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Related Concept Videos

Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...

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Related Experiment Video

Updated: Jun 12, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
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Published on: November 8, 2013

Frailty Over Time: A 6-MONTH FOLLOW-UP OF MULTIDISCIPLINARY CARDIAC AND PULMONARY REHABILITATION IN OLDER ADULTS WITH

Nicolò Granata1, Martina Vigorè2, Roberto Maestri3

  • 1Department of Cardiac Respiratory Rehabilitation of Tradate Institute, Istituti Clinici Scientifici Maugeri IRCCS, Varese, Italy (Dr Granata and Dr Cremonese).

Journal of Cardiopulmonary Rehabilitation and Prevention
|June 10, 2026
PubMed
Summary

Cardiac and pulmonary rehabilitation improved psychological distress, self-efficacy, and quality of life in older adults with heart failure or COPD. However, frailty remained stable, indicating a need for targeted interventions.

Keywords:
chronic heart failurechronic obstructive pulmonary diseasefrailtyolderrehabilitation

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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Published on: April 19, 2019

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Last Updated: Jun 12, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
09:42

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Published on: November 8, 2013

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Area of Science:

  • Gerontology and Rehabilitation Medicine
  • Cardiology and Pulmonology

Background:

  • Chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) significantly impact older adults, leading to psychological distress, reduced health-related quality of life (HRQoL), and functional decline.
  • Frailty is a growing concern in aging populations, exacerbating the challenges faced by individuals with CHF and COPD.

Purpose of the Study:

  • To evaluate the effects of cardiac and pulmonary rehabilitation on frailty in older inpatients with CHF or COPD, using the Clinical Frailty Scale.
  • To examine secondary outcomes