住院心脏康复分析.ppt

Cardiac RehabilitationPhase 1 Dr.Andishmand Who Makes Up The Cardiac Rehabilitation Team The Patient EvaluationPhysical Examination Graduation Graduation Discharge Plan Weight Management Evaluation Measure weight, height, and waist circumference. Calculate body mass index (BMI). Interventions In patients with BMI 25 kg/m2 and/or waist 40 inches in men (102 cm) and 35 inches (88 cm) in women Interventions Establish reasonable short-term and long-term weight goals individualized to the patient and his or her associated risk factors (eg, reduce body weight by at least 5% and preferably by 10% at a rate of 1-2 lb/wk over a period of time up to 6 months). Interventions Develop a combined diet, physical activity/exercise, and behavioral program designed to reduce total caloric intake, maintain appropriate intake of nutrients and fiber, and increase energy expenditure. The exercise component should strive to include daily, longer distance/duration walking (eg, 60-90 minutes). Interventions Aim for an energy deficit tailored to achieve weight goals (eg, 500-1000 kcal/day). Expected Outcomes Short-term: Continue to assess and modify interventions until progressive weight loss is achieved. Provide referral to specialized, validated nutrition weight loss programs if weight goals are not achieved. Expected Outcomes Long-term: Patient adheres to diet and physical activity/exercise program aimed toward attainment of established weight goal. * * * * * * So these are the people that we envisage should be involved with secondary prevenion according to the NSF for CHD. * * * * RFA list Family * * * * * * * Self Care Evaluation comb hair, brush teeth, shave, perform a limited bed bath, wash the underarms and genital regions, wash the ankles and feet, etc. can the patient dress - pants, shirt, socks Self Care Evaluation Can the patient do all of these things while being monitored on the telemetry unit in the critical care unit for : BP, EKG changes, HR. What about