Intensive Cardiac Prehabilitation

RESILIENCY: The resilient person is one who is able to become strong, healthy, or successful after a life challenging event. This person has the ability to successfully adapt to life tasks in the face of highly adverse conditions. The resilient person recovers easily and quickly from shock, illness, or hardship and has the ability to prevent, withstand, and bounce back from adversity.

WHAT IS CARDIAC PREHABILITATION?

“A group of interventions, integrated into the clinical pathway before a surgical procedure and aimed at both reducing imminent patient risk and promoting lasting beneficial effects on perioperative recovery and outcome.” Cardiac Prehabilitation is designed to enhance patients’ “fitness for surgery.” Multicomponent prehabilitation is being introduced as an intervention method to reduce anxiety and depression, and increase cardiorespiratory fitness in order to improve post-surgical outcomes.

REASONS WHY CARDIAC PREHABILLITATION IS NEEDED

1. There is significant data that substantiates the relationship between cardiovascular fitness and perioperative results following many different types of surgery.

2. Cardiorespiratory fitness has been confirmed as a predictor of mortality and hospital length of stay following major elective surgery in older adults.

3. Psychological distress has been documented in patients prior to surgeries with preoperative anxiety verified as a predictor of poor recovery from cardiac surgery.

RESILIENT HEARTS ICP: A VIABLE PRESURGERY TOOL

  1. When surgery is imminent, we will strive to ensure the best possible patient outcomes through training the patient for surgery.
  2. Optimize cardiovascular condition, muscular strength, and range of motion.
  3. Educate, motivate, and implement healthy lifestyle changes before surgery.
  4. Address the physical and psycho-social-cognitive aspects of cardiovascular disease.

GOALS OF RESILIENT HEARTS ICP PROGRAM

  1. Increase tolerance for surgery.
    a. Decrease post-operative complicated recovery.
    b. Decrease post-operative length of hospitalization.
    c. Decrease recovery time in hospital and at home.
  2. Decrease vulnerabilities to psychological stressors.
    a. Decrease anxiety.
    b. Decrease depression.
  3. Decrease deconditioning and frailty.
    a. Increase exercise capacity.
    b. Increase self-managed physical activity behavior.
    c. Increase activities of daily living and health related quality of life.
  4. Reduce CVD risk factors.
  5. Increase post-operative participation in Cardiac Rehabilitation.

OF WHAT DOES CARDIAC PREHABILITATION CONSIST?

  1. Two to Eight week multicomponent program conducted at AHH Strong Hearts ICR facility on the fourth floor of the AHH Clinic.
  2. Low to moderate intensity, supervised exercise program consisting of cardiovascular fitness, resistance training, and range of motion.
  3. Nutrition education with a Registered Dietician.
  4. Respiratory Therapy.
  5. Referrals as required: Physical Therapist, Psychologist, Diabetes Educator, and Tobacco Treatment Specialist.
  6. Education: CVD risk factors reduction, Cardiovascular Physiology & Surgical Procedures, Stress Management, Nutrition, Wellness Concepts, Tobacco Cessation.

WHAT ABOUT PATIENTS WHO LIVE TOO FAR FROM LITTLE ROCK TO PARTICIPATE?

  1. Case Management Program
  2. Two to eight week program.
  3. Three appointments at the ICP facility (Strong Hearts ICR).
  4. Maximum of 15 appointments by phone.
  5. Prescribed, individual home exercise program with no supervised exercise sessions.
  6. Receive a folder of educational material.

WHY PREHABILITATION IS GREAT FOR CARDIAC PATIENTS?

  1. Increase Resiliency
  2. Train for and increase patients’ fitness for surgery – Prepare patients to withstand the stress of surgery.
  3. Convey and instill a positive mental attitude.
  4. Allay fears through education, training, and counseling.
  5. Receive instruction on what to expect and do before and immediately after surgery to maximize overall recovery.
  6. Take an active role in patient’s own treatment.
  7. Give patients a sense of control at a time when they might feel helpless and overwhelmed.

HOW MUCH DOES CARDIAC PREHABILITATION COST?

  1. Insurance does not cover cardiac prehabilitation at this time.
  2. Patients who participate will not be charged at this time, but will be asked to be a part of a Cardiac Prehabilitation Study.

    Prehab Office: 501-219-7272