Cardiac rehabilitation, the structured programming of exercise and risk reduction teaching and counseling to promote healthy living with heart disease, is grounded in a strong nurse-patient relationship. This relationship provides a foundation for meeting current healthcare challenges. Three challenges are presented and addressed through specific examples. The challenge of the changing cardiac rehabilitation population is addressed through the example of the heart failure patient. The challenge to create innovative programming is addressed through the example of the Therapeutic Rehabilitative Intensive Program, developed to meet the needs of people who live in communities without cardiac rehabilitation services. The challenge to measure outcomes is addressed through the example of choosing a blood pressure measurement method. In addressing each challenge, the role of the advanced practice nurse is described.
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1 February 2003
Psychosocial Issues|
February 01 2003
Addressing Current Challenges to Cardiac Rehabilitation Care
Patricia Liehr, PhD, RN;
From University of Texas, Health Science Center at Houston, Houston Tex (Dr Liehr, Ms Frazier, Dr Fuentes); Memorial Hermann Cardiac Rehabilitation/ Heart Failure Clinic Houston Tex (Ms Leaverton); and Cardiology Practice, Scottsdale Ariz (Dr Yepes).
Reprint requests to Patricia Liehr, PhD, RN, University of Texas, Health Science Center at Houston, School of Nursing, 1100 Holcombe Boulevard 5.518H, Houston TX 77030 (e-mail: [email protected]).
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Rhonda Leaverton, BSN, RN;
Rhonda Leaverton, BSN, RN
From University of Texas, Health Science Center at Houston, Houston Tex (Dr Liehr, Ms Frazier, Dr Fuentes); Memorial Hermann Cardiac Rehabilitation/ Heart Failure Clinic Houston Tex (Ms Leaverton); and Cardiology Practice, Scottsdale Ariz (Dr Yepes).
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Armando Yepes, MD;
Armando Yepes, MD
From University of Texas, Health Science Center at Houston, Houston Tex (Dr Liehr, Ms Frazier, Dr Fuentes); Memorial Hermann Cardiac Rehabilitation/ Heart Failure Clinic Houston Tex (Ms Leaverton); and Cardiology Practice, Scottsdale Ariz (Dr Yepes).
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Lorraine Frazier, DSN, RN-C;
Lorraine Frazier, DSN, RN-C
From University of Texas, Health Science Center at Houston, Houston Tex (Dr Liehr, Ms Frazier, Dr Fuentes); Memorial Hermann Cardiac Rehabilitation/ Heart Failure Clinic Houston Tex (Ms Leaverton); and Cardiology Practice, Scottsdale Ariz (Dr Yepes).
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Francisco Fuentes, MD
Francisco Fuentes, MD
From University of Texas, Health Science Center at Houston, Houston Tex (Dr Liehr, Ms Frazier, Dr Fuentes); Memorial Hermann Cardiac Rehabilitation/ Heart Failure Clinic Houston Tex (Ms Leaverton); and Cardiology Practice, Scottsdale Ariz (Dr Yepes).
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AACN Adv Crit Care (2003) 14 (1): 13–24.
Citation
Patricia Liehr, Rhonda Leaverton, Armando Yepes, Lorraine Frazier, Francisco Fuentes; Addressing Current Challenges to Cardiac Rehabilitation Care. AACN Adv Crit Care 1 February 2003; 14 (1): 13–24. doi:
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