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Guidelines for Cardiac Rehabilitation Programs 6th Edition With Web Resource
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Guidelines for Cardiac Rehabilitation Programs, Sixth Edition With Web Resource, presents the combined expertise of more than 50 leaders in the field of cardiac rehabilitation (CR), reimbursement, and public policy to empower professionals to successfully implement new CR programs or improve existing ones. Developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), this guidebook offers procedures for providing patients with low-cost, high-quality programming that moves them toward a lifelong commitment to disease management and secondary prevention.
Cardiovascular disease (CVD) is the principal cause of death worldwide. It is projected that by 2035, more than 130 million adults in the United States will have CVD. The challenge to CR professionals is to select, develop, and deliver appropriate rehabilitative and secondary prevention services to each patient tailored to their individual needs. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.
The sixth edition of Guidelines for Cardiac Rehabilitation Programs equips professionals with current scientific and evidence-based models for designing and updating rehabilitation programs. Pedagogical aides such as chapter objectives, bottom line sections, summaries, and sidebars present technical information in an easy-to-follow format. Key features of the sixth edition include the following:
Note: The web resource is included with all new print books and some ebooks. For ebook formats that don’t provide access, the web resource is available separately.
Cardiovascular disease (CVD) is the principal cause of death worldwide. It is projected that by 2035, more than 130 million adults in the United States will have CVD. The challenge to CR professionals is to select, develop, and deliver appropriate rehabilitative and secondary prevention services to each patient tailored to their individual needs. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.
The sixth edition of Guidelines for Cardiac Rehabilitation Programs equips professionals with current scientific and evidence-based models for designing and updating rehabilitation programs. Pedagogical aides such as chapter objectives, bottom line sections, summaries, and sidebars present technical information in an easy-to-follow format. Key features of the sixth edition include the following:
- A new chapter on physical activity and exercise that helps readers understand how to develop and implement exercise programs to CVD patients
- A new chapter on cardiac disease populations that offers readers a deeper understanding of CVD populations, including those with heart valve replacement or repair surgery, left ventricular assist devices, heart transplant, dysrhythmias, and/or peripheral artery disease
- Case studies and discussion questions that challenge readers to consider how concepts from the text apply to real-life scenarios
- An expanded web resource that includes ready-to-use forms, charts, checklists, and logs that are practical for daily use, as well as additional case studies and review questions
Note: The web resource is included with all new print books and some ebooks. For ebook formats that don’t provide access, the web resource is available separately.
Audience
Reference for cardiac rehabilitation specialists, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) members, exercise physiologists, physical therapists, cardiologists, physicians, nurses, cardiac rehabilitation educators and students, clinical program directors, health care agencies, and insurers.
Chapter 1. Cardiac Rehabilitation: An Evolving Model of Care in the Era of Healthcare Reform
Ana Mola, PhD, ANP-BC
CR and Population Health Management
CR and Value-Based Care
CR and Care Coordination
Summary
Chapter 2. The Continuum of Care: From Inpatient and Outpatient CR to Long-Term Secondary Prevention
Cathie Biga, MSN, FACC
CVD Continuum of Care
Efforts to Reduce Gaps in the Continuum of Care
The Role of CR in the Continuum of Care
Putting It All Together
Summary
Chapter 3. CR in Inpatient and Transitional Settings
Mary Dolansky, PhD, RN, FAAN; Ana Mola, PhD, ANP-BC
Assessment, Mobilization, and Risk Factor Management
Discharge Planning
Clinical Pathways
Staffing
Space and Equipment
Transitional Settings
Summary
Chapter 4. Medical Evaluation and Exercise Testing for Outpatient CR
Sherrie Khadanga, MD
Physical Examination
Risk Stratification and Identification of Contraindications for Exercise Training
Summary
Chapter 5. Outpatient CR and SP
Philip A. Ades, MD, FACC, MAACVPR
Structure of CR and SP
Assessment and Management of Risk Factors for CVD Progression
