Case Study Cardiac Rehabilitation

Case study number 2 presents an approach on how to deal with a patient that has thoughts about cardiac rehabilitation. Dr. Nelson’s patient, Ms. Smith was admitted to the hospital due to left shoulder pain, vague, and dyspnea. These symptoms, were later showed on her blood test results that she was experiencing an acute myocardial infarction. She later, was taken to the cardiac catheterization laboratory, so she could undergo an urgent percutaneous transluminal coronary angioplasty, with two stents inserted also. Moreover, after the surgery, gave an ideal to Ms. Smith; to ask Dr. Nelson about the cardiac rehabilitation. Dr. Nelson was then questioning himself about the cardiac rehabilitation. These questions were, would Ms. Smith be at risk …show more content…
Smith. Therefore, Dr. Nelson can develop an informed opinion about cardiac rehabilitation so he can answer Ms. Smith questions.
Ms. Smith is an elderly woman, who didn’t have no history of heart disease prior to the myocardial infarction. Thus, a red flag was alerted, due to some risk factors, for atherosclerotic heart disease that she might have. These were: a 22 year-old history of essential hypertension intermittently controlled with medication, a 4 year history of type 2 diabetes mellitus controlled with a biguanide, class I obesity with a body mass index of 33.9 kg/m2, and being physically inactive. Also, Ms. Smith primary health is Medicare, and she also has a secondary health insurance policy from her former employer that she plans to maintain after her retirement. This created several issues that are important for a patient with heart disease and are recovering from myocardial infarction. In order to provide a recommendation from Dr. Nelson, regarding a referral of Ms. Smith cardiac rehabilitation. To demonstrate contemporary cardiac rehabilitation, the services are comprehensive, long term programs involving medical evaluation, prescribed exercise, cardiac risk factor modification, …show more content…
Nelson implemented different potential benefits that were also interested to his studies. Despite, Ms. Smith being elderly, African American woman. Dr. Nelson discovered that, similar areas of cardiovascular health disparities, elderly, minorities, and women are often underserved when it comes to cardiac rehabilitation. Although, the benefits of cardiac rehabilitation for patients are participated through elderly people. This created a 5- year cumulative mortality rate in elderly people who don’t use cardiac rehabilitation. Moreover this increase was also, a rise in functional capacity and improvement, for the performance of activities of daily living elderly patients. Because the studies were heading different ways, Dr. Nelson learned more about providing a quality program. This opened up a scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and the American Heart Association (AHA) were concerned about the core components for a comprehensive cardiac rehabilitation program. These core programmatic components include a patient assessment, recommended interventions, and expected outcomes in the several clinical area. Furthermore, Dr. Nelson believed that Ms. Smith attending this program could be an effective way to assist him in addressing her risk factors. Similar to the discussion that Dr. Nelson had with the program director, he also learned a performance measure, based on that into two sets called, set A and set