Exercise Prescription for the Cardiac Rehab Patient

#1 - Basic Principles of Exercise Prescription

I. Review basic Exercise Physiology.

A. Energy Systems.
B. Definition of aerobic and anaerobic exercise.
C. Normal responses to exercise.
D. Maximal oxygen consumption.
E. Definition of MET and how to calculate it.

II. Review general guidelines for exercise prescription.

A. Frequency
B. Intensity
C. Time
D. Type

Behavioral/Learning Objectives:

1. Explain the basic concepts of Exercise Physiology.
2. Describe what a MET is and how it is calculated.
3. Identify the basic principles of exercise prescription.

#2 - Exercise Prescription for Patients with Non Surgical Diagnoses: Angina, Myocardial Infarction, and Percutaneous Intervention

I. Review pathophysiology of coronary artery disease (CAD).

A. Discuss how plaque is formed.

II. Definition of angina

A. The signs and symptoms of angina.

III. Define myocardial infarction (MI)

A. The signs and symptoms of MI.

IV. Desribe percutaneous interventions (PCI’s)

A. Examples of balloon angioplasty and stents.

V. Exercise prescription for angina patients.
VI. Exercise prescription for MI patients.
VII. Exercise prescription for PCI patients.

Behavioral/Learning Objectives:

1. Describe the pathophysiology of Coronary Artery Disease (CAD).
2. Explain the definition of angina, myocardial infarction (MI), and percutaneous intervention (PCI).
3. Describe the exercise prescription for patients with angina, MI, and PCI.

#3 - Exercise Prescription for Patient’s with Surgical Intervention: Coronary Artery Bypass Graft (CABG), Valve Replacement, Pacemakers and Implantable Cardioverter Defibrillators (ICD’s)

I. Description of the CABG procedure.
II. The principles of exercise prescription for the CABG patient.

A. Appropriate time to begin resistance training.
B. Appropriate time to begin arm exercise.

III. Review pathophysiology of valvular disease.
IV. Normal responses to exercise for valve patient.
V. Exercise prescription for valve patient.
VI. Definition of pacemakers and ICD.
VII. Considerations for patients with fixed rate pacemakers.
VIII. Considerations for patients with rate responsive pacemakers.
IX. Considerations for patients with ICD’s.

Behavioral/Learning Objectives:

1. Explain the definition of CABG.
2. Identify the principles of exercise prescription for the CABG patient.
3. Describe the pathophysiology of valvular disease.
4. Identify the principle of exercise prescription for the Valve patient.
5. Explain difference between pacemaker and ICD.
6. Identify special considerations for pacemaker and ICD patients.

#4 - Exercise Prescription for Patient’s with Congestive Heart Failure to Heart Transplant

I. Review pathophysiology of CHF.
II. Precautions for CHF patient.
III. Exercise prescription for the CHF patient.
IV. Case study CHF patient.
V. Define LVAD.
VI. Exercise prescription for LVAD patient.
VII. Review heart transplant procedure.
VIII. Exercise prescription for heart transplant patient.
IX. Special considerations for heart transplant patient.

Behavioral/Learning Objectives:

1. Describe the definition and pathophysiology of Congestive Heart Failure (CHF).
2. Explain the exercise prescription for the CHF patient.
3. Identify the exercise prescription for the left ventricular assistive device (LVAD) patient.
4. Describe the components of an exercise prescription for a heart transplant patient.

#5 - Exercise Prescription for Patient’s with Special Populations: Peripheral Artery Disease and Diabetes

I. Review pathophysiology of PAD.
II. Exercise prescription for the PAD patient.
III. Review pathophysiology of Diabetes.
IV. Precautions of exercising the diabetic patient.

A. Regular monitoring of blood glucose.
B. Timing of exercise in relation to meals and medication.

V. Exercise prescription for the diabetic patient.
VI. Case study diabetic patient.

Behavioral/Learning Objectives:

1. Describe the pathophysiology of Peripheral Artery Disease (PAD).
2. Identify exercise prescription for PAD patient.
3. Explain the pathophysiology of Diabetes.
4. Identify the precautions of exercising the Diabetic patient.
5. Describe an exercise prescription for the Diabetic patient.

#6 - Exercise Prescription for Special Populations: Arthritis, Osteoporosis and Obesity

I. Review pathophysiology of arthritis.
II. Exercise prescription for arthritis patient.

A. Weight bearing vs. non-weight bearing.

III. Review pathophysiology of osteoporosis.
IV. Exercise prescription for osteoporosis patient.

A. Weight bearing vs. non-weight bearing.

V. Define obesity.
VI. Exercise prescription for obese patient.

Behavioral/Learning Objectives:

1. Describe the pathophysiology of Arthritis.
2. Explain the exercise prescription for the Arthritis patient.
3. Describe the pathophysiology of Osteoporosis.
4. Identify the components of an exercise prescription for the Osteoporosis patient.
5. Describe the exercise prescription for the obese patient.

Accreditation Information

Nurses – Academy Medical Systems is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Academy medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9.0 hours. And we are also a provider approved by the Florida Board of Nursing, provider #50-19, for 9.0 hours.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, CO, CT, HI, IA, ID, IN, KS (Cat 2), MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WY.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

Respiratory Therapists - This course meets the requirements for continuing education for Respiratory Care Professionals in AL, CA, CT, DE, FL, ID, IL, IN, IA, KS, LA, ME, MA, MN, MS, MT, NE, NV, NY, OH, OK, OR, RI, SC, TN, TX, WA, WV, WY.

Because each state’s continuing education requirements for respiratory therapists is subject to change, please verify this information with your state board. Thank you.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs.

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