Cardiac Disease: Rehab Goals to Prevent Future Complications

Credit

Speaker

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

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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 experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and currently as the regional manager for staff development at Central Main Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph’s College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, and is a reviewer for the ANCC’s Pathway to Excellence.

 

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Emergency Nurses Association.

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Target Audience

Objectives

1. Determine the preferred treatment options based on acute heart disease pathophysiology.
2. Investigate the diagnostic progression that could meet eligibility criteria for cardiac rehabilitation referral.
3. Explore successful strategies for the most common lifestyle challenges that patients with acute cardiac disease may be experiencing.
4. Analyze the effectiveness of secondary prevention programs.
5. Evaluate gaps between in-patient and out-patient cardiac rehabilitation referrals.
6. Separate LVAD, Life Vest and bridge therapies.
7. Anticipate the next unexpected event when caring for heart disease patients.
8. Assess opportunities to incorporate virtual technology use in patient monitoring and follow up.

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