Question

Use the following Post-MI status to complete the Cardiac Rehabilitation activities: You are the OTA\&PTA treating the patient. Using a MET Chart as your guide, identify what 4 exercises and 2 ADLs that could be done in the 4 stages of cardiac rehabilitation for the above case scenario.

1. Mr. Shareef is on the acute cardiac care unit 5 days post MI
2. Mr. Shareef is now 3 weeks post MI on the rehabilitation unit
3. As an out-patient, Mr Shareef is now 6 weeks post MI
4. Mr. Shareef now 12 weeks post MI

Answer 1

In the various stages of cardiac rehabilitation for Mr. Shareef post-MI, specific exercises and ADLs are recommended based on MET levels, progressing from gentle ROM and seated activities in the acute phase to more intense aerobic exercises and strength training as recovery advances.

Step-by-step explanation:

For Mr. Shareef, post-myocardial infarction (post-MI), an appropriate physical therapy plan should be implemented in stages, tailored to his recovery status and guided by MET (Metabolic Equivalent of Task) levels. Here are potential exercises and Activities of Daily Living (ADLs) for each stage of cardiac rehabilitation:

Stage 1: Acute Cardiac Care Unit (5 days post-MI)

1. Gentle range-of-motion (ROM) exercises for limbs
2. Seated marches
3. Ankle pumps
4. Deep breathing exercises
5. ADLs: Feeding, grooming while seated

Stage 2: Rehabilitation Unit (3 weeks post-MI)

1. Walking short distances
2. Light upper body exercises with resistance bands
3. Stationary cycling without resistance
4. Leg exercises with light resistance
5. ADLs: Dressing, bathing with precautions

Stage 3: Outpatient (6 weeks post-MI)

1. Treadmill walking at a slow pace
2. Low-intensity group exercise classes
3. Light weight training (low weight, higher reps)
4. Swimming or water aerobics (if approved by physician)
5. ADLs: Light housekeeping, cooking

Stage 4: Advanced Rehabilitation (12 weeks post-MI)

1. Routine treadmill walking or cycling with moderate resistance
2. Strength training with increased weight
3. Aerobic exercises like jogging or aerobic classes
4. Swimming and other endurance activities
5. ADLs: Driving, return to work (if approved)

Throughout these stages, close monitoring by the OTA & PTA is essential to ensure safety and optimize recovery. Adjustments to the exercise program should be made based on Mr. Shareef's tolerance, vitals, and overall well-being.