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CARDIAC PHYSICAL THERAPY

Saturday, September 7, 2019

/ by Hadiqa Ahmed

CARDIAC PHYSICAL THERAPY


Cardiac arrest patients are often admitted to critical care units after an episode of cardiac attack. A vast series of instructions are outlined subsequent to the care provided by the hospital. Once conditions are stable, patients are referred to physical care therapists who help the affectee to return to his optimum level of functioning.

A set of rehabilitation activities are implemented to ensure that the patient continues to live a normal life again, without any hindrance. This rehabilitation process  is practiced to improve mobility, cut down the risk contributing factors and reduce any psychological stresses that may affect the recovery of the patient.



Physical care therapists are an integral part of the medical field, who are appointed to facilitate the members of the cardiac rehabilitation team. They are
required to monitor cardiac functioning, analyse injuries that may pose a problem in mobility and specify exercises that are directed to regain proper mobility and functioning.

The core part to achieving a successful post operative health of the patient, is to educate them about the ways to take control of their heart's health.
Some common instructions given for post operative care of the heart, are stated below.

COMMON GUIDELINES IMPARTED TO THE PATIENT REGARDING CARDIAC REHABILITATION


Patients are provided with a list of guidelines to take effective measures in preventing cardiac arrest in the future. These instructions are generally enlisted by a physical care therapist, who assesses the impairments in a patient, following  a cardiac attack. The usual list of advices are as mentioned below:

  1.         Increase in physical activity
  2.         Refraining from risk factors such as: cholesterol, stress and smoking
  3.         Exercises performed near the bed side in the hospital
  4.         Independent monitoring of heart rate and pulse
  5.         Report any negative responses of the body to the exercises
Summing up, cardiac care is essential to resume living a healthier life which is free from restrictions posed by immobility.

 PHASES OF CARDIAC REHABILITATION


The rehabilitation procedure consists of 4 phases. These are as follows:

Phase 1: Critical Care Phase

This phase constitutes of the time when the patient is admitted in the hospital after encountering a heart attack. The patient is received by a dedicated medical staff, which works towards saving the life of the individual. Following the operation and after a complex maintenance of the patient's condition, a set of instructions are provided to prevent a relapse of the attack.

Phase 2: Continuation of care at home

The patient would be allowed to return to his home once the doctors approve of the health stability. In this phase, a Cardiac Rehabilitation Nurse is appointed to contact the patient and to provide him with an appointment. On acceptance of the appointment, the patient has a good opportunity to ask questions related to his recovery. The nurse inspects the cardiac pulse and pressure of the patient and quotes any further specifications regarding proper care.

Finally, the nurse carries out an extensive assessment and concludes whether  phase 3 rehabilitation is mandatory for the patient or not.

Phase 3: Physical activity to improve function

This phase comprises of exercises that are practiced under a special supervision of a physical care therapist. In this phase, the patient is taught to monitor his Rating of perceived exertion (RPE) and his body's response to the exercise. Along with this, a lesson is conducted on monitoring the heart rate independently, to help the patient in avoiding attacks in the future.

As the program progresses, the physical therapist tailors a set of exercises which work to enhance flexibility and strengthening. The exercises are kept to match the maximum rating of perceived exertion, in a patient. Any negative response to a particular intensive exercise, would denote the maximum RPE of the patient.

Phase 4: Patient adherence to physical activity and change of lifestyle

Majority of the patients fail to continue the physical activity that they had commenced during their recovery period from cardiac arrest. To circumvent further mishaps in the future, it is vital to continue adhering to the positive change. Failing to do so, has drastic effects as this negligence increases the chance of a recurrent cardiac arrest.

In order to evade such a situation, one must not wait to experience a cardiac attack, to incorporate physical activity in his lifestyle. There are a plethora of communities, which work together to motivate the members, for continuing a healthy lifestyle.

Cardiac arrests are becoming extremely prevalent in the developed world. Considering the reduction of physical activity and the unhealthy choices related to diet, an episode of cardiac attack seems inevitable. The heart is a crucial organ and requires good care in order to keep functioning effectively. Various awareness programs have been conducted, but the problem still stays significant. To keep away from facing  a cardiac arrest, it is advised to take heed of instructions given by health care workers around you.


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