Robin Gilbert – Cardiac Disease: Rehab Goals to Prevent Future Complications

Description

Handouts

Outline

Acute Heart Disease Diagnoses

• Acute Coronary Syndrome
• Acute Myocardial Infarction (STEMI and
• Non-STEMI)
• Angina
• PTCA
• CABG
• Heart Transplant
• Heart Failure
• L VAD, Life Vest as Bridge or Destination
• COPD
• Diabetes

Cardiac Rehab Referrals

• Who is eligible?
• Educating in-patient nursing staff
• Educating physicians
• Computerized Medical Record use in triggering eligible patient populations
• Patients who fall through the cracks

Lifestyle Challenges for Patients

• Depression
• Motivation
• Compliance
• Risk factors
• Financial

Cardiac Rehab

• Phases 1 – 4
• Individualized treatment plans
• Patient education
• Monitoring quality outcomes
• Evidence-based practice updates

Secondary Prevention Program

• Becoming model for other programs
  • Hypertension
  • Obesity
  • Diabetes
  • Peripheral Vascular Disease

Effecting Change

• Knowledge is not enough
• Positive sense of self
• Power of control
• Readiness to change
• Goals and independence
• Feedback and celebrate success

Preparing for the Unexpected Event

• Rapid response
• Dysrhythmias
• Syncope
• Seizures
• Cardiac arrest
• Equipment, staffing

Insurance and Reimbursement

• Medicare vs. private insurance
• Number of sessions eligible
• Billing and coding
• Documentation

Preparing for Certification

• When to start
• Data collection
• Role of Medical Director
• Competencies

Heart Failure: Where are We at Incorporating Them into Rehab?

Use of Technology

• Appointment reminders
• Data reporting
• Virtual technology for follow-up opportunities

Using Cardiac Rehab to Its Fullest

• Partnering opportunities

Faculty

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products: 18

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Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:

Financial: Robin Gilbert has an employment relationship with Central Maine Medical Center and Rumford Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Robin Gilbert has no relevant non-financial relationship to disclose.