2s Define carding schabilitation ‘CARDIAC REHABILITATION REHABILITATION Rehabilitation may be perceived asa means of restoring the best possible capacity across abroad spectrum including physical, psychologieal and socio- cconomie functions Cardine Rehabilitation wisn ative process which ass patents with hear atack o achieve and maintain good physical and mental wellness. PHASES OF CARDIAC REHABILITATION Phase I Inpaticn assessment and mobilization Phase I~ Outpatient Phase Il — Exercise and Education programme Phase IV - Maintenance Discussion and listening Define Cardiac schabilitation?2mis List down the aspects of cntdiae rehabilitation ASPECTS OF CARDIAC REHABILITATION 1. Physiological rehabilitation: Improvement in physical activity like exercising, det, smoking cessation among heart attack patient improves the quality of ite. 2. Psychological rehabilitation [1 lps to control the emotional status her tack patients ad lps to reduce cope with tension and to modi their behavior. ‘3. Vocational rehabilitation: “This helps to mos the job selection placement of jb, providing ‘vocational taining and overcoming sess elated jobs among heart attack patients, Teaching and listening List down the aspects ofeardie schabilitation?“E_ Sexual rehabilitation roves corn guidlines to madly sexual aetvity among heat tack patients PHYSIOLOGICAL REHABILITATION EXERCISE : Exercise will make you physically fi, it helps to achieve good heath, Fitness! training fect refers to your level of conditioning ‘The benefits of regular physical activity 1 Improved heart function Exerise helps to improve the heart muscle’s ability to use oxygen, it -resulls reduced the fature symptoms of angina 2. Improved body function ‘Your exercising body becomes more efficient at extracting oxygen Explaining and answering12 ms Explain the physiological schabilitation From the Hod ond sing down atte sla Teel 3. Reduced cardiac risk factors Eerste ca help edace body farce blood presi, improve cholestrol and alyceride level, improve your blood glucose contol it you are already been diagnosed 4. Reduced isk of second heart attack Exercise can minimize your sk of having a socond heat tack 5. Improved psychological wellbeing Exercise has anti-depressant and anti-anxiety effets onthe body. I helps you burn of the diy stresses of moder living INPATIENT EXERCISE, Ward : Fist Day STRETCHING EXERCISE + Biceps Stretching + Triceps Stretching + Arm strings Explaining and answering Explain the physiological rehabilitation?RANGE OF MOTION EXERCISE ACTIVE EXERCISES + Shoulder exon, abduction + Elbow flexion & abduction + Knee extension + Too ses Ankle exerises (5 repetitions cach, standing) ice daily Monitored ambulation of 50 fct inside the ward twice daily with physician approval LUpin the chair as alerted Discussion and answering‘WARD SECOND DAY RANGE OF MOTION EXERCISE ACTIVE EXERCISES + Shoulder flexion, abduction + Ethow flexion & abduction + Knee extension + Toe mises + Ankle exercises (5 repetitions cach, standing twice daily) Monitored ambulation of 75 ft inside th watd twice daily with physician approval “The patient gocs tothe toilet with supervision WARD: THIRD DAY RANGE OF MOTION EXERCISE Active Exercise + Shoulder exon, abduction © Flhow flexion & abduction Explaining and listening© Knee extension + Toe raises Ankle exercises (5 repetitions cach, standing twice daily) Monitored ambulation of 300 fet in the ward corridor tive daily Practice walking few stair teps (24 steps) WARD : FOURTH DAY. RANGE OF MOTION EXERCISE ACTIVE EXERCISE Shoulder flexion, abduction + Elbow flexion & abduction # Knee extension Toe rises Ankle exercises (5 repetitions cach, standing twice daily) ing exercise (4-6 steps) Bath self with supervision Explaining and listening+ The patient goes tothe ole Monitored ambulation of $00 fet in ward comidor twice dey WARD: FIFTH DAY RANGE OF MOTION EXERCISE ACTIVE EXERCISE Shoulder Nexon, abduction + Elbow flexion & abduction + Knee extension + Toe rises Ankle exercises (S repetitions cach, standing tice daily) + Star climbing exerise (4-6 step) + Bat self with supervision +The patient goos tothe toilet Monitored ambulation of 50 fect in ward conidor twice diy (Continue this exercise and activities until you are discharge from the hospital Discussion and answering‘OUT PATIENT EXERCISE AFTER A MYOCARDIAL INFARCTION The following post heart tack exereise presripson is appropriate for when ‘you've been reevaluated by you cardiologist have been given the ll lea to exerise again 1. soGGING Jogging programme begins wih shor periods of jogging with equal distances, of walking, As you improve graualyinreas the ime for jogging 2. WALKING However your fines improves you should he abe to walk farther and {ara longer tne. Vou will walle atleast 3-5 days per wee for ppronimatly 9-12 wosks building the duration of your exercise session 10-48 minutes or | hour continuous activity (gradually increase walking time adding 5 mis 4 week to you daily sesion) 3. STAIR CLIMBING Climbing stairs isa component of most people's diy routines. ‘You should progressively increase the number of steps per week: Explaining and listening4. CYCLING Cycling s enjoyable aerobic activity Cycling can he performed cither ona bicycle outdoors or ona stationary