Podcast
Questions and Answers
Who is responsible for the detection of a patient's nutritional requirements?
Who is responsible for the detection of a patient's nutritional requirements?
- Social worker
- Nurse
- Dietician or nutritionist (correct)
- Vocational counselor
What role helps the patient and their family to adjust to problems resulting from the patient's disability?
What role helps the patient and their family to adjust to problems resulting from the patient's disability?
- Vocational counselor
- Nurse
- Dietician or nutritionist
- Social service (correct)
Which professional is in charge of all patients under her care?
Which professional is in charge of all patients under her care?
- Social worker
- Vocational counselor
- Dietician or nutritionist
- Nurse (correct)
In what setting does the program led by a vocational counselor usually begin?
In what setting does the program led by a vocational counselor usually begin?
Which role is not directly associated with providing detailed vocational aptitude information?
Which role is not directly associated with providing detailed vocational aptitude information?
Which professional is primarily responsible for the restoration of a patient's physical function?
Which professional is primarily responsible for the restoration of a patient's physical function?
Who provides information on a patient's mental abilities, emotional adjustment, and vocational aptitudes?
Who provides information on a patient's mental abilities, emotional adjustment, and vocational aptitudes?
Which role is essential for helping patients and their families adjust to problems resulting from disabilities?
Which role is essential for helping patients and their families adjust to problems resulting from disabilities?
Who is responsible for the detection of a patient's nutritional requirements?
Who is responsible for the detection of a patient's nutritional requirements?
What is within the scope of responsibilities of a nurse according to the given content?
What is within the scope of responsibilities of a nurse according to the given content?
Which of the following is NOT a goal of cardiac rehabilitative programs?
Which of the following is NOT a goal of cardiac rehabilitative programs?
Which of the following conditions is an indication for cardiac rehabilitation?
Which of the following conditions is an indication for cardiac rehabilitation?
What therapeutic components are used to retard or reverse atherosclerosis in cardiac rehabilitation?
What therapeutic components are used to retard or reverse atherosclerosis in cardiac rehabilitation?
Which of the following is a major goal of cardiac rehabilitative programs?
Which of the following is a major goal of cardiac rehabilitative programs?
Which of the following procedures does NOT indicate the need for cardiac rehabilitation?
Which of the following procedures does NOT indicate the need for cardiac rehabilitation?
What is the primary definition of heart failure?
What is the primary definition of heart failure?
Which type of heart failure involves both right and left side failure?
Which type of heart failure involves both right and left side failure?
What type of heart failure occurs when the heart cannot pump effectively on the left side?
What type of heart failure occurs when the heart cannot pump effectively on the left side?
Which type of failure is NOT listed as a form of heart failure in the content?
Which type of failure is NOT listed as a form of heart failure in the content?
Who gave the definition of heart failure in the content?
Who gave the definition of heart failure in the content?
Which of the following is a manifestation of right side heart failure?
Which of the following is a manifestation of right side heart failure?
What is commonly associated with left side heart failure?
What is commonly associated with left side heart failure?
What treatment is recommended for both right and left side heart failure?
What treatment is recommended for both right and left side heart failure?
Which of these is NOT a common treatment for heart failure?
Which of these is NOT a common treatment for heart failure?
What symptom distinguishes right side heart failure from left side heart failure?
What symptom distinguishes right side heart failure from left side heart failure?
Which condition is an indication for cardiac rehabilitation?
Which condition is an indication for cardiac rehabilitation?
What is a contraindication for cardiac rehabilitation?
What is a contraindication for cardiac rehabilitation?
Which statement correctly describes a role of the physician in the rehabilitation team?
Which statement correctly describes a role of the physician in the rehabilitation team?
Which condition is not an indication for cardiac rehabilitation?
Which condition is not an indication for cardiac rehabilitation?
Which of the following conditions would require postponing cardiac rehabilitation?
Which of the following conditions would require postponing cardiac rehabilitation?
Who should be involved in the cardiac rehabilitation process according to the team members section?
Who should be involved in the cardiac rehabilitation process according to the team members section?
Which of the following cannot be a reason to withhold cardiac rehabilitation?
Which of the following cannot be a reason to withhold cardiac rehabilitation?
Which condition is a clear contraindication to cardiac rehabilitation?
Which condition is a clear contraindication to cardiac rehabilitation?
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Study Notes
Cardiac Rehabilitation
- Cardiac rehabilitation is a therapeutic process designed to facilitate maximal restoration of function.
- Each patient must be individually assessed to determine diagnosis, associated injuries, responses, and achievable goals.
Goals of Cardiac Rehabilitation
- Reverse pathophysiologic and psychosocial effects of heart disease
- Limit the risk for reinfarction or sudden death
- Relieve cardiac symptoms
- Retard or reverse atherosclerosis by instituting programs for exercise training, education, counseling, and risk factors alteration
- Reintegrate heart disease patients into successful functional status in their families and the society
Indications for Cardiac Rehabilitation
- Recent myocardial infarction
- Coronary bypass
- Valve surgery
- Coronary angioplasty
- Cardiac transplantation
- Angina
- Compensated CHF
Rehabilitation Team Members and Their Roles
- Physician: Leader and coordinator of the team; attends to all medical aspects of the individual case.
- Nurses: Responsible for all patients under their care.
- Dietician or Nutritionist: Detects the patient's nutritional requirements.
- Vocational Counselor: Provides information concerning the patient's mental abilities, emotional adjustment, interest, and vocational aptitudes.
- Social Service: Helps the patient and his family to accept and adjust to the problems resulting from his disability.
- Therapists: Occupational and physical therapists contribute to the restoration of the physical function of the patient.
- Psychologist and Psychiatrist: Provide information concerning the patient's mental abilities, emotional adjustment, interest, and vocational aptitudes.
Contraindications for Cardiac Rehabilitation
- Severe residual angina
- Uncompensated heart failure
- Uncontrolled arrhythmias
- Severe ischemia, LV dysfunction, or arrhythmia during exercise testing
- Poorly controlled hypertension
- Hypertensive or any hypotensive systolic blood pressure response to exercise
- Unstable concomitant medical problems (e.g., poorly controlled or "brittle" diabetes, diabetes prone to hypoglycemia, ongoing febrile illness, etc.)
Heart Failure
Definition
- Heart failure is the inability of the heart to perform its normal function.
Types of Heart Failure
- Right side heart failure
- Left side heart failure
- Congestive heart failure (both right and left side failure)
Manifestations of Heart Failure
- Right Side Heart Failure: Congested pulstile neck veins, enlarged tender liver, edema in lower limbs, dyspnea
- Left Side Heart Failure: Dyspnea and/or orthopnea and paroxysmal nocturnal dyspnea, pulmonary edema and hemoptysis
Treatment of Heart Failure
- Complete rest
- Salt-free diet
- Digitalis
- Diuretics
- Treatment of the cause
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