Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs

Keeping pace with rapid changes in the field, the fourth edition of Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs has been completely revised, including a new chapter on nutrition and plant-based diets as a treatment option in cardiac rehabilitation. This definitive book provides the most current models for designing and updating rehabilitation programs for patients and preventing a second episode. You’ll find the latest information on changes in lifestyle behaviors and reduction of risk factors for disease progression and necessary information for softening the impact of cardiovascular disease on quality of life, morbidity, and mortality.

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fourth Edition, addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention. There’s a new model for managing the disease through education, risk factor intervention, exercise, and symptom recognition, plus a management model that covers related chronic diseases including diabetes, asthma, osteoporosis, and cancer.

Special features of the text include the following:
• Chapter objectives to help readers quickly assess the topics covered and identify the most important points
• Boxed guidelines in each chapter covering current issues and providing hints and methods to implement treatment programs and help patients stay on track
• 24 appendixes with questionnaires, charts, consent forms, protocols, records, checklists, and logs you can use when creating or assessing programs

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fourth Edition, was developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal guidelines for cardiac rehabilitation programs. This book is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.

Table of Contents
Contributors
Preface

Chapter 1 The Integration of Cardiac Rehabilitation and Secondary Prevention
National Perspective
Global Perspective
Challenges and Opportunities
Summary

Chapter 2 The Cardiac Rehabilitation Continuum of Care
Contemporary Cardiac Rehabilitation: Secondary Prevention
The Future of Cardiac Rehabilitation and Secondary Prevention
Summary

Chapter 3 Emergence of Nutrition and Plant-Based Diets in the Treatment and Prevention of Cardiovascular Disease
Plant-Based Diets and Phytochemicals
Epidemiological Evidence for Benefits of Plant-Based Diets
Clinical Trial Evidence for Benefits of Plant-Based Diets
Paradigm Shift: From Avoidance to Inclusion
Dietary Supplements and Herbal Medicines
Soy-Derived Isoflavone Phytoestrogens
Practical Suggestions
Summary

Chapter 4 Cardiac Rehabilitation in the Inpatient and Transitional Settings
Early Assessment, Mobilization, and Risk-Factor Management
Discharge Planning
Implementation Strategies
Clinical Pathways
Staffing
Space and Equipment
Transitional Programming
Home Care
Summary

Chapter 5 Outpatient Cardiac Rehabilitation and Secondary Prevention
Structure of Secondary Prevention
Assessment of Risk Factors for Disease Progression
Stratification of Risk for Events During Exercise
Medical Supervision and Electrocardiogram Monitoring of Patients During Exercise
Implementation of Secondary Prevention
Summary

Chapter 6 Medical Evaluation and Exercise Testing
Physical Examination
Risk Stratification and Identification of Contraindications for Exercise Training
Exercise Testing
Alternative Opportunities for Evaluating Physical Activity Status
Summary

Chapter 7 Education and Behavior Modification for Risk-Factor Management
Basic Counseling Skills
Principles of Adult Learning
Principles of Behavior Modification
Social Learning Theory
Readiness-for-Change Theory
Inpatient Interventions
Outpatient Interventions
Selecting and Developing Educational Materials
Summary

Chapter 8 Modifiable Cardiovascular Disease Risk Factors
Smoking
Abnormal Lipids
Hypertension
Physical Inactivity
Psychosocial Concerns
Obesity
Emerging Risk Factors
Summary

Chapter 9 Special Considerations
Older Patients
Young Adults
Women
Racial and Cultural Diversity
Revascularization and Valve Surgery
Ventricular Arrhythmias, Pacemakers, and ICDs
Heart Failure
Patients With Left Ventricular Assist Devices
Cardiac Transplantation
Diabetes
Pulmonary Disease
Peripheral Arterial Disease
Summary

Chapter 10 Administration Considerations
Administrative Structure
Outcome Assessment
Information Management
Insurance and Reimbursement
Human Resources
Continuum of Care and Services
Summary

Chapter 11 Management of Medical Problems and Emergencies
Potential Risks in Outpatient Cardiac Rehabilitation
Advance Directives
Patient Assessment and Screening
Documentation of Emergencies
Emergency Equipment
Staff Training and Site Preparation
Transtelephonic ECG Monitoring
Home Health
Community Site Programming
Summary

Appendixes
References
Index
About the AACVPR
Audiences
Reference for cardiac rehabilitation specialists, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) members, cardiac care specialists, exercise physiologists, cardiologists, physicians, educators, clinicians, cardiac rehabilitation students, clinical program directors, health care agencies, and insurers.