33 Questions
Who is responsible for the detection of a patient's nutritional requirements?
Dietician or nutritionist
What role helps the patient and their family to adjust to problems resulting from the patient's disability?
Social service
Which professional is in charge of all patients under her care?
Nurse
In what setting does the program led by a vocational counselor usually begin?
Hospital
Which role is not directly associated with providing detailed vocational aptitude information?
Nurse
Which professional is primarily responsible for the restoration of a patient's physical function?
Occupational and Physical Therapist
Who provides information on a patient's mental abilities, emotional adjustment, and vocational aptitudes?
Psychiatrist
Which role is essential for helping patients and their families adjust to problems resulting from disabilities?
Social worker
Who is responsible for the detection of a patient's nutritional requirements?
Dietician
What is within the scope of responsibilities of a nurse according to the given content?
Caring for all patients under her supervision
Which of the following is NOT a goal of cardiac rehabilitative programs?
Increase the risk of myocardial infarction
Which of the following conditions is an indication for cardiac rehabilitation?
Recent myocardial infarction
What therapeutic components are used to retard or reverse atherosclerosis in cardiac rehabilitation?
Exercise training, education, counseling, and risk factors alteration
Which of the following is a major goal of cardiac rehabilitative programs?
Limit the risk for reinfarction
Which of the following procedures does NOT indicate the need for cardiac rehabilitation?
Appendectomy
What is the primary definition of heart failure?
Inability of the heart to perform its normal function
Which type of heart failure involves both right and left side failure?
Congestive heart failure
What type of heart failure occurs when the heart cannot pump effectively on the left side?
Left side heart failure
Which type of failure is NOT listed as a form of heart failure in the content?
Systemic heart failure
Who gave the definition of heart failure in the content?
Assistant Prof/Walid Arafat
Which of the following is a manifestation of right side heart failure?
Enlarged tender liver
What is commonly associated with left side heart failure?
Dyspnea and/or orthopnea
What treatment is recommended for both right and left side heart failure?
Digitalis
Which of these is NOT a common treatment for heart failure?
Antidepressants
What symptom distinguishes right side heart failure from left side heart failure?
Tender liver
Which condition is an indication for cardiac rehabilitation?
Angina
What is a contraindication for cardiac rehabilitation?
Severe ischemia during exercise testing
Which statement correctly describes a role of the physician in the rehabilitation team?
They coordinate all medical aspects of the individual case.
Which condition is not an indication for cardiac rehabilitation?
Severe residual angina
Which of the following conditions would require postponing cardiac rehabilitation?
Uncontrolled arrhythmias
Who should be involved in the cardiac rehabilitation process according to the team members section?
Medical professionals and patient's family
Which of the following cannot be a reason to withhold cardiac rehabilitation?
Recent valve surgery
Which condition is a clear contraindication to cardiac rehabilitation?
Uncompensated heart failure
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
This quiz covers the roles of different professionals in patient care, including social service, nurses, and dieticians, and their responsibilities in helping patients with disabilities.
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