Cardiac Rehabilitation: A Workbook for use with Group Programmes

37,74 € 36,29 €
Disponible
ISBN
0470518723
Edición
1st
Autores
Edwin J. R. van Beek, Harry R. Büller, Mathijs Oudkerk, Julian Bath, Gail Bohin, Christine Jones, Eve Scarle
Editorial
Wiley
Fecha Publicacion
1 oct. 2009
Características
N/D
This easy-to-use manual provides a practical framework for a multi-disciplinary team to deliver a successful cardiac rehabilitation programme.
  • Despite evidence that cardiac rehabilitation programmes reduce risk, there is no standard for hospital-based multidisciplinary programmes - which are thus complex and costly to design and implement
  • Based on the cardiac rehabilitation work that has been carried out at in Gloucestershire over the past fifteen years, developing and constantly evaluating the evidence base for the programme
  • Includes client handouts such as food and exercise diaries


Preface.

Chapter 1: Multi-disciplinary Cardiac Rehabilitation.

Background.

Cardiac rehabilitation (CR).

Does cardiac rehabilitation work?

Recent evidence for the efficacy of cardiac rehabilitation.

Comprehensive cardiac rehabilitation.

Comprehensive cardiac rehabilitation in Gloucestershire.

The British Association for Cardiac Rehabilitation (BACR) Standards and Core Components for Cardiac Rehabilitation (2007).

Chapter 2: The Cardiac Rehabilitation Programme in Gloucestershire.

Part One: Cardiac rehabilitation in Gloucestershire.

Where the CR service is delivered.

What does cardiac rehabilitation look like in Gloucestershire?

Individual cardiac rehabilitation.

Individual CR Psychology Service.

Health outcomes.

Professional development of the CR team.

Part Two: Psychology and cardiac rehabilitation.

Psychological factors.

Anxiety and depression.

Psychological factors and health outcomes.

Illness perceptions.

Illness perceptions and cardiac events.

Illness perceptions and cardiac rehabilitation.

Control theory.

Applying psychological theory in cardiac rehabilitation.

Anxiety at assessment.

Illness perceptions at assessment.

Returning home.

The Cardiac Rehabilitation group.

Chapter 3: The Exercise Programme.

Risk stratification for exercise.

Using the information.

Supervision following exercise.

Exercise practical sessions.

Calculating heart rate training ranges.

Exercise practical: Exercise set-up.

Warm-up.

Circuit exercise.

Cool down.

Use of music.

Gym programmes.

Seated exercises.

Chapter 4: Preparing for the First Session.

Staff background and training.

Eligibility for CR group programmes.

Patient pathway.

Assessment.

Patient invitation.

Measurement of outcomes.

Timing of CR.

Open/closed groups.

Venues for cardiac rehabilitation.

Health, safety and essential equipment.

Chapter 5: Coronary Heart Disease, Psychology and Exercise (Week 1).

Introduction to the Cardiac Rehabilitation Programme.

Coronary Heart Disease and its Risk Factors.

Coronary Heart Disease.

Angina.

Angioplasty and stents.

Coronary Artery Bypass Graft (CABG).

Heart Attack (or Myocardial Infarction).

The risk factors for coronary heart disease.

The Psychological Side of Having a Cardiac Event (Introduction).

Goal-setting and pacing.

The Exercise Programme.

Monitoring intensity of exercise.

Heart rate.

Breathing rate.

Rate or Perceived Exertion/ Exercise Scale.

Exercise diaries.

Tips for preparing for exercise in Week Two.

Chapter 6: Aerobic Exercise and Stress (Week 2).

Exercise: What Sort and How Much?

Session set-up.

Exercise: What sort and how much?

Activity and exercise.

Stress and Coronary Heart Disease.

Prolonged stress and coronary heart disease.

Understanding stress.

The effects of stress.

The gradual build up of stress.

When stress becomes a problem.

Managing stress.

Abdominal breathing.

Chapter 7: Warming Up, Cooling Down, Angina and Hypertension (Week 3).

Warm Up and Cool Down.

Warming up.

Types of warm-up activity.

Cooling down.

How do we cool down?

Stretching.

Angina.

What is angina?

Symptoms of angina.

Treatment for angina.

Triggers for angina.

Managing angina.

What do you do if you are having angina?

High Blood Pressure (Hypertension).

What should your blood pressure be?

How can we lower our blood pressure?

Chapter 8: Activities to Avoid, Making Changes for Life and Cholesterol (Week 4).

Activities to Avoid at the Moment.

What would we regard as heavy lifting?

Mind and Body Relaxation.

Deep muscle relaxation.

Mental relaxation.

Autogenic relaxation.

Making Changes for Lifel

Why make changes for life?

Making changes.

Setbacks and maintaining behaviour change.

Cholesterol.

What is cholesterol?

What should our cholesterol level be?

How to lower and improve our cholesterol levels.

Chapter 9: Enough or Too Much Exercise? Diet and Coronary Heart Disease (Week 5).

Enough or Too Much Exercise?

Diet and Coronary Heart Disease.

Oily fish.

Fats.

Fruit and vegetables.

Salt.

Alcohol.

Chapter 10: The Benefits of Regular Exercise and Making the Most of your Recovery (Week 6).

The Benefits of Regular Exercise.

Making the Most of Your Recovery.

Thoughts and feelings.

Driving.

Physical activities.

Holidays.

Sex.

Chapter 11: Staying Fit, Cardiac Medication and the Future! (Week 7).

How to Stay Fit for Life.

How to recognise that your Exercise Levels need to be increased?

Dealing with set backs.

Maintaining exercise.

How to keep motivated to exercise regularly.

BACR Phase IV Exercise Instructor Courses.

Medication.

Secondary prevention.

Anti-platelets.

Beta-blockers.

ACE-inhibitors.

Statins.

The Future…

Follow-up sessions.

Setbacks.

Planning, pacing and goal-setting.

Managing stress.

References.

Appendix 1.

Appendix 2.

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