2/13/2014 How to start the first step of cardiac rehabilitation in KSA  The aim of this talk is CR in KSA hospital within the next 4 weeks 1. Meeting room 2. Walking space 1 2/13/2014 Pre-OP Session Educational session include (1h): • Information on blood circulation, Cardiac disease, modifiable & non-modifiable risk factors, operation & patients’ condition during the CCU. • Informing patients about early mobilization & physical activity. • Meeting with a patient who already underwent the OP. Early mobilization 2 2/13/2014 Phase I CR 1. Educational Session (1h) Information on how the heart looks after the OP; advice on modifiable risk factors, lifestyle, chest pain, legs pain, sexual activity, active life & readmission 2. Exercise Programme Breathing exercise, 30-minute daily walk & climbing one floor 3. Location & Time Everyday a talk around 3:00pm so family can attend On Day-2 patient give a 5 - 10 min phone call as a follow-up at home Conclusions 2 or 3 nurses can make a different!!! No more excuses...  MUTWALLI, H., FALLOWS, S., ARNOUS, A., & ZAMZAMI, M. (2012). Randomized controlled evaluation shows the effectiveness of a home-based cardiac rehabilitation program. Saudi Medical Journal, 33, 179-186. MUTWALLI, H., FALLOWS, S., SYKES, K., MORRIS, M., ABUKHUDAIR, W., ASHMEG, A., ARNOUS, A., & ZAMZAMI, M. (2008). EFFECTIVENESS OF EARLY CARDIAC REHABILITATION ON POST- OPERATIVE CORONARY ARTERY BYPASS PATIENTS. Journal of the Saudi Heart Association, 20, 60-65. [email protected]  3 2/13/2014 4