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Mrs Benton

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She has Cardiovascular Disease and Mentions that her chest pain has been worse ... Smoker. BMI = 20. No exercise, 'but on the go at work all day' Mr Keating ... – PowerPoint PPT presentation

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Title: Mrs Benton


1
Mrs Benton
  • 60Years Old
  • Post Menopausal
  • Suffers exertional angina
  • Sedentary lifestyle
  • Overweight (BMI30)

2
Mrs Benton
  • Seeing Physio for arthritis complaint. She has
    Cardiovascular Disease and Mentions that her
    chest pain has been worse lately , probably just
    indigestion. She has never had Cardiac
    Rehabilitation.

3
Mrs Benton
  • Q1 Does Mrs Benton meet the criteria for
    attendance at Cardiac Rehabilitation? If so,
    Which criteria?

4
Mrs Benton
  • Mrs Benton has Cardiovascular Disease (Section
    6.1)

5
Mrs Benton
  • Q2 What specific education topics would Mrs
    Benton require? Who should provide this service?

6
Mrs Benton
  • Table 6 - Heart Disease, Risk Factors, Physical
    Activity, Activities of Daily Living, Nutrition,
    Medications
  • Other Topics may need to be considered once
    initial assessment has been completed
  • Refer also to Skill Mix

7
Mrs Benton
  • Q3 Will Mrs Benton require specialised management
    for exercise prescription and who should provide
    this expertise?

8
Mrs Benton
  • Table 2 Pre-program assessment -
  • Safety (Exertional Angina)
  • Physical Activity History (Arthritis)
  • Table 3 Intervention Strategies
  • Prescription Considerations
  • Personal Considerations?????
  • Table 4 Monitoring Strategies
  • Standard and additional monitoring techniques
  • Table 5 Post Program assessment?
  • Refer also to Skill Mix

9
Mrs Benton
  • Q4 List four factors that should be monitored
    whilst Mrs Benton is exercising?

10
Mrs Benton
  • Table 4 - Monitoring Strategies
  • List any four factors from standard or additional
    monitoring techniques

11
Mrs Benton
  • Q5 Using the skills mix in your group develop a
    Cardiac Rehabilitation plan for Mrs Benton. Make
    sure you list who will provide the services
    required and any referrals you have made.

12
Mr Keating
  • 40 Years Old
  • Recently divorced, 2 children
  • MI four weeks ago
  • Smoker
  • BMI 20
  • No exercise, but on the go at work all day

13
Mr Keating
  • Mr Keating was admitted to a Regional base
    hospital for four days. He works long hours as
    an owner operator of a service station in a
    outlying town. His GP has referred him for
    Cardiac Rehabilitation.

14
Mr Keating
  • Q1 What relevant base-line clinical data should
    be collected for Mr Keating?

15
Mr Keating
  • Table 1 General Clinical Data
  • Coronary Heart Disease data and Medical History
  • Medications
  • Base-line Data
  • Psychosocial Issues
  • Consider Minimum Data-set

16
Mr Keating
  • Q2 Mr Keating does not remember the information
    given to him whilst he was in hospital. What
    education topics should be covered first?

17
Mr Keating
  • Table 6 - Education Topics
  • Heart Disease (emphasis on safety aspects)
  • Risk Factors
  • Physical Activity and Exercise
  • Medications
  • Smoking
  • In time he should also receive information
    regarding
  • Psychosocial
  • Nutrition
  • Stress Management

18
Mr Keating
  • Q3 Mr Keating cant give up work and is
    constantly on the move. He needs to do a lot of
    heavy lifting. What services should be provided
    for Mr Keating? Who would provide these services?

19
Mr Keating
  • Table 2-5 Physical Activity Intervention
  • Table 6 Education (see previous question)
  • Table 7 Counselling
  • Table 5 - Post Program assessment
  • Program Discharge - Worksite Assessment
  • Occupational Therapist, Physiotherapist

20
Mr Keating
  • Q4 Mr Keating has attempted to quit smoking on
    several occasions. What resources and support
    could be provided to Mr Keating to assist with
    this problem?

21
Mr Keating
  • Table 6 Education Topics - Smoking Cessation
  • Table 7 Counselling assessments and
    Interventions - Smoking Cessation
  • Refer to Skill Mix

22
Mr Keating
  • Q5 What type of Cardiac Rehabilitation program
    would suit Mr Keatings needs?

23
Mr Keating
  • Section 7.3 Alternative Models
  • One or more of the alternative models could be
    utilised in this circumstance

24
Mr Keating
  • Q6 Are there any barriers to Mr Keating
    participating in Cardiac Rehabilitation? If so,
    what are they and how could they be overcome?

25
Mr Keating
  • Section 7.2 Barriers to Group Participation
  • Is there a structured cardiac rehabilitation
    program in the outlying area?
  • After hours?
  • Financial constraints?
  • Travel time?
  • Health Professionals available?

26
Mr Keating
  • Q7 Develop an Outreach Cardiac Rehabilitation
    program for Mr Keating. Include all referrals to
    other health Professionals and list the resources
    you would provide for him.

27
Mr Buckley
  • 60 Years Old
  • Family history of Cardiac Disease
  • Total cholesterol 5.0
  • LDL 3.0
  • TG 3.2

28
Mr Buckley
  • He has been an active retiree, until his wife
    recently died. He has been reclusive since
    widowed and has never been responsible for
    domestic duties. He has recently had an
    angiograph after several episodes of chest pain.

29
Mr Buckley
  • Q1 What relevant base-line clinical data should
    be collected for Mr Buckley?

30
Mr Buckley
  • Table 1 General Clinical Data
  • Coronary Heart Disease data and Medical History
  • Medications
  • Base-line Data
  • Psychosocial Issues
  • Consider Minimum Data-set

31
Mr Buckley
  • Q2 Mr Buckley didnt understand the test that he
    had been booked in for. Who should explain this
    to him?

32
Mr Buckley
  • Table 6 Education Topics - Cardiac
    Investigations and Procedures
  • Medical Officer, Physiotherapist, Registered
    Nurse

33
Mr Buckley
  • Q3 What assessments and interventions should be
    considered for Mr Buckley? Who can provide this
    service?

34
Mr Buckley
  • Table 7 Counselling assessments and
    interventions - Psychosocial Issues
  • Table 2-5 Physical Activity
  • Refer to Skill Mix

35
Mr Buckley
  • Q4 What other assessments and interventions
    should be considered for Mr Buckley? Who can
    provide this service?

36
Mr Buckley
  • Table 7 Counselling Assessments and
    Interventions
  • Nutrition
  • Activities of Daily Living
  • Refer to Skill Mix

37
Mr Buckley
  • Q5 Develop a full care plan that addresses the
    education and exercise prescription needs of Mr
    Buckley.
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