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Cardiac Disease: Rehab Goals to Prevent Future Complications

Mr. Jones is day 2 on the telemetry unit where he had been admitted following flu symptoms with nausea and vomiting. He was seen by the physician this a.m....
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Information

Faculty:
Robin Gilbert
Duration:
Full Day
Format:
Audio and Video
Copyright:
Dec 06, 2016

Description

Mr. Jones is day 2 on the telemetry unit where he had been admitted following flu symptoms with nausea and vomiting. He was seen by the physician this a.m. and is scheduled for discharge when suddenly his monitor alarms from ventricular fibrillation. What happened? What did we miss?

There has been a paradigm shift in how we care for our cardiac population. In the past, we focused on episodic care. Care for the cardiac patient needs to incorporate the additional focus on the continuum of care. This conference will discuss the care of the cardiac patient from the acute event, initiation of secondary prevention therapies, cardiac rehab referrals, preventing re-admissions, and improving the quality of life for cardiac patients.

 

Handouts

Outline

Acute Heart Disease Diagnoses

  • Acute Coronary Syndrome
  • Acute Myocardial Infarction (STEMI and
  • Non-STEMI)
  • Angina
  • PTCA
  • CABG
  • Heart Transplant
  • Heart Failure
  • L VAD, Life Vest as Bridge or Destination
  • COPD
  • Diabetes

 

Cardiac Rehab Referrals

  • Who is eligible?
  • Educating in-patient nursing staff
  • Educating physicians
  • Computerized Medical Record use in triggering eligible patient populations
  • Patients who fall through the cracks

 

Lifestyle Challenges for Patients

  • Depression
  • Motivation
  • Compliance
  • Risk factors
  • Financial

 

Cardiac Rehab

  • Phases 1 - 4
  • Individualized treatment plans
  • Patient education
  • Monitoring quality outcomes
  • Evidence-based practice updates

 

Secondary Prevention Program

  • Becoming model for other programs
    • Hypertension
    • Obesity
    • Diabetes
    • Peripheral Vascular Disease

 

Effecting Change

  • Knowledge is not enough
  • Positive sense of self
  • Power of control
  • Readiness to change
  • Goals and independence
  • Feedback and celebrate success

 

Preparing for the Unexpected Event

  • Rapid response
  • Dysrhythmias
  • Syncope
  • Seizures
  • Cardiac arrest
  • Equipment, staffing

 

Insurance and Reimbursement

  • Medicare vs. private insurance
  • Number of sessions eligible
  • Billing and coding
  • Documentation

 

Preparing for Certification

  • When to start
  • Data collection
  • Role of Medical Director
  • Competencies

 

Heart Failure: Where are We at Incorporating Them into Rehab?

 

Use of Technology

  • Appointment reminders
  • Data reporting
  • Virtual technology for follow-up opportunities

 

Using Cardiac Rehab to Its Fullest

  • Partnering opportunities

Faculty

Cardiac Disease: Rehab Goals to Prevent Future Complications

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products: 18


Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:

Financial: Robin Gilbert has an employment relationship with Central Maine Medical Center and Rumford Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Robin Gilbert has no relevant non-financial relationship to disclose.