Term
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Definition
inpatient rehab (5 to 14 days)
focus on:
1. patient ed re: disease process and recovery
* increase knowledge of energy conservation and work simplification principles and techniques
* increase knowledge of approximate metabolic cost of activities (METs)
2. improve ability to carry out self-care and low level fxal activities
3. decrease anxiety
4. support smoking cessation and dietary modification efforts if warranted
5. discharge to home |
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Term
| Phase 1: evaluation and intervention |
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Definition
inpatient rehab (5 to 14 days)
initiated at bedside with monitored, functional assessment of self-care and mobility
if pain free, exhibits no arrhythmia and has regular pulse of 100 or less = ax program initiated
intense monitoring during axs
beginning activities at MET Level - 1 to 2
1. bed mobility, static standing
2. transfer from bed to chair/bedside commode
3. bed bath, feeding, grooming at sink in sitting
4. AROM/warm-up exercises
5. wheelchair mobility/ambulation in room |
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Term
| Phase 1: breathing exercises |
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Definition
abdominal diaphragmatic breathing:
strengthens diaphragm, decreases need to use neck and shoulder muscles, decreases energy required for activity
pursed lip breathing: controls respiratory rate; decreases rate of breathing, helps remove trapped air from lungs
techniques are done during all exercises and axs |
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Term
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Definition
outpatient rehab (varies, usually 6 mo)
edu patient on importance of continued exercise
build up activity tolerance
improve ability to perform work activities
improve ability to carry out IADLs and community tasks
support person's efforts in smoking cessation and lifestyle changes as warranted |
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Term
| Phase 2: evaluation and intervention |
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Definition
outpatient (varies, typically 6 months)
begin with 4 to 5 MET axs gradually increasing up to 7 MET axs
home evaluation
consumer and family education
graded exercise program with slow and gradual increase of weight
practice of functional activities in discharge environment
use of energy conservation techniques and compensatory strategies in daily tasks
community activities
work site evaluation if applicable |
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