Download Cardiac Rehabilitation Program

The Medical City CARES for
Complete Cardiovascular
Treatment
The program is managed by a team of
cardiologists, physiatrists, psychiatrists, nurses,
physical therapists, dietitians, pharmacists,
chaplain, and other allied health workers. The
Attending Physician remains in charge of the
patient’s medical and surgical management.
A formal referral by the Attending Physician is
required for enrollment.
The
WORLD HEALTH ORGANIZATION
recommends that Cardiac Rehabilitation
services should be made available to all
patients with cardiovascular diseases.
Cardiac Rehabilitation at The Medical City (TMC)
is a holistic and multi-disciplinary approach by
which a person with heart disease is restored
to and maintained at his optimal physiological,
psychological, social, vocational, emotional
and recreational status.
TMC’s cardiac rehabilitation is an adjunct to the
usual medical care provided by your physician,
particularly to those who suffered heart attack
and have risk factors like hypertension, heart
failure, diabetes and obesity. It is beneficial
especially to patients immediately after
operations such as coronary artery bypass graft
and/or valvular surgery, and in patients after
coronary angioplasty and stent implantation.
Cardiac Rehabilitation &
Secondary Prevention
Program (CARES)
Carlos P.R. Esguerra, MD
CONSULTANT DIRECTOR
Cardiac Rehabilitation Specialists:
Carlos P. R. Esguerra, MD
Achilles C. Esguerra, MD
Marisa P. Joson, MD
Physiatrists:
Estelita M. Chua, MD
Maria Victoria V. Tangco, MD
Celso F. Bate, MD
Jose Bonifacio S. Rafanan, MD
Psychiatrist:
Dulce Lizza R. Sahagun, MD
Nurses:
Wilma C. Bastillo
Xyza Mae D. Herrera
Operating Hours:
In-patient: Mondays-Fridays
8:00 AM - 5:00 PM
Saturdays
8:00 AM - 12:00 NN
Out-patient: Tuesdays, Thursdays and Saturdays
8:00 AM -12:00 NN
Inquiries:
Mondays - Saturdays
Brief cardiac rehabilitation initiated soon after
a heart attack is an efficient use of health care
resources and is economically justified.
Furthermore, cardiac rehabilitation at TMC is
highly cost effective and compares favorably
with other accepted medical therapies.
Ortigas Avenue, Pasig City, Metro Manila, Philippines
Tel. No. (632) 635-6789 ext. 6461
Email: [email protected]
www.themedicalcity.com
Owned and operated by
Professional Services, Inc. (PSI)
Accredited by the
Joint Commission
International
CARDIAC REHABILITATION &
SECONDARY PREVENTION
PROGRAM (CARES)
CARDIAC REHABILITATION:
“Having quality life even
with heart disease”
Cardiac rehabilitation at The Medical City
is a customized program of exercise and
education. Your doctors may recommend
joining a cardiac rehabilitation program to
help you return to a better health condition
when you’ve had a heart attack or if you have
other heart conditions. The goals are to help
you regain strength, to prevent your condition
from getting worse and to reduce your risk of
future heart problems. These can add up to a
better QUALITY OF LIFE.
TMC’s Cardiac Rehabilitation has 6
components:
1. Medical Evaluation (Risk factor
identification)
2. Nutritional Counselling
3. Risk Factors (cholesterol, hypertension,
smoking, weight management,
diabetes, psychological)
4. Physical Activity counseling
5. Exercise training/testing
6. Psychosocial Evaluation/Support
Who can benefit from Cardiac
Rehabilitation?
With our improved programs and close
medical monitoring, our cardiac rehabilitation
is an option for people of all ages, both sexes
and with any form of heart disease like:
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Heart Attack
Coronary Artery Disease
Heart Failure
Peripheral Arterial Disease
Angina
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Cardiomyopathy
Certain Congenital Heart Disease
Coronary Artery Bypass Surgery
Valve Replacements
We offer the following for cardiac
patients
PHASE I: (In-hospital Phase)
Whether you are in the ICU, private room or
ward, the physical
therapy and ward
activities are started
to encourage early
sitting, standing and
walking.
These prevent the
harmful effects of
prolonged bed rest.
Initial health education and psychosocial
evaluation is performed or done.
PHASE II: (Out - Patient Phase)
This phase starts 1-2 weeks after hospital
discharge. Group exercises are done 3 times a
week (Tuesdays, Thursdays and Saturdays) for
a period of 6 weeks.
EXERCISE SERVICES
Emphasis on Risk Stratification
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Calisthenics
Aerobics
Flexibility
Telemetrymonitored
exercise
training
- Prescription or
instruction for
independent
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maintenance of exercises (e.g. home
exercises)
Professionally supervised exercise
training
Resistance/ Strength training
Submaximal fitness testing
Stress testing
Stress management
EDUCATION, COUNSELING AND
BEHAVIORAL SERVICES (2 times a week
for 6 weeks):
1. Orientation
to cardiac
rehabilitation
2. Risk factors for
heart disease
and lifestyle
modification
3. Anatomy of the
Heart
4. Psychological
Referral
5. Understanding
your medications
6. Benefits of exercise
and the heart
7. Dietary education
8. Diabetes,
Hypertension and
Smoking Cessation
9. Weight loss program, Return to work,
Spiritual Counseling (optional)
PHASE III: (Out-Patient Maintenance)
- Continuation
phase lasting for
three months
- Group exercises
at 3 times a week
- Focus on risk
factors and
lifestyle modification