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Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Related Experiment Video

Updated: Sep 15, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Cardiorespiratory training post stroke: from guidelines to clinical practice. A qualitative study.

Kyla Ashmore1, Ailish Malone1

  • 1Department of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.

Disability and Rehabilitation
|July 14, 2025
PubMed
Summary

Physiotherapists shared insights on implementing new stroke rehabilitation guidelines for cardiorespiratory training. They identified challenges and proposed innovative solutions to improve patient care and training delivery.

Keywords:
Strokeaerobic trainingcardiorespiratory trainingcardiovascular trainingexerciseguidelinesphysiotherapist perspectivesqualitative

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Last Updated: Sep 15, 2025

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Practice Guidelines

Background:

  • The 2023 National Clinical Guideline for Stroke emphasizes cardiorespiratory training.
  • Implementing updated guidelines in stroke rehabilitation presents unique challenges.

Purpose of the Study:

  • To explore physiotherapists' perspectives on the feasibility of implementing the 2023 UK and Ireland stroke guideline's cardiorespiratory training recommendations.
  • To identify facilitators and barriers to integrating enhanced cardiorespiratory training into stroke rehabilitation.

Main Methods:

  • Qualitative descriptive study utilizing semi-structured interviews.
  • Professionally registered physiotherapists with recent stroke patient experience were recruited.
  • Reflexive thematic analysis was applied to interview data.

Main Results:

  • Fifteen physiotherapists from diverse Irish settings participated.
  • Key themes included prioritization of cardiorespiratory training, current practices, and implementation challenges.
  • Facilitators identified were one-to-one support, service accessibility, education, and program development.

Conclusions:

  • Findings highlight current practices and challenges in stroke rehabilitation cardiorespiratory training.
  • Physiotherapists possess innovative ideas to enhance training delivery and implementation.
  • The study provides valuable insights for optimizing cardiorespiratory training adherence to national guidelines.