Center for life

Kate BlanchetteClinical Manager Cardiac Pulmonary Rehabilitation

Cardiac Pulmonary Rehabilitation

Centre for Life

Cardiac Rehabilitation is the enhancement and

maintenance of cardiovascular health through

individualized programs designed to optimize physical,

psychological, social, vocational and emotional status.

This process includes the facilitation and delivery of secondary prevention through risk factor identification and modification in an effort to prevent disease progression and the recurrence of cardiac events.

(Stone & Arthur, CACR 2004)

Enrollment/inclusion criteria for Cardiac Rehabilitation Acute Myocardial Infarction Cardiomyopathy Pericarditis, Myocarditis, and Endocarditis Acute Coronary Syndrome Heart Failure Cardiac Transplant Atrial Fibrillation Coronary Artery Disease Angina Pectoris Supraventicular Tachycardia Percutaneous Cardiac Intervention Percutaneous Coronary Angioplasty Peripheral Vascular Disease Valvular replacement or repairs Permanent Pacemaker Insertion Coronary Artery Bypass Grafting Implantable Cardioverter Defibrillator

Regional Cardiac Rehabilitation Program

The Regional Coordinator acts as a liaison between the dischargedclient and Cardiac Rehabilitation services. These services can include Cardiac Rehabilitation education and supervised exercise programs across North Eastern Ontario.

There are six satellite programs in the North East region, where on site education and supervised exercise are provided. Services can be provided by OTN.

Espanola Little Current New Liskeard Sturgeon Falls Kirkland Lake Sault Ste Marie

How can you refer to Cardiac Rehab?

Order under Category CAR under Procedure RFSCAR

Pulmonary Rehabilitation is a set of tools and disciplines that

attends to the multiple needs of COPD patients and their families. It extends beyond standard care by addressing the disabling features of chronic and progressive lung disease.

Centering on self-management, exercise, functional training, psychosocial skills, and contributes to the optimization of medical management. Optimal disease management includes rehabilitative elements including patient self-management and regular exercise (CHEST, 1997).

Enrollment/Inclusion Criteria for Pulmonary Rehabilitation

•Obstructive Lung Disease: COPD, Asthma, Cystic Fibrosis, Bronchiectasis, Bronchiolitis Obliterans•Alpha 1 Antitrypsin Deficiency•Restrictive Lung Disease•Interstitial Lung Disease: Pulmonary Fibrosis, Pulmonary Manifestations due to Collagen-Vascular•Disease, Sarcoidosis, Occupational Lung Disease•Chest Wall Diseases•Neuromuscular Diseases affecting pulmonary function•Lung Cancer: Post-surgical, Medically Managed•Primary Pulmonary Hypertension•Hypo-Ventilation Syndrome with Morbid Obesity

How can you refer to Pulmonary Rehab?

Order under Category PUR. Procedure RFSPUR

Cardiac Pulmonary Rehabilitation-Center for life

Recovery Program

8 weeks

Supervised/Individualized

Tailored Exercise Prescription- Target HR range: HR @ AT-80% V02 max/ 6 min walkstudy/Karvonen’s

Maintenance Program

4 months

Focus on independence and self-management

Supervision within a community setting

Home Program

Exercise prescription for home with regular follow-up

Passport to Wellness-post graduate reduced rate YMCA membership

Adult Asthma Clinic

Pre-operative thoracic teaching program

Multi-Disciplinary team

Nurse Practitioner

Registered NurseRespiratory TherapistPhysiotherapistKinesiologistRegistered DieticianPsychological Associate

ACSM Exercise Specialists TEACH certified smoking cessation counsellors Certified COPD and Asthma educators ADP Authorized HSEP certified

What do we offer? Exercise based program-V02 metabolic testing Resistance/strength program Falls Prevention Hydrotherapy program Education : risk factor modification and goal setting Smoking cessation program-T.E.A.C.H. (training enhancement in applied

cessation counselling and health) Home Program Return to work/vocational assessment Nutritional counseling Psychological counselling Regional Program Chronic Disease patient self management Electronic Documentation OTN YMCA Passport to wellness

Cardiac Education topics

Heart healthy Nutrition

Food labelling

Physical Activity

How the heart works

Stress and your heart

Medications

Risk factors and goal setting

** All sessions available via live webcasts-see program website

Pulmonary Education topics

Lung Anatomy and PhysiologyLung Disease and Its ImplicationsMedications and Proper Inhaler UseManaging Shortness of BreathBenefits of Exercise/Safe exerciseNutritionCough and Chest Clearance TechniquesSigns of a Lung InfectionAction PlansTravelling with Lung DiseaseEnergy ConservationAir QualityStress ManagementCommunity Resources

** All sessions available via live webcasts-see program website

HSN Cardiac Pulmonary Rehabilitation Program Pillars

Disease-Specific Management Clinician/Case manager working with the patient and their Family

Physician and/or Specialist Evidence-based optimal care delivery

Patient Self-Management Skills Peer-led group classes and support “Optimizing Life” Enhanced self-management skills and decision-making

Group Exercise and Rehabilitation Small medically supervised classes Social support during exercise to enhance compliance Community exercise program available for patient’s support

system

Center for life goals

Self-management/family centered

Symptom recognition and control

Safe exercise

Improve QOL

Enhanced linkages/communication

Decrease ER visits/admissions

http://www.hsnsudbury.ca/PortalEn/CardiacPulmonaryRehabilitationProgram/tabid/256/Default.aspx