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Cardiac rehabilitation – Past to Present

Cardiac Rehabilitation and Outpatients Department, Harefield Hospital, Harefield, UK; Buckinghamshire Chiltern University College, Buckinghamshire, UK

Heather Probert

Cardiac Rehabilitation Department, Harefield Hospital, Harefield, UK

Caroline Shuldham

Royal Brompton and Harefield NHS Trust, Harefield, UK; Imperial College, London, UK

Abstract

Cardiac rehabilitation and secondary prevention can promote recovery, reduce coronary events and improve quality of life in many people with heart disease. Traditionally provided for people with coronary heart disease, there is scope to have provision for a range of people, both young and old, and including those with heart failure, valve disease or with an internal cardiac defibrillator. At its best, cardiac rehabilitation spans the whole pathway of care, beginning before admission to hospital and continuing long after, with ongoing management of lifestyle changes. Guidelines are available based on best evidence, and programmes focus on the whole person and address physical, psychological and social well-being. They incorporate health education, risk factor modification, social support and exercise. Programmes can be run in the community, home or hospital. To ensure effective cardiac rehabilitation for each patient, members of the multi-disciplinary team are challenged to work together to meet the individual needs of patients and their family. The standard of care should be monitored through audit so that improvements can be made.

Key Words: cardiac rehabilitation • coronary heart disease • exercise programme • health promotion • patient education • psychosocial support • risk modification

Journal of Research in Nursing, Vol. 14, No. 3, 223-240 (2009)
DOI: 10.1177/1744987109105829


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