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Options Week Norwich Cardiac Rehabilitation Team

Options Week Norwich Cardiac Rehabilitation Team. Overview. Background Options week Our options Patient feedback References. Background. “Delivery of effective cardiac rehabilitation should allow for group sessions and individual consultations at an agreeable time and place” (BACR, 2007)

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Options Week Norwich Cardiac Rehabilitation Team

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  1. Options WeekNorwichCardiac Rehabilitation Team

  2. Overview • Background • Options week • Our options • Patient feedback • References

  3. Background • “Delivery of effective cardiac rehabilitation should allow for group sessions and individual consultations at an agreeable time and place” (BACR, 2007) • Menu-based sessions are recommended for phase III (SIGN, 2002; BACR 2007) • Most UK centres, unable to offer a menu-based approach (BHF, 2007)

  4. Background • Phase III traditional 6 wks: structured education, exercise and relaxation • All patients completing the same activities at the same time

  5. Background • Patients often expressed the need to speak with us individually • Difficult to accommodate this within the traditional programme • Using existing resources we created a flexible session: greater patient choice • ‘Options week’

  6. Options Week • Menu-based session which aims to provide patients with a comprehensive choice of activities • Patients take responsibility to engage and plan activities

  7. Our Options • Basic Life Support • Exercise Practical • Relaxation Practical • Partners discussion group • One to one discussions or • Small group discussions

  8. Basic Life Support • Partners/patients

  9. Exercise/Relaxation • Individual session or group circuit • Group relaxation

  10. Discussions • Partners discussion group • One to one discussions with • Pharmacist, Physiotherapist, Cardiac Specialist Nurse, Occupational Therapist • Small group discussionswith - Dietitian

  11. Typical Timetable • 1.30 Pharmacy talk • 2.00 Dietitian • 2.15 Pharmacist • 2.30 Basic Life Support • 3.00 Tea and ‘Cardioactives’ • 3.15 Individual exercise session • 3.45 Relaxation

  12. Patient Feedback • Patients have fewer questions at discharge and overall feel their rehabilitation needs have been met • Quotes – “good opportunity for a change to usual routine. Very useful to speak to various specialists” “It was good to talk to who you wanted answers from individually away from the group” “Choose what I felt I needed”

  13. The Future • Wider range of resources including interactive material • Involvement of other agencies • As rehabilitation extended to other groups of patients different needs may be identified

  14. References • British Association of Cardiac Rehabilitation (BACR) (2007). Standards and core components for cardiac rehabilitation. London, BACR • BHF/BACR (2007).Cardiac Rehabilitation...recovery or by-pass ? National Campaign for Cardiac Rehabilitation. The evidence. London, BHF • Scottish Intercollegiate Guideline Networks (2002) Cardiac rehabilitation. National clinical guideline 57. Edinburgh, Royal College of Physicians

  15. The Team Contact jo.hayward@nnuh.nhs.uk Tel. 01603 287002

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