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Cardiopulmonary Conditions/ MET Levels

Terms in this set (26)

Heart Disease Risk Factors
Not Controllable Age, Sex, Family History
Controllable: Smoking Drinking High lipids high cholesterol hypertension obesity diabetes mental stress lack of exercise
Heart Diagnoses
Myocardial Infarction (heart attack)
Coronary artery disease (open heart surgery, coronary artery bypass graft valve replacement
Congestive heart failure
Angioplasty
Phase 1 of OT Cardiac Rehab
Monitoring electrocardiogram blood pressure and pulse
Checklist of therapy treatment for a particular diagnosis
Progression of ADLs and activity according to MET levels
Monitoring symptoms to of activity tolerance
HEP for activity guidelines pacing and simplification guidelines of activity temperature precautions
Chronic Obstructive Pulmonary diease
Inflammations of the lungs Progressive disease
Community phase of OT
Physician referral
Stress test
Continuation of phase 2 activities and progress as tolerated with less therapy supervision and in community setting
Phase 2 Outpatient Cardiac Rehab
OT 3 days a week for 4 to 8 weeks
Exercise and activity to tolerance with progression of MET levels
Weight training at 2 to 4 weeks
Education on risk factors modification
Work Hardening ifindication
Emphysema
A Lung disease in which the walls of the air sac becomes damaged. Loses its shape or the wall may be destroyed
Chronic Bronchitis
A lung conditions in which the lining of the airways of the lungs are constantly inflamed and irritated causing the lungs to swell. Thick mucus to form making it hard to breathe
OT Evaluation for Respiratory conditions
ADL assessment ROM muscle strength sensation cognition and psychsocial status
Montior Heart rate blood pressure and oxygen saturation
Daily Activity interview
OT intervention of Respiratory Conditions
ADLs training check o2 saturation during ADLs (if it is below 90% take frequent rest breaks)
Energy Conservation (pursed lips breathing diaphragmatic breathing UE strengthing weight theraband arm bikes
Stress Management
1.0- 1.4 Met Levels ADL restrictions
Pt is allowed to sit-up for short period of time
Self feeds Wash Hands and face
Bed Mobility and Transfers
1.0- 1.4 Met Levels Recreational Restrictions
Sitting: Non Competitive table games
Light Handwork
Reading
1.0- 1.4 Met Levels Exercise Restrictions
All extremities sitting supine 10-15x
1.4- 2.0 Met Level ADL Restrictions
Sitting up w/ no limitations
Self bathe shave dress and groom
1.4 - 2.0 Met Levels Recreational Restrictions
Sitting: Crafts, Painting, Knitting, Sewing,
1.4- 2.0 Met Level Exercise Restrictions
NO ISOMETRICS OR STRENGTHENING EXERCISE
Walking slow pace in room
AROM to all extremities progressing increasing # of reps
2.0 - 3.0 Met Levels ADL restrictions
Sitting: Showering in warm water
Ironing, housekeeping task w/ brief standing periods to transfer light items
2.0 - 3.0 Met Levels Recreational restrictions
Play Cards Piano
Sewing Machines
2.0 - 3.0 Met Levels Exercise Restrictions
W/C mobility (Limited Distances)
Standing: AROM all extremite may include balances exercises light mat work w/ no resistances
Walking: flat surfaces with comfortable pace
3.0 -3.5 Met Levels ADL restrictions
Standing: Showering warm waters
Self dress groom and shave
Light work around the house while standing using energy conservation
3.0 - 3.5 Met Levels Recreational Restrictions
Bowling, Slow canoeing Golf putting light gardening
3.0- 3.5 Met Levels Exercise Restrictions
Standing: All exercise progress number of reps
may include balance light resistance
Walking: Unlimited up to 15-20 mins
treadmill: 1.1-1.5 mph
Stairs: slow climb up to 2 flights
3.5 - 4.0 Met Levels ADL restrictions
Standing: Washing dishes, clothes, ironing etc.
3.5- 4.0 Met Levels Recreational Restrictions
Slow Swimming light carpentry golfing light home repairs
3.5 - 4.0 Met Levels ADL restrictions
Sitting: More resistance may be added up to 10 Standing: Progress # reps and increase speed
Walking: Unlimited up to 2.5 mphs leveled surfaces
Stairs : as tolerated
Cycling: Up to 8 mphs with no resistances
4.0 and Above Met Levels
Showering in Hot water
Swimming with no advance strokes
All upper and lower extremities exercise
Walking increased Speed to3.5 mph
Cycling up to 10 mph no resistances
THIS SET IS OFTEN IN FOLDERS WITH...