Coaching, Case Management, and Counseling
Innovation in CR
Maintenance CR
Future Directions
Summary
Chapter 6. Physical Activity and Exercise
Jonathan Myers, PhD
Cardiorespiratory Endurance Training
Exercise Recommendations for Patients Without a Recent Exercise Test
PA Outside of CR
Resistance Training
Flexibility Training
Summary
Chapter 7. Nutrition Guidelines
Ellen Schaaf Aberegg, MA, LD, RD, FAACVPR
Key Nutrition Principles
Diet Patterns of Nutrition Intake
Evidence-Based Nutrition Guidelines for CVD Risk Factors
Nutrition in the CR Care Process
Dietitian–CR Professional Partnership
Summary
Chapter 8. Behavior Modification for Risk Factor Reduction: Guiding Principles and Practice
Diann Galeema, PhD
Overview of Health-Related Behavior Change
Summary
Chapter 9. Modifiable CVD Risk Factors
Sheri R. Colberg, PhD, FACSM; Emma Fletcher, MS, MVB; Carly Goldstein, PhD; Paul M. Gordon, PhD, MPH, FACSM; Joel Hughes, PhD, FAACVPR; Jonathan Myers, PhD; Quinn R. Pack, MD, MsC, FAACVPR; Killian Robinson, MD, FAHA, FACC, FACP
Physical Inactivity
Dyslipidemia
Diabetes
Tobacco Use
Hypertension
Overweight and Obesity
Psychosocial Considerations
Environmental Considerations
Summary
Chapter 10. Cardiac Disease Populations
Alison L. Bailey, MD, FACC; Alexis L. Beatty, MD, MAS; Brian Carlin, MD, FCCP, MAACVPR, FAARC; Dennis J. Kerrigan, PhD, FACSM; Steven J. Keteyian, PhD; Kirstine Laerum Sibilitz, MD, PhD; Karen Lui, RN, MS, MAACVPR; Ryan Mays, PhD, MPH; Jonathan Powell, MD; Ray W. Squires, PhD; Diane J. Treat-Jacobson, PhD, RN, FAAN
CR for Patients With CVD
Heart Valve Replacement and Repair Surgery
Dysrhythmias
Heart Failure and Left Ventricular Assist Devices
Heart Transplantation
Peripheral Artery Disease
Chronic Lung Disease
Summary
Chapter 11. Special Demographic Populations
Justin M. Bachmann, MD, MPH, FACC; Daniel Forman, MD; Naomi Gauthier, MD; Alexander Opotowsky, MD, MPH, MMsc; Marta Supervia MD, MSc, CCRP; Carmen Terzic, MD, PhD
Younger Adults
Older Adults
Women and Men
Race and Culture
Socioeconomic Considerations
Summary
Chapter 12. Program Administration
Karen Lui, RN, MS, MAACVPR
Program Priorities
Facilities and Equipment
Organizational Policies and Procedures
Insurance and Reimbursement
Documentation
Personnel
Continuum of Care and Services
Summary
Chapter 13. Outcomes Assessment and Utilization
Sherry L. Grace, PhD, FCCS, FAACVPR, CRFC
Purposes for Measuring Outcomes
Outcomes Matrix
Measuring, Documenting, Analyzing, and Reporting Program Outcomes
Resources
Summary
Chapter 14. Management of Medical Problems and Emergencies
Jason L. Rengo, MS, FAACVPR
Potential Risks in Outpatient CR
Intervention Summary
Phase 3 CR Programs
Alternative Models of SP
Summary
Appendix A. Example of Standing Orders to Initiate Outpatient CR
Appendix B. Example of Outpatient CR Emergency Standing Orders
Appendix C. Cardiac Rehabilitation Untoward Event—Physician Notification
Appendix D. Daily Emergency Cart Checklist
Appendix E. Monthly Emergency Cart Checklist
Appendix F. Emergency Equipment Maintenance Log
Ana Mola, PhD, ANP-BC
CR and Population Health Management
CR and Value-Based Care
CR and Care Coordination
Summary
Chapter 2. The Continuum of Care: From Inpatient and Outpatient CR to Long-Term Secondary Prevention
Cathie Biga, MSN, FACC
CVD Continuum of Care
Efforts to Reduce Gaps in the Continuum of Care
The Role of CR in the Continuum of Care
Putting It All Together
Summary
Chapter 3. CR in Inpatient and Transitional Settings
Mary Dolansky, PhD, RN, FAAN; Ana Mola, PhD, ANP-BC
Assessment, Mobilization, and Risk Factor Management
Discharge Planning
Clinical Pathways
Staffing
Space and Equipment
Transitional Settings
Summary
Chapter 4. Medical Evaluation and Exercise Testing for Outpatient CR
Sherrie Khadanga, MD
Physical Examination
Risk Stratification and Identification of Contraindications for Exercise Training
Summary
Chapter 5. Outpatient CR and SP
Philip A. Ades, MD, FACC, MAACVPR
Structure of CR and SP
Assessment and Management of Risk Factors for CVD Progression
Coaching, Case Management, and Counseling
Innovation in CR
Maintenance CR
Future Directions
Summary
Chapter 6. Physical Activity and Exercise
Jonathan Myers, PhD
Cardiorespiratory Endurance Training
Exercise Recommendations for Patients Without a Recent Exercise Test
PA Outside of CR
Resistance Training
Flexibility Training
Summary
Chapter 7. Nutrition Guidelines
Ellen Schaaf Aberegg, MA, LD, RD, FAACVPR
Key Nutrition Principles
Diet Patterns of Nutrition Intake
Evidence-Based Nutrition Guidelines for CVD Risk Factors
Nutrition in the CR Care Process
Dietitian–CR Professional Partnership
Summary
Chapter 8. Behavior Modification for Risk Factor Reduction: Guiding Principles and Practice
Diann Galeema, PhD
Overview of Health-Related Behavior Change
