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Virtua Cardiac Rehabilitation Center
Rob RothRob Wroblewski
Cara Kaplan Bill Goodwin
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TRUE OR FALSE?
Your insurance covers your sessions at the cardiac rehab.
TRUE
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You have to go to medical school in order to work in cardiac rehab.
FALSE
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You always get health benefits for working for a cardiac rehab.
FALSE
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The average age of patients in cardiac rehab is:A) 28-30 B) 40-42C) 60-62 D) 74-76
Correct answer: C
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The cardiac rehab at Virtua has a support group.
TRUE
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Anyone is eligible to participate in the cardiac rehab program.
FALSE
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Patients in the cardiac rehab center are taught to be more independent.
TRUE
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To work at a cardiac rehab center, you must be single-minded in order to solve problems.
False
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What Is Cardiac Rehab?
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• Cardiac Rehab supports patients with varying stages of heart disease, promotes heart health through supervised exercise and education.
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What is Included
• Utilizes different equipment– Treadmills– Strength Building Machines
• Multi-Disciplinary Approach to Risk Reduction– Nutrition Counseling– Stress Management
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Faculty• Exercise specialists
- works on a one-on-one basis with clients, assessing physical fitness level (essentially a personal trainer).
• Dieticians- assess patient’s nutritional need, help plan meals outside of facility.
• Support Groups- provide each other emotional and psychological support.
• On-site cardiologist - performs a variety of tests and procedures to assist and diagnose treatment of cardiac disease.
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• Nurse educators- Acts as a coach and role model to help the patient on what to do and what not to do.
• Diabetic Educator- Helps evaluate individual needs of a patient based on different evaluations and programs.
• Exercise physiologist- Helps improve and maintain for long term purposes the overall help and wellness of patients.
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Featured Services
• Customized exercise programs supervised by exercise specialists
• Customized nutritional programs created and supervised by dietitians
• Support groups for sharing emotional burden• Preventative strategies• Smoking cessation support
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Benefits of Cardiac Program
• Improved muscle strength, endurance, and flexibility
• Lower blood pressure and heart rate• Possible reduction in total cholesterol• Increase in HDL “good” cholesterol• Possible reduction in weight and body fat• Independence and confidence through
education and self-direction
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Patient Eligibility
• Heart attack (myocardial infraction)• Coronary bypass surgery• Angioplasty (balloon procedure)• Stent implantation• Stable angina• Cardiac transplantation• Valvular surgery
*a doctor’s prescription is required for treatment
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Age of Participants
• Range from 19-94; extremely broad range of clients.
• Median age—60-62 years of age.• Generally more elderly patients than younger
patients.• Younger patients participate due to genetic
disposition, recovery from transplant, or complications with obesity.
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Duration of Program
• Standard duration – up to 3 months, about 3 visits per week. Total of 36 visits.
• Three different groups of patients with different durations:– Low risk (6-18 visits)– Medium risk (24 visits)– High Risk (36 visits)
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Rehab Session Details
• Each class usually lasts 4 hours.• Holds up to 8 people per session.• Utilizes music and fun activities to create a
stress-free environment.• All diabetic patients need blood sugar tests
before and after the session.
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Rate of Perceived Exertion Scale
• RPE Scale measures the intensity of each exercise.– Runs from 0 – 10 (0 being no difficulty, and 10
being most difficult).
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Post-Program Progress
• Patients usually create their own support group amongst other members of the program.
• People still come to the facility after they are done, utilizing the nearby fitness facility.
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Promotion of Independence
• Educate clients on changing unhealthy behaviors.
• Teach them how to eat healthier and exercise more effectively.
• Classes teach about exercise concepts, educates on heart disease, et cetera.
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Insurance Coverage
• A doctor’s prescription is required in advance in order to participate in the program.
• Covers the rehab• Co-pay is as high as $50; normal co-pay is $20• Medicare patients pay $13 for co-pay.
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Dr. Diane Frederickson
• Program director and Nurse Manager at the Voorhees Cardiac Performance Center.
• She attended the University of Wisconsin.
• B.S.N from Temple University.
• ACLS Certified
• Worked as a nurse for 40 years in open-heart units and critical care.
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Benefits of Job
• Starting Salary: $40,000* Depends on level of education.
• Tuition Reimbursement (must work at the facility for a year prior, with good standing).
• 401K Pension Plans available.
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Qualifications for Job
• Baccalaureate of Science in Nursing – Need to be familiar with equipment associated
with cardiac rehabilitation.
• ACLS Certification
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Qualifications Cont’d…
• Must be personable, be able to laugh at self• Be creative, have an open approach to solving
problems.• Be adaptable• Patience• Empathy
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Three Potential Master’s Degrees…
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M.S. in Community Counseling- Train to become counselors for small groups.- Focuses include personality theories, mental health
counseling, and group counseling.- Assess clients and offer solutions that lead to making
sounds choices.
© 2011 AllPsychologyCareers.com
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Master of Geriatric Health• Number of people about age 65 is expected to
increase to 73% over the next two decades.• Teaches you to handle special needs of the
elderly.• Need for geriatric care will be high because of
the increasing life expectancy of older individuals; a variety of different job prospects will be available.
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Master’s Degree in Cardiac Sonography
• Master’s degrees in sonography are rare, but can be found in concentrations like vascular sonography.
• Uses ultrasound to diagnose heart disease.• With Vascular Techonology, one can detect
and assess vascular conditions in arteries and veins.
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American Association of Cardiovascular and Pulmonary Research
• AACVPR– Founded in 1985– Mission: reducing morbidity, mortality and
disability from cardiovascular and pulmonary disease; improving in quality of life for patients and their families.
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American College of Sports Medicine
• ACSM– ACSM promotes and integrates scientific research,
education and practical applications of sports medicine and exercise science to maintain and enhance physical performance, fitness, health and quality of life
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American Heart Association
• AHA– Mission: To build healthier lives, free of
cardiovascular diseases and stroke
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Impressions…