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Heather Christensen California State University Monterey Bay CHHS 302 March 2, 2012

Broken Hearts Need Work Too: Increasing Participation in Cardiac Rehabilitation Post Cardiac Event. Heather Christensen California State University Monterey Bay CHHS 302 March 2, 2012. Professional Interest. Kinesiology major Clients with limitations to physical activity

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Heather Christensen California State University Monterey Bay CHHS 302 March 2, 2012

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  1. Broken Hearts Need Work Too: Increasing Participation in Cardiac Rehabilitation Post Cardiac Event Heather Christensen California State University Monterey Bay CHHS 302 March 2, 2012

  2. Professional Interest • Kinesiology major • Clients with limitations to physical activity • Growing population = increased demand

  3. Critical Situation/Population • Cardiac rehabilitation (cardiac rehab) (What is Cardiac Rehabilitation? section, 2011, Para. 1) • Reduce risk of another cardiac event • Patient enrollment low

  4. Rhetorical Timing • Cardiovascular disease (CVD) number one killer • Population getting older (Center for Disease Control and Prevention (CDC) & The Merck Company Foundation, 2007, p.1) • Increased risk of another event • Cardiac rehab reduce risks

  5. “They Say” • Low enrollment and high dropout rates • 30 - 45% participation and high dropout rate (Farley, Wade, & Birchmore, 2003) • Low referral rate of females, older adults, minorities, and low socioeconomic status (Balady, et.al, 2011) • Perception of illness (Keib, Reynolds, & Ahijevych, 2010) • Lack of patient participation • Reasons (Farley, Wade, & Birchmore, 2003)

  6. Community Connection • Healthcare professionals • General public

  7. THANK YOU Questions ????

  8. References American Heart Association (2011, September 30). What is cardiac rehabilitation. Retrieved from http://www.heart.org/HEARTORG/Conditions/More/CardiacRehab/What-is-Cardiac-Rehabilitation_UCM_307049_Article.jsp#.Tz9rlBwrlDS Arena, R., Williams, M., Forman, D., Cahalin, L., Coke, L., Myers, J., . . . . Lavie, C. (2012). Increasing referral and participation rates to outpatient cardiac rehabilitation: The valuable role of healthcare professionals in the inpatient and home health settings: A science advisory from the American Heart Association. Circulation, 125. doi:10.1161/CIR.0b013e318246b1e5 Balady, G., Ades, P., Bittner, V., Franklin, B., Gordon, N., Thomas, R., Tomaselli, G., Yancy, C. (2011). Referral, enrollment and delivery of cardiac rehabilitation/secondary prevention programs at clinical centers and beyond: A Presidential advisory from the American Heart Association. Circulation, 124, 2951-2960. doi:10.1161/CIR.0b013e31823b21e2

  9. References (cont.) Center for Disease Control and Prevention, The Merck Company Foundation. (2007). The state of aging and health in America 2007. Whitehouse Station, NJ: The Merck Company Foundation. Retrieved from http://www.cdc.gov/Aging/pdf/saha_2007.pdf Farley, R., Wade, T., Birchmore, L. (2003). Factors influencing attendance at cardiac rehabilitation among coronary heart disease patients. European Journal of Cardiovascular Nursing, 2, 205-212. doi:10.1016/S1474-5151(03)00060-4 Keib, C., Reynolds, N., & Ahijevych, K. (2010). Poor use of cardiac rehabilitation among older adults: A self-regulatory model for tailored interventions. Heart & Lung: The Journal of Acute and Critical Care, 39, 504-511. doi:10.1016/j.hrtlng.2009.11.006

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