Main description:

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fifth Edition With Web Resource, covers the entire scope of practice for cardiac rehabilitation and secondary prevention (CR/SP) programs. This text was developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal guidelines for cardiac rehabilitation programs. It contains information on promoting positive lifestyle behavior patterns, reducing risk factors for disease progression, and lessening the impact of cardiovascular disease on quality of life, morbidity, and mortality.

The text has been updated and restructured, providing the most current models for designing and updating rehabilitation programs for patients and preventing second episodes. In addition to chapter revisions, there is new content on behavior modification, risk factors, and special populations. The chapter covering program administration has been completely rewritten to include new regulations and reimbursement standards as well as additional suggestions for new models for CR/SP. The most recent Core Competencies for Cardiac Rehabilitation and Secondary Prevention Professionals and the Core Components of Cardiac Rehabilitation/Secondary Prevention Programs have also been included in their entirety.

More than 50 leaders in the field of CR/SP, cardiovascular risk reduction, reimbursement, and public policy have contributed the latest tools and information, enabling cardiac rehabilitation professionals to successfully start new programs or update and enhance existing ones. Key features of the fifth edition include the following:

* A new web resource incorporates 24 questionnaires, charts, consent forms, protocols, records, checklists, and logs from the text that can be used when creating or assessing programs.

* Highlighted guidelines in each chapter cover current issues and provide hints and methods for implementing treatment programs and helping patients stay on track.

* Chapter objectives and summaries help readers quickly assess the topics covered and identify the most important points.

There is strong evidence that participation in outpatient cardiac rehabilitation and secondary prevention programs decreases mortality and recurrent morbidity after a cardiac event. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fifth Edition, offers procedures for providing patients with low-cost, high-quality programming, moving them toward personal responsibility for disease management and secondary prevention over a lifetime. This is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.

Contents:

Chapter 1. Cardiac Rehabilitation, Secondary Prevention Programs, and the Evolution of Health Care

Providing Optimal Care for All Patients

Cardiac Rehabilitation: Finding Its Place in the Evolving Health Care Arena

Cardiac Rehabilitation Programs as Secondary Prevention Centers

Summary

Chapter 2. The Continuum of Care: From Inpatient and Outpatient Cardiac Rehabilitation to Long-Term Secondary Prevention

Cardiovascular 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. Behavior Modification and Risk Factor Reduction: Guiding Principles and Practices

Overview of Patient Education and Health Behavior Change

Summary

Chapter 4. Nutrition Guidelines

Dietary Patterns

Obesity and Weight Control

Fat Versus Sugar Intake

Anti-Inflammatory Diet

Dietary Supplements

Relevant Guideline Updates

Summary

Chapter 5. Cardiac Rehabilitation in the Inpatient and Transitional Settings

Assessment, Mobilization, and Risk-Factor Management

Discharge Planning

Clinical Pathways

Staffing

Space and Equipment

Transitional Programming

Summary

Chapter 6. Medical Evaluation and Exercise Testing

Physical Examination

Risk Stratification and Identification of Contraindications for Exercise Training

Summary

Chapter 7. Outpatient Cardiovascular Rehabilitation and Secondary Prevention

Structure of Secondary Prevention

Coaching and Case Management

Assessment and Management of Risk Factors for Disease Progression

Innovation in CR/SP

Maintenance CR/SP

Implementation of Secondary Prevention

Summary

Chapter 8. Modifiable Cardiovascular Disease Risk Factors

Tobacco Use

Abnormal Lipids

Hypertension

Physical Inactivity

Diabetes

Psychosocial Considerations

Overweight and Obesity

Emerging Risk Factors

Summary

Chapter 9. Special Populations

Older and Younger Adults

Women

Racial and Cultural Diversity

Revascularization and Valve Surgery

Dysrhythmias

Heart Failure and Left Ventricular Assist Devices

Cardiac Transplantation

Peripheral Arterial Disease

Chronic Lung Disease

Summary

Chapter 10. Program Administration

Program Priorities

Facilities and Equipment

Organizational Policies and Procedures

Insurance and Reimbursement

Documentation

Personnel

Continuum of Care and Services

Summary

Chapter 11. Outcomes

Outcome Matrix

Outcomes In Contrast To Performance Measures

Resources

Summary

Chapter 12. Management of Medical Problems and Emergencies

Potential Risks in Outpatient CR/SP

Intervention Summary

Nontraditional Programs

Summary