Term
| What are the goals of outpt CR? (5) |
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Definition
| 1. Provide appropriate pt monitoring and supervision to detect deterioration. 2. Provide timely feedback to referring doc to enhance effective medical feedback. 3. Depending on clinical status, return pt to pre-morbid vocational/recreational activities, modify or find alternative activities. 4. HEP and recreational lifestyle. 5. Engage pt in multiple activities for total conditioning. |
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Term
| At what intensity should exercise be prescribed? |
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Definition
| Above the training threshold, but below the intensity that induces abnormal signs and Sx. Deconditioned:40-50%VO2R. Fitter: 60-80%VO2R. HR=10bpm < Sx threshold. |
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Term
| One option to keep pt from overworking themselves is use of a HR monitor w/ alarms. Gail doesn't like these. why? |
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Definition
| b/c ppl will become dependent on alarms, and we want them to have a sense of where they are by effort, not by a machine b/c they won't always have the alarm on - it's not functional. We want them tolearn to listen to their body. |
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Term
| What is the appropriate RPE level in phase 2 and 3-4 CR? |
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Definition
| II: 11-13 (fairly light - somewhat hard) III-IV: 12-15 (approximately 60-80%VO2R) |
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Term
| Upper limit for ex prescription should be below: (6) |
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Definition
| 1. onset of angina or other Sx of CV insufficiency. 2. Plateau or decr in SBP w/ increasig work. 3. 1mm ST depression. 4. Incr frequency of ventricular arrhythmias. 5. Significant ECG changes. 6. Signs/Sx of ex intolerance. |
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Term
| Swimming can't be used for phase II pts. Why not? |
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Definition
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Term
| How frequently should pts ex for CR? |
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Definition
| 2-3x/wk @ facility. supplement w/ home ex for 5x/wk total |
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Term
| What is the rate of progression? |
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Definition
| every 1-3wks w/ goal of achieving 20-30min of cont exercise. Generally progress over 3-6mos to 1000kcal/wk. |
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Term
| What are the guidelines for progression to I exercise w/ min or no supervision? (5) |
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Definition
| 1. Functional capacity >8METs or twice occupational level. 2. Appropriate hemodynamic response to ex. 3. Adequate ECG response. 4. Adequate management of risk factor intervention strategy and safe ex participation. 5. Demonstrated knowledge of disease process, abnormal signs and sx, med use and side effects. |
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