Hi, need to submit a 2000 words essay on the topic Health and Fitness Intervention for a Cardiac Patient.
However, during recent decades, it has been found out that complete bed rest for people with cardiac disease results to a higher mortality rate. In addition, current researches have proven that exercise is a vital part in the rehabilitation program of a cardiac patient. Though there are some patients who develop adverse effects as a result of exercise, the results of the research done by Janosi, Hoffman and Hankoczy “suggest that individualized exercise training sessions are neither proarrhythmic or antiarrhythmic after myocardial infarction” (1987). Therefore, it is the aim of this paper to be able to design a comprehensive cardiac rehabilitation program through an appropriate exercise training based on the needs and physical limitations of the patient. This paper will also explain the rationale and provide succinct justifications for the exercises prescribed to the patient. Similar to a case study, this paper will be based on a particular patient. Below is the patient’s profile:
Mrs. Abby Corwald is a 56-year-old patient referred for a 6-week health and exercise program. Abby complains of being unable to perform sustained activities for a prolonged period of time (approximately 45 minutes to an hour) such as walking or cleaning the house. Abby also complaints of being easily fatigued and of “feeling a bit sluggish”. Past medical history shows Abby had a mild heart attack 5 weeks ago and was rushed to the nearby hospital. She complained of having squeezing chest pain and difficulty in breathing and was immediately rushed to the hospital. She was given prompt medical treatment and was sent home after an overnight observation. Abby is married, living with her husband and three kids aged 13, 15 and 17 at a 2-storey apartment in the city. She is a stay-home mum and runs an online clothing business. She is overweight, with a weight of 75 kilos for her 170cm frame (BMI=26). Other co-morbidities include hypercholesterolemia and diabetes mellitus (blood sugar controlled with medications). Abby has a strong family history on her maternal side of diabetes mellitus, with her grandmother death’s due to complications of the said disease. Since turning 50, she has maintained a sedentary lifestyle and spent most of her time surfing the Internet due to the nature of her business. However, she used to be active in dance lessons (foxtrot) 2x a week in her 30’s and 40’s and was a swimmer in her collage days. Her diet consists mainly of starchy and fried foods, with take-outs from fast food restaurants at least once a week. She has been smoking since the age of 25, consuming at least 3-5 sticks per day and is a social drinker. When asked of her expectations after the 6-week program, she said she wants to be able to walk for prolonged periods of time and be able to take “foxtrot the dance floor again”.
The rehabilitation program following MI is the classic model for cardiac rehabilitation. It can be divided into four phases: 1. acute in-hospital phase beginning in the cardiac care unit (CCU). 2. the convalescent phase continuing the program at home until a strong scar has formed on the damaged myocardium. 3. the training phase using aerobic conditioning to increase the patient’s physical work capacity. and 4. the maintenance phase, where the gains achieved by training are sustained by regular exercise (Braddom, 2000). Abby can be classified in phase 3 or the training phase
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