west herts. pct cardiac rehabilitation service cardiology connect meeting– wednesday 17th...
TRANSCRIPT
West Herts. PCT Cardiac Rehabilitation Service
Cardiology Connect Meeting– Wednesday 17th September 2008
Chris Pace – Senior Cardiac Rehab. Nurse
Marie-Jeanne Chitnis – Senior Cardiac Rehab. Physiotherapist
What does Cardiac Rehab do?
• CHD is the biggest killer in the UK
• NICE
• British Heart Foundation
• National Service Framework
• Secondary Prevention
• British Association of Cardiac Rehab.
4 Phases of Cardiac Rehab.
Phase I – Wards and CCUPhase I – Wards and CCU
Phase II – Telephone Advice / support post-discharge
Phase II – Telephone Advice / support post-discharge
Phase III – Exercise and Education
Phase III – Exercise and Education
Phase IV – Exercise Referral Scheme or other *BACR classes
Phase IV – Exercise Referral Scheme or other *BACR classes
Cardiac Rehab Phase
III
MDT:Nurses,
Physio’s, OTDietician,Fitness
Instructors
14 sessions:2 x week
For 7 weeks
WatfordSt. Albans
Hemel Hempstead
Exercise and
Education
BHF Leaflets
BHF Leaflets
Psychological support and Counselling
Psychological support and Counselling
HADSHADS
Refer to smoking cessation
Refer to smoking cessation
Pharmacy talk
Pharmacy talk Exercise
Advice
Exercise Advice
Stress and Relaxation
Stress and Relaxation
Dietary advice
Dietary advice
BP, Pulse,BP, Pulse,
BMI and Waist
BMI and Waist
CHD explained
CHD explained
CARDIAC REHAB.
CARDIAC REHAB.
What do we expect from GP’s
Treat depression - QOF
Treat depression - QOF
Counselling for HADS > 13
Counselling for HADS > 13
Sexual counselling and treat Erectile Dysfunction
Sexual counselling and treat Erectile Dysfunction
Check cholesterol6/12
Check cholesterol6/12
Review symptomatic patients and refer
back to Cardiologists
Review symptomatic patients and refer
back to Cardiologists
Refer patients following MI, PCI, CABG or Valve Sx
Refer patients following MI, PCI, CABG or Valve Sx
Review medicationand treat
Hypertension and Diabetes
Review medicationand treat
Hypertension and Diabetes
GPGP