Yeovil Heartbeat
Yeovil Heartbeat

Cardiac Rehabilitation

 

CARDIAC REHABILITATION STAGES

 

 

Phase I -This phase covers the in-patient episode. Patients are seen on the wards by the nurse, who is in charge of their diagnostic category, (e.g. heart attack or angina) and they are given advice and written information to take home with them. Where possible, family or friends are included in these sessions.

 

Phase II -This phase covers the period from discharge until commencement of the formal out-patient exercise sessions. During this time patients receive telephone contact and support from the appropriate specialist nurse and are often seen in a nurse-led out-patient clinic.

 

Phase III - This phase covers the exercise and education component which is relevant to the individual patient. Patients are offered a place in a class which their specialist nurse feels will be most appropriate for them but flexibility within the classes is allowed for, in order that patients can attend the class that is most convenient for them.

 

Phase IV - Following the structured Phase III sessions, patients are encouraged to continue to build on the fitness levels that they have achieved.

 

Some patients prefer to continue their exercise independently (walking, swimming, cycling, etc.) but some opt to continue with the structure they have come to know. For these patients the cardiac rehabilitation unit runs a series of Phase IV classes which underpin the principles of risk factor modification, lifestyle change and continued exercise.

In order that all physical capabilities are catered for, "Step Down" classes are also offered under the umbrella of Phase IV. These classes cater for patients who have progressed from their Phase III class but who are not physically ready to join a strenuous phase IV programme.

 

 

 

 

PHASE III CLASS TIMES

 

Phase III’ Monday & Thursday 2.15pm - 4pm (1.15pm first time) - 2 x weekly for six weeks

 

Education 3.15pm

 

For patients who have had a heart attack/heart surgery who are physically able to come in twice a week. Attend 10 days after PPCI/after MI with no intervention or surgery. CABG/valve = 6 weeks.

 

1 hour of graduated exercise & 3/4 hour topical education session.

 

 

 

Fun Fit’ Tuesday 2.15pm - 3.45pm (1.30pm for first time) - 1 x weekly for six weeks

 

Education 3.00pm/3.15pm

 

For patients who have had a heart attack/heart surgery, but have some limiting factors (eg. mobility) - these are much gentler classes.

 

Attend 10 days after PPCI/after MI with no intervention or surgery, or 6 weeks after event, or 10 days if Medical Management. CABG/valve = 6 weeks.

 

3/4 hour graduated exercise & 1 hour topical session.

 

 

 

Get Fit’ Tuesday 4.45pm - 5.45pm (4.15pm for first time) - 1 x weekly for eight weeks

 

No education

 

For patients who have had elective angiogram/angioplasty, but no specific cardiac event, eg heart attack/surgery. Valve replacement = 6 weeks.

 

1 hour of graduated exercise only.

 

 

 

Surgical’ Wednesday 9.00am - 10.30am (8.45am for first time) - 1 x weekly for 8 weeks

 

Education 9.00am: 1st week patients have induction, following 7 weeks are education

 

For patients who have had either CABG/Bypass or valve surgery.

 

 

 

Gentle Gym’ Wednesday 12.30pm - 2.30pm (11.45am for first time) - 1 x weekly for 12 weeks

 

Education 1.30pm

 

For patients with specific heart failure (been for echocardiogram which shows poor ventricular function). A gentler exercise session.

 

1 hour of graduated exercise with 1 hour topical education session.

 

 

 

 

PHASE IV CLASS TIMES

 

Who are they for?

The Phase IV classes are intended for people who have graduated from the Phase III or "Get Fit - Stay Fit" classes, or for those who have built up their fitness more gradually through the "Step Down" classes.

 

Class Structure

15 minute warm-up, 30 - 40 minutes of aerobic exercise and 10 minute cool down and they are run in accordance with the British Association of Cardiovascular Prevention and Rehabilitation (BACPR) guidelines.

 

Patients can attend for a maximum of 2 gym sessions per week.

 

There is a suggested donation of £2.50 per session – this allows us to maintain the equipment and run the classes with specially trained members of staff.

 

 

 

Monday

4.00pm to 4.45pm  Step Down Class  (Matt) - 9 stations

 

4.50pm to 6.00pm  Phase IV  (Matt) - 12 stations

 

6.00pm to 7.00pm  Phase IV  (Matt) - 12 stations

 

 

Tuesday

3.15pm to 4.00pm  Step Down  (Matt) - 6 stations

 

6.00pm to 7.00pm  Phase IV  (Pete) - 12 stations

 

7.30pm to 8.30pm  Phase IV  (Pete) - 12 stations

 

 

Wednesday

08.00am to 09.00am  (Laura) - 11 stations

 

1.30pm to 2.30pm  Step Down Class  (Matt) - 6 stations

 

3.30pm to 4.30pm  Phase IV  (Matt) - 12 stations

 

4.40pm to 5.45pm  Phase IV  (Matt) - 12 stations

 

NEW  6.00pm to 7.00pm  Phase IV  (Matt) - 12 stations

 

 

Thursday

3.30pm to 4.15pm  Step Down Class  (Margaret) - 6 stations

 

5.30pm to 6.30pm  Phase IV  (Pete) - 12 stations

 

6.30pm to 7.30pm  Phase IV  (Pete) - 12 stations

 

7.30pm to 8.30pm  Phase IV  (Eddy) - 12 stations

 

 

Friday

08.15am to 09.25am  Phase IV  (Matt) - 11 stations

 

 

 

 

PRE-HAB SESSION

We are also very lucky to be able to run this nurse led service. It takes place once a month, and gives patients the ability to have all questions answered, as well as having a nurse who they are familiar with at the end of the phone through all stages of their cardiac surgery.

 

Who are they for?

These sessions are run for patients who are awaiting cardiac surgery at the Bristol Heart Instute or Southampton General Hospital.

 

Course Structure

Patients are invited to attend an individual session after they have been put on the waiting list for cardiac surgery and before they are called for their operation. This one hour session comprises of advice regarding what to expect before and after their operation, dietary and medication information pre-surgery. Patients are also given advice regarding exercise levels pre- and post-surgery.

Patients are taught breathing techniques to aid them during their immediate post-operative phase.

We are located at:

Yeovil District Hospital,

Higher Kingston,
Yeovil,

Somerset.

BA21 4AT

Contact us today!

If you have any queries, please contact us:

(01935) 384884 or 384925

 

Email us at:

sandra.mcveigh@ydh.nhs.uk

or

cardiac.rehab@ydh.nhs.uk

 

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© David Jolly