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Heart Lung. 2012 Mar-Apr;41(2):115-24. doi: 10.1016/j.hrtlng.2011.08.006. Epub 2011 Nov 3.

Cardiac rehabilitation in skilled nursing facilities: a missed opportunity.

Author information

1
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106, USA. mary.dolansky@case.edu

Abstract

BACKGROUND:

After hospitalization for a cardiac event, older adults are frequently discharged to a skilled nursing facility (SNF) for postacute care. The American Association of Cardiopulmonary Rehabilitation recommends that cardiac care be integrated into procedures at SNFs.

OBJECTIVE:

We undertook this research to describe the characteristics of patients in SNFs after a cardiac event and the cardiac care delivered at SNFs.

METHODS:

A dual approach included (1) a retrospective medical record review of consecutive patients admitted to 2 hospital-based SNFs after a cardiac event (n = 80), and (2) surveys from healthcare professionals (n = 21) working in these facilities.

RESULTS:

Thirty-two percent of patients were not candidates for cardiac rehabilitative interventions because they had been rehospitalized, discharged to long-term care facilities, or manifested contraindications to exercise. No standard assessment of exercise tolerance was evident, and although 70% of patients were discharged home, cardiac-specific discharge education was seldom evident. Healthcare professionals in SNFs reported that standard procedures for cardiac care services were lacking.

CONCLUSION:

The integration of cardiac care into SNFs is important to ensure the safety of therapy and improve the transition of patients from SNFs to outpatient cardiac rehabilitation programs.

PMID:
22054718
PMCID:
PMC3288539
DOI:
10.1016/j.hrtlng.2011.08.006
[Indexed for MEDLINE]
Free PMC Article
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