Physical Activity program for heart Patient.

What is graduated physical activity program?



A graduated program of physical and self care activities can begin upon transfer from the coronary care unit. In the coronary care unit (CCU), assisted range of motion exercises can be initiated in the first 24 to 48 hours for most patients. Self care activities such as shaving, oral hygiene and sponge bathing can be undertaken in the intensive care unit. Upright posture should be encouraged as much as tolerated. Patents should walk with assistance at least twice daily. White some inpatient programs suggest walking specific distance each day; ambulation can be based upon the patient’s tolerances. Most patients will tolerance a minimum of 5 minutes of walking the first day. Walking time can be increased until patients are walking for 30 minutes twice daily. At that point, the walking sessions should include stair climbing to ensure that patients can perform that task at home. Patients able to walk unassisted for 30 minutes and climb stairs have sufficient strength and endurance for most activities of daily living.

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