eyele ergometer indoors. Discussion and answering‘Daring yelng the seat ight shouldbe adjusted tom point that esl in a slight bend inthe knee when the pedals tits lowest position. EXERCISE RULES: Always warm up and coo! down + Avoid exteme of heat and cold + Woiting for 2 hour after cating fl of a meal or before you exercise + Check the pulse before and after exercise iit is unconvolled exercise should be stopped + Do not drink coffe ote least hours before exercise caffeine raises sourheart at) +The foquency of exercise sessions unl 3.5 times por week. Bach session for 20-30 mints to be arid ut far elective physical fines + Avvare about signs and symptoms of execs intolerance such s chest, prin, dizziness, nausea, vomiting, shoriness of breath, extreme fatigue. Ir you have signs and symptoms stop exercising and ell your doctor. ‘Teaching and listeningDIET Guide 10 food choiees 3 mits Foods allowed: © Skimmed milk and products © Coffe, tex + Potatoes, bread, onion Rice, wheat, bisuits, dha, whole grains Fruits, fruit juice and vegetables, gren leaf vegetables. + Egg yolks, fish (3 times!weck) Hameed 2. FOODS TO AVOID listening Whole milk, eam, snacks, bakery products Soda conning products Chicken and mutton © Bute, ghee groundnut © Vanaspati, palm oil+ Tickles, pappad, yellow yolk + Preservative food DIETARY FIBRI Eating more fle ich foods 8 many helps to keep your weight in conto Eating adit containing of high fiber food ha been associated with minimizing {our risk of constipation, heart disease and obesity ‘TIPS TO INCREASE FIBRE INTAKE, + Incorporate more grains, cera sch whole whet, i oa, comm + Eatsome leis legumes and dha such as goon grams every dy. + Consume an adequate amount of fits and vegetables. Eat fits and ‘egotables with thir skin as far as posible SMOKING: ‘Srmoking increase the risk of cardiovascular discus in many cass, beats increase the fat deposition inthe blo that supply the heart and causes block ‘which leads toa heart attack, ‘Teaching and Listening3 mts Explain the psychological sechabilitaion ‘Steps to help for smoking esstion 1. You seta quit date (quit date shouldbe within 2 weeks) 2. Change your environment Gtr of al cigarettes in your home, place of work, ea. Don't et people smoke in your home. 3. Get individual or group counseling 4, Tryto strat youre from urges to smoke tak 0 someone, go for walk cor get busy with task (rad ook, exercise, hearing muss) 5. Meications can help you stop smoking and essen the urs to smoke, Bupropion hydrochloride, Nicotine gum PSYCHOLOGICAL REHABILITATION 'STRESS/MENTAL TENSION : Aller art attack stress ithe major case that creates distress Stress teraporaily increases hear rate and blood pressure by increasing the rlease of adrenalin inte the bloodstream. @ ‘Teaching and listening‘COPING TO CONTROL STRES Eat properly, Do exercise regularly, Sleep 6 8 hours per day. Follow relaxation techniques. (meditation, music, guided imagery), MEDITATION: Sit ima comfortable position and eyes closed. Breath easily and normaly. + Don't farce your breathing, concentrate your breathing rate and rhythm, Take docp breath, breath out slowly and easily Take second breath slowly and breathe out + Time duration i 1015 mines MUSIC Sof lowing music an be used to increase the sense of rl reduce your tres. GUIDED IMAGERY ‘You can select a pleasant scene o experienc, such as watching the ocean oF abbling the fet in a cool stream. This technique also reduce stress. “Teaching and listening Explain the psychological schabilitation?2 mts Explain the vocational sehabilitaion VOCATIONAL REHABILITATION Job modifications to reduce the work demands by altering the environmental ‘demands, changing the design of work or changing jobs ‘Vocational training to improve the capsity by vocational counseling, traning ‘or retraining for jobs with higher or different kil requirements and lower energy demands Enhaneement of an individual's capacity through exerese taining, psychological and emotional support eto OVERCOMING WORK - RELATED STRESS: + Leamto delegate © Bstablish the priorities # Lam relax © Refise to accept unrealistic demands ‘Take regular breaks Teaching and listening Explain the vocational rehabilitation?2 mts Explain the sexual rehabilitation ‘SEXUAL REHABILITATION ‘TIME OF RESUMPTION ‘When the patients condition hs bocome sable an symptomtie, sex activi may be resumed within 3-6 weeks ENVIRONMENT: Sexual activity in the usa suroundings of one's home and comfortable room is advisable, Exteme of ir temperature, humidity, restretive clothing and cold hed sheets should avoided POSITIONS ‘The patient both men and women) may assume bottom postion which may noc est OTHER PRECAUTIONS: Avoid sex aciviy afer cating a heavy mesl and afer drinking excesive amounts of alebol WARNING SIGNALS ‘The patient should recognize and report tothe physician ‘Teaching and listening Explain the sexual rehabilitation?‘pid breathing that persist for 10-1S minutes after coitus and also chest pain using o after cots “Teaching and CONCLUSION: Cardiac rehaittaton helps to improve the quality of ife among myocardial infarction ptints. Cardiac rehbilitaton was explained i his vdeo, I hope that this video will help you to modify your lf style habits and prevent frm recurrence of further attack,