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.