Upper Plains Cardiopulmonary Rehabilitation Association

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		Definition of Phases

Home :Program Directory : Phase Definitions

Cardiac Rehabilitation Phases

Phase 1
Phase 1 cardiac rehab takes place while you are still in the hospital, after ordered by your doctor. You will begin a progressive exercise program conducted by a physical therapist or nurse. It is primarily designed to prevent the deconditioning effects of bed rest and to prepare you for your daily activities at home.

You will receive information from the nursing staff regarding your condition and any procedures planned for you. Other staff may instruct you regarding your medications, your diet, and home instructions.

Phase 2
Phase 2 cardiac rehab is an outpatient exercise and education program for heart patients. You will begin a progressive exercise program after ordered by your doctor, usually within the first 1 to 3 weeks after discharge. Sessions are usually three times per week in a hospital or clinic and patients typically attend 12 to 36 times.

Exercise sessions will include a warm-up; exercise on equipment such as a treadmill, arm-bike or stationary bike; and a cool-down period. Your heart will be monitored continuously and your blood pressure and heart rate checked throughout the exercise session.

Education classes are usually offered in a group or individual setting, and cover such topics as understanding heart disease and risk factor modification.

Phase 3
Phase 3 cardiac rehab is a supervised or maintenance exercise program again ordered by your doctor. It begins after discharge from Phase 2.

Exercise sessions may be similar to Phase 2 including a warm-up, exercise portion, and a cool-down period. You will monitor your own heart rate. Cardiac monitoring and blood pressure checks are done periodically. Group support is an important part of Phase 3.

Pulmonary Rehabilitation Phases

Phase 1
Phase 1 pulmonary rehab is an in-patient education and exercise program for lung patients. It includes an introduction to the outpatient pulmonary rehabilitation.

Phase 2
Phase 2 pulmonary rehab begins after you are discharged from the hospital and is an out-patient program. It includes exercise and education individually tailored to meet participants’ needs. Participants are increased with their exercise as they tolerate to increase lung capacity. Education includes disease process, breathing retraining, stress management, medications and nutrition. Phase 2 is reimbursed by Medicare and many commercial insurance companies according to certain criteria.

Phase 3
Phase 3 pulmonary rehab is a maintenance exercise program that is not reimbursed by Medicare or other insurance. Participants are encouraged to continue exercise to maintain the benefits of their Phase 2 program.

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