1. CARDIAC REHABILITATION Jamie Escano, Stacey Ann Parke, Colette Uwanaka, Health and Wellness Final Project

2. Learning the Skills of Heart-Healthy Living  Site Visit Date: April 9, 2010  Site Visit Time: 10:30am  Site Visit Location: Southern Maryland Hospital Center Cardiac Rehabilitation  Site Visit Contact: Frank

3. Southern Maryland Hospital Center  Southern Maryland Hospital Center 7503 Surratts Road (on Rt.5) Clinton, Maryland 20735  “The Cardiopulmonary Rehabilitation Center here at SMHC, is a multidisciplinary approach toward recovery, prevention and treatment of our participants. Individuals most appropriate for this program are those who have certain forms of heart and or lung complications. Talking with your doctor or one of our staff members, will help identify your appropriateness for the program.” Southern Maryland Hospital Center. Web. 16 Apr. 2010..

4. What is Cardiac Rehabilitation? Cardiac rehabilitation is “a professionally supervised program to help people recover from heart attacks, heart surgery and percutaneous coronary intervention (PCI) procedures such as stenting and angioplasty (American Heart Association). The program provides information to promote healthy lifestyles and goals which include increase in physical fitness, reduced cardiac symptoms, reduced risk of future heart problems, including heart attack (American Heart Association). The program would offer a medical evaluation, construct a physical activity plan designed to meet your needs, education, counseling services, and support to return to your normal activities (American Heart Association). "Cardiac Rehabilitation." American Heart Association. 8 Jan. 2009. Web. 2 Apr. 2010.

5. Who Benefits from Cardiac Rehabilitation? People who would benefit from cardiac rehabilitation have or had have the following conditions; heart attack, heart conditions, such as, coronary artery disease (CAD), angina, or heart failure, heart procedure, heart surgery, such as “coronary artery bypass graft (CABG) surgery, percutaneous coronary intervention (PCI), including coronary angioplasty (balloon angioplasty) and stenting, valve replacement, or a pacemaker or implantable cardioverter defibrillator (ICD)” (American Heart Association). "Cardiac Rehabilitation." American Heart Association. 8 Jan. 2009. Web. 2 Apr. 2010.

6. Population of Study  As of 2007, heart disease is the leading cause of death in the US killing one person every 34 seconds (Wikipedia)  Men over age 45 and women over age 55 are at a greater risk for heart disease (FamilyDoctor.org) "Heart Disease." Heart Disease. 2 Feb. 2010. Web. 16 Apr. 2010.. "Heart Disease: Assessing Your Risk." FamilyDoctor.org Health Information for the Whole Family. Dec. 2009. Web. 16 Apr. 2010..

7. Population of Study cont.  “Although heart disease is an equal-opportunity killer, many people, men and women alike, continue to think that heart disease is primarily a man’s problem. Wrong!” (Rippe, 2004, p. 10)  Consider the Facts:  “More women than men die of heart disease in the United States  Although men suffer heart attacks an average of ten years earlier than women, after menopause women catch up. Within the year after a heart attack, 42 percent of women will die, compared to 24 percent of men  Women are less likely to know the warning signs for a heart attack  Women smokers are at six times greater risk of heart disease than non-smoking women” (Rippe, 2004, pgs. 10-11) Rippe, James M. Heart Disease for Dummies. Indianapolis: Wiley, 2004. Print.

8. What are the Benefits of Cardiac Rehabilitation?  Reduces the risk or reduces the reoccurrence of heart disease  Increases the HDL cholesterol  Moderates blood pressure  Makes it easier to reach and maintain a healthy weight  Helps to control diabetes  Enhances self-image  Improves quality of life  Improves quality of sleep  Relieves stress and anxiety  Relieves depression

9. “Typical” Multidisciplinary Team The typical team of professionals in cardiac rehabilitation includes primary care physician or cardiologist, nursing staff, physical therapist, psychologist, cardiac rehabilitation coordinator, exercise physiologist, exercise specialist, social worker, nutritionist, and sometimes a smoking- cessation counselor (Katzenstein, 2007, p. 219). However, cardiac rehabilitation can benefit from occupational therapy (OT) services. Katzenstein, Larry. Living with Heart Disease. New York: Sterling, 2007. Print.

10. Promoting Occupational Therapy An OT would “evaluate a person’s physical and physiological health, determine what work, home, and leisure activities should be modified to reduce strain on the heart, adjust tasks and schedule to minimize stress and fatigue, recommend pacing strategies and adaptive equipment that may help a person to expend less energy and reduce strain on the heart, [and] teach coping strategies for people who have feelings of anxiety and depression because of heart problems (AOTA). "Living With Heart Problems." The American Occupational Therapy Association, Inc. 16 May

11. Cardiac Rehabilitation can make a difference. Shape your Future! Take Action!