Summary
Chapter 9. Modifiable CVD Risk Factors
Sheri R. Colberg, PhD, FACSM; Emma Fletcher, MS, MVB; Carly Goldstein, PhD; Paul M. Gordon, PhD, MPH, FACSM; Joel Hughes, PhD, FAACVPR; Jonathan Myers, PhD; Quinn R. Pack, MD, MsC, FAACVPR; Killian Robinson, MD, FAHA, FACC, FACP
Physical Inactivity
Dyslipidemia
Diabetes
Tobacco Use
Hypertension
Overweight and Obesity
Psychosocial Considerations
Environmental Considerations
Summary
Chapter 10. Cardiac Disease Populations
Alison L. Bailey, MD, FACC; Alexis L. Beatty, MD, MAS; Brian Carlin, MD, FCCP, MAACVPR, FAARC; Dennis J. Kerrigan, PhD, FACSM; Steven J. Keteyian, PhD; Kirstine Laerum Sibilitz, MD, PhD; Karen Lui, RN, MS, MAACVPR; Ryan Mays, PhD, MPH; Jonathan Powell, MD; Ray W. Squires, PhD; Diane J. Treat-Jacobson, PhD, RN, FAAN
CR for Patients With CVD
Heart Valve Replacement and Repair Surgery
Dysrhythmias
Heart Failure and Left Ventricular Assist Devices
Heart Transplantation
Peripheral Artery Disease
Chronic Lung Disease
Summary
Chapter 11. Special Demographic Populations
Justin M. Bachmann, MD, MPH, FACC; Daniel Forman, MD; Naomi Gauthier, MD; Alexander Opotowsky, MD, MPH, MMsc; Marta Supervia MD, MSc, CCRP; Carmen Terzic, MD, PhD
Younger Adults
Older Adults
Women and Men
Race and Culture
Socioeconomic Considerations
Summary
Chapter 12. Program Administration
Karen Lui, RN, MS, MAACVPR
Program Priorities
Facilities and Equipment
Organizational Policies and Procedures
Insurance and Reimbursement
Documentation
Personnel
Continuum of Care and Services
Summary
Chapter 13. Outcomes Assessment and Utilization
Sherry L. Grace, PhD, FCCS, FAACVPR, CRFC
Purposes for Measuring Outcomes
Outcomes Matrix
Measuring, Documenting, Analyzing, and Reporting Program Outcomes
Resources
Summary
Chapter 14. Management of Medical Problems and Emergencies
Jason L. Rengo, MS, FAACVPR
Potential Risks in Outpatient CR
Intervention Summary
Phase 3 CR Programs
Alternative Models of SP
Summary
Appendix A. Example of Standing Orders to Initiate Outpatient CR
Appendix B. Example of Outpatient CR Emergency Standing Orders
Appendix C. Cardiac Rehabilitation Untoward Event—Physician Notification
Appendix D. Daily Emergency Cart Checklist
Appendix E. Monthly Emergency Cart Checklist
Appendix F. Emergency Equipment Maintenance Log
Founded in 1985, the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) is a multidisciplinary professional association comprised of health professionals who serve in the field of cardiac and pulmonary rehabilitation. AACVPR is dedicated to improving the quality of life for patients and their families by reducing morbidity, mortality, and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research, and disease management. AACVPR provides educational, networking, and professional development opportunities, such as live webcasts and online modules, an annual conference and affiliate meetings, professional and program certifications, outpatient data registries, legislative advocacy, leadership opportunities, and more. AACVPR membership is comprised of cardiovascular and pulmonary physicians, nurses, clinical exercise physiologists, physical therapists, behavioral scientists, respiratory therapists, dieticians, and nutritionists.
"Readers of this book will obtain up-to-date, evidence-based information to help them provide quality care to their patients."
© Doody’s Review Service, 2020, Saroj Khadka, MD, East Tennessee State University Quillen College of Medicine (4-star review)
© Doody’s Review Service, 2020, Saroj Khadka, MD, East Tennessee State University Quillen College of Medicine (4-star review)
Considerations for the prescription of exercise and physical activity
Example of standing orders to initiate outpatient cardiac rehabilitation
What are cardiac dysrhythmias?
Example of standing orders to initiate outpatient cardiac rehabilitation
What are cardiac dysrhythmias?
All ancillaries are free to course adopters and available online.
Web resource. Includes reproducible questionnaires, charts, consent forms, protocols, records, checklists, and logs that can be used to create or assess programs, which are also found in the book. The web resource will also serve as a location for AACVPR to post biannual updates to book content when necessary, thereby keeping the guidelines up to date between editions of the text.
Web resource. Includes reproducible questionnaires, charts, consent forms, protocols, records, checklists, and logs that can be used to create or assess programs, which are also found in the book. The web resource will also serve as a location for AACVPR to post biannual updates to book content when necessary, thereby keeping the guidelines up to date between editions of the text.
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