Cardiopulmonary Therapy for the Rehab Professional: Therapeutic Interventions for All Aspects of Cardiac Care – From ICU to Outpatient – Cindy Bauer

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Thousands of Americans suffer from cardiopulmonary related diagnoses which account for the majority of hospitalizations throughout the U.S. This comprehensive recording will offer valuable, cutting edge clinical information and explore the latest evidence-based interventions to improve functional mobility, strength, independence, and achieve desired outcomes in regards to the cardiopulmonary patient.

Designed for all practice levels, this interactive course will provide you with an updated knowledge base for making appropriate decisions within the cardiac ICU and acute care environments, implement assessment and treatment tools, integrate existing treatment plans with progression into the plan of care, and adjust or accommodate treatment interventions across the hospital stay through transition to discharge.

This is a must-see for anyone in healthcare who works with cardiopulmonary patients in any practice setting!

1. Describe the anatomical and physiological structures of the cardiopulmonary system, and the impact pathology and disease course have on mobility, function and independence.
2. Compare a variety of cardiopulmonary diagnoses and the impact the diagnosis has on patient function, activity tolerance and independence.
3. State the critical elements of analysis and assessment in assessing and performing early mobilization with medically fragile cardiopulmonary patients.
4. Design a comprehensive treatment plan based on thorough patient assessment for patients who present with various cardiopulmonary diagnoses.
5. Identify and explain the types and parameters of cardiac precautions associated with post-surgical cardiac intervention.
6. Demonstrate an understanding of at least two outcome tools available for assessment of the cardiopulmonary patient.
7. Explain the relationship METs have regarding activity, ADL performance and exercise prescription and the role METs play in the determination of therapeutic intervention.
8. Distinguish between the types of common ventilator settings and the correlation between each setting and the patient’s status.

ANATOMY/PHYSIOLOGY & EPIDEMIOLOGY OF CARDIOPULMONARY DISEASE

• Fundamentals of cardiopulmonary anatomy and physiology
• Impact of pathology and disease
• Current trends, incidence rates and hospital readmissions
• Gender differences in cardiac disease
• Benefits of exercise/activity vs. a sedentary lifestyle

CLINICAL ASSESSMENT OF THE CARDIOPULMONARY PATIENT

• Assessment of the ICU, acute care, medically complex & post-surgical physical patient
• Objective tests -Borg, functional measures, walk tests, etc
• Development of the treatment plan and OT & PT goal development

CARDIOVASCULAR PATHOLOGY AND ITS IMPACT ON REHABILITATION

• Diagnoses- MI, Valvular Disease, Arrythmias, Chest Trauma, Chronic HTN, CHF, Substance Abuse
• Impact of diagnoses on functional mobility and independence
• Diagnostics and Therapeutic Testing/ Assessment
  • TEE
  • Cardiac Cath
  • EKG
• Pharmacology considerations Intervention & Treatment
  • Following LVA
  • Pacemakers/AICDs
  • Wound Vacs
• Coronary Artery Bypass Options safe and successful transfers

PULMONARY PATHOLOGY AND ITS IMPACT ON REHABILITATION

• Diagnoses- COPD, Pulmonary Edema, Respiratory Failure, Pneumothorax, Pleural Effusions, Emphysema
• Pulmonary Outlook – Impact of smoking cessation, increase in vaping trends
• Impact of diagnoses on functional mobility and independence
• Diagnostics and Therapeutic Testing/ Assessment
  • 6 Minute Walk Test
  • ABGs PFTs
  • YMCA 3 Minute Test
  • Pharmacology considerations
• Intervention & Treatment
  • Following LVRS
  • Ventilator Placement
  • Chest Tubes
  • Supplementary O2 devices
    • Ventilator
    • CPAP
    • BiPAP
    • Venturi Mask

LABS AND THEIR IMPACT ON THE PATIENT

• Cardiac Labs
  • Potassium
  • Hemoglobin
  • Sodium
  • Prothrombin Time
  • Anticoagulants
  • Glucose & more

OUTCOME EXPECTATIONS, GOAL CONSIDERATIONS

• Short term vs. long term goal implementation
• When to bring the PT/OTR back for reassessment
• How determine appropriate goal development for the future

DISCHARGE PLANNING & CONTINUED INTERVENTION

• Discharge planning- Home vs intensive rehabilitation, skilled nursing, etc
• Home exercise programs, energy conservation techniques, work simplification

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