Title : Benefits of guidelines directed physical therapy in management of cardiovascular disease
Abstract:
The goal of this presentation is to tell about the benefits of protocols we have made to be followed for the Comprehensive management of patients with cardiovascular disease during Pre-operative , Post-operative ICU stay as well as In rehabilitation center or for those patients who go to home with uneventful recovery after 3rd or 4th day of surgery. We also provide home care facilities for those patients who do not require to be admittedin Rehabilitationcenter yet need physiotherapy supervision at home. We categorize the patient according to a scoring system which is called Cardiomersion activity score designed by us . In this scoring we check how much activities patient performs independently and for which activities patient needs support or assistance. If patient's scoring less than 16 we advise the patients to go to rehabilitation center. Also when patients come to us for first follow up after 1week and subsequently after 1month , 3 month, 6 months, we assess patient then advise physical activity according to their physical and mental conditions . We follow the guidelines of AHA but modify them from time to time according to patients needs . We have seen that those patients who followed our instructions and protocols had recovery which was several times faster and their outcomes were much better as compared to whose did not do adequate physical activity after Cardiovascular and thoracic surgery.
Conclusion: Physiotherapy forms an integral part of care of patients with Cardiovascular and other lifestyle disease at all stages including primordial and primary prevention as well as Rehabilitation after interventions followed by life long secondary prevention. Strict adherence to protocols based guidelines improve the outcome and reduce complications thus reducing overall cost of treatment.
The goal of this presentation is to tell about the benefits of protocols we have made to be followed for the Comprehensive management of patients with cardiovascular disease during Pre-operative , Post-operative ICU stay as well as In rehabilitation center or for those patients who go to home with uneventful recovery after 3rd or 4th day of surgery. We also provide home care facilities for those patients who do not require to be admittedin Rehabilitationcenter yet need physiotherapy supervision at home. We categorize the patient according to a scoring system which is called Cardiomersion activity score designed by us . In this scoring we check how much activities patient performs independently and for which activities patient needs support or assistance. If patient's scoring less than 16 we advise the patients to go to rehabilitation center. Also when patients come to us for first follow up after 1week and subsequently after 1month , 3 month, 6 months, we assess patient then advise physical activity according to their physical and mental conditions . We follow the guidelines of AHA but modify them from time to time according to patients needs . We have seen that those patients who followed our instructions and protocols had recovery which was several times faster and their outcomes were much better as compared to whose did not do adequate physical activity after Cardiovascular and thoracic surgery.
Conclusion: Physiotherapy forms an integral part of care of patients with Cardiovascular and other lifestyle disease at all stages including primordial and primary prevention as well as Rehabilitation after interventions followed by life long secondary prevention. Strict adherence to protocols based guidelines improve the outcome and reduce complications thus reducing overall cost of treatment.
