Team-based Care for Cardiac Rehabilitation and Exercise Training in Heart Failure

Bunny Pozehl; Rita McGuire; Joseph Norman

doi:10.1016/j.hfc.2015.03.007

Team-based Care for Cardiac Rehabilitation and Exercise Training in Heart Failure

Heart Fail Clin. 2015 Jul;11(3):431-49. doi: 10.1016/j.hfc.2015.03.007.

Authors

Bunny Pozehl¹, Rita McGuire², Joseph Norman³

Affiliations

¹ University of Nebraska Medical Center, College of Nursing, 1230 O Street, Suite 131, Lincoln, NE 68588-0220, USA. Electronic address: [email protected].
² University of Nebraska Medical Center, College of Nursing, 1230 O Street, Suite 131, Lincoln, NE 68588-0220, USA.
³ Division of Physical Therapy Education, 984420 Nebraska Medical Center, Omaha, NE 68198-4420, USA.

PMID: 26142640
DOI: 10.1016/j.hfc.2015.03.007

Abstract

The estimated cost of treating patients with HF in the United States is expected to more than double by 2030.65 This forecast of the impact of HF in the United States should serve as a call to action. Despite well-documented benefits, participation in exercise training and CR programs by patients with HF remains low. In this article, standards and guidelines for exercise and CR in HF were reviewed. Although traditional CR had core components, it lacked care management specific for HF. Chronic stable HF patients can safely exercise; however, there are many unique needs that are not currently addressed at the patient, system, and provider levels. As we face economic and political forces that are expected to require major change to the health care delivery system, it becomes even more important to capitalize on the advantages that come with team-based care. CR has always served as a model of team-based care; however, the model must now include professionals with HF expertise to guide patients in safe exercise and self-management strategies appropriate for this chronically ill population.

Keywords: Cardiac rehabilitation; Exercise training; Heart failure; Heart failure–preserved ejection fraction; Heart failure–reduced ejection fraction.

Publication types

Review

MeSH terms

Exercise Therapy / economics
Exercise Therapy / methods*
Exercise Therapy / standards
Heart Failure / economics
Heart Failure / rehabilitation*
Humans
Patient Care Team / economics
Patient Care Team / organization & administration*
Patient-Centered Care / economics
Patient-Centered Care / methods*
Practice Guidelines as Topic
Quality of Life
United States