Guidelines for cardiac rehabilitation and secondary prevention programs / American Association of Cardiovascular & Pulmonary Rehabilitation.

Format:

Book

Contributor:

American Association of Cardiovascular & Pulmonary Rehabilitation.

Language:

English

Subjects (All):

Heart--Diseases--Patients--Rehabilitation.

Heart.

Heart--Diseases--Prevention.

Heart Diseases--rehabilitation.

Heart Diseases--prevention & control.

Medical Subjects:

Heart Diseases--rehabilitation.

Heart Diseases--prevention & control.

Physical Description:

viii, 280 pages : illustrations ; 28 cm

Edition:

Fourth edition.

Place of Publication:

Champaign, IL : Human Kinetics, [2004]

Summary:

Keeping pace with rapid changes in the field, the fourth edition of Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs has been completely revised, including a new chapter on nutrition and plant-based diets as a treatment option in cardiac rehabilitation. This definitive book provides the most current models for designing and updating rehabilitation programs for patients and preventing a second episode. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fourth Edition, was developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal guidelines for cardiac rehabilitation programs. This book is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.

Contents:

1 The Integration of Cardiac Rehabilitation and Secondary Prevention 1

National Perspective 2

Global Perspective 3

Challenges and Opportunities 4

2 The Cardiac Rehabilitation Continuum of Care 5

Contemporary Cardiac Rehabilitation: Secondary Prevention 7

The Future of Cardiac Rehabilitation and Secondary Prevention 11

3 The Emergence of Nutrition and Plant-Based Diets in the Treatment and Prevention of Cardiovascular Disease 21

Plant-Based Diets and Phytochemicals 22

Epidemiological Evidence for Benefits of Plant-Based Diets 23

Clinical Trial Evidence for Benefits of Plant-Based Diets 23

Paradigm Shift: From Avoidance to Inclusion 24

Dietary Supplements and Herbal Medicines 24

Soy-Derived Isoflavone Phytoestrogens 28

Practical Suggestions 29

4 Cardiac Rehabilitation in the Inpatient and Transitional Settings 31

Early Assessment, Mobilization, and Risk-Factor Management 32

Discharge Planning 42

Implementation Strategies 43

Clinical Pathways 43

Staffing 45

Space and Equipment 47

Transitional Programming 47

5 Outpatient Cardiac Rehabilitation and Secondary Prevention 53

Structure of Secondary Prevention 54

Assessment of Risk Factors for Disease Progression 56

Stratification of Risk for Events During Exercise 61

Medical Supervision and Electrocardiogram Monitoring of Patients During Exercise 64

Implementation of Secondary Prevention 66

6 Medical Evaluation and Exercise Testing 69

Physical Examination 70

Risk Stratification and Identification of Contraindications for Exercise Training 72

Exercise Testing 72

Alternative Opportunities for Evaluating Physical Activity Status 83

7 Education and Behavior Modification for Risk-Factor Management 85

Basic Counseling Skills 87

Principles of Adult Learning 88

Principles of Behavior Modification 88

Social Learning Theory 90

Readiness-for-Change Theory 91

Inpatient Interventions 93

Outpatient Interventions 93

Selecting and Developing Educational Materials 93

8 Modifiable Cardiovascular Disease Risk Factors 95

Smoking 96

Abnormal Lipids 101

Hypertension 110

Physical Inactivity 113

Psychosocial Concerns 123

Obesity 129

Emerging Risk Factors 133

9 Special Considerations 135

Older Patients 137

Young Adults 140

Women 140

Racial and Cultural Diversity 142

Revascularization and Valve Surgery 146

Ventricular Arrhythmias, Pacemakers, and ICDs 150

Heart Failure 151

Patients With Left Ventricular Assist Devices 157

Cardiac Transplantation 159

Diabetes 165

Pulmonary Disease 169

Peripheral Arterial Disease 172

10 Administrative Considerations 177

Administrative Structure 178

Outcome Assessment 184

Information Management 188

Insurance and Reimbursement 191

Human Resources 193

Continuum of Care and Services 196

11 Management of Medical Problems and Emergencies 197

Potential Risks in Outpatient Cardiac Rehabilitation 198

Advanced Directives 198

Patient Assessment and Screening 198

Documentation of Emergencies 201

Emergency Equipment 201

Staff Training and Site Preparation 201

Transtelephonic ECG Monitoring 204

Home Health 204

Community-Site Programming 205.

Notes:

Includes bibliographical references (pages 247-265) and index.

ISBN:

0736048642

OCLC:

51848635