Final answer:
Some clinical contraindications to participation in inpatient or outpatient CR include systemic disorders, immunosuppressive treatments, prolonged critical illness, work overload and heavy physical work, and patient concerns and interpersonal problems.
Step-by-step explanation:
Inpatient and outpatient cardiac rehabilitation (CR) programs may have certain clinical contraindications that prevent individuals from participating. Some of these contraindications include:
- Systemic disorders: Conditions such as diabetes mellitus, malnutrition, hepatitis, or HIV infection can prevent participation in CR.
- Immunosuppressive treatments: Treatments like cytotoxic chemotherapy, bone marrow ablation before transplantation, or radiation therapy can make individuals ineligible for CR.
- Prolonged critical illness: In the very young, elderly, or hospitalized patients, prolonged critical illness due to infection, surgery, or trauma can be a clinical contraindication to participation in CR.
- Work overload and heavy physical work: These can be factors that prevent an individual from participating in CR.
- Patient concerns and interpersonal problems: Dealing with death and medical concerns and having interpersonal problems with other medical staff, especially physicians, can also be contraindications to CR.