions

Goals for rehabilitation include improving physical function (mobility, strength, endurance), managing pain via therapies, enhancing quality of life, and promoting independence.
Types of rehabilitation interventions include physical therapy (PT), occupational therapy (OT), speech and language therapy, psychological support, and nutritional counseling.
Key focus areas for different conditions include cardiovascular rehabilitation (emphasizing exercise, education, heart-healthy living, counseling to reduce risk factors), pulmonary rehabilitation (improving lung function, breathing techniques, and education), neurological rehabilitation (improving motor function, communication, cognitive skills), and musculoskeletal rehabilitation (reducing pain, improving muscle control, power, endurance).
Recent trends in rehabilitation technology include immersive technologies, telehealth, rehabilitation wearables, rehabilitation robotics, and artificial intelligence.

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Description

Test your knowledge on the goals and phases of rehabilitation, particularly focusing on cardiac rehabilitation. This quiz covers interdisciplinary teams, specific rehabilitation areas, and the differences between curative and preventive health services. Engage with key concepts to enhance your understanding of rehabilitation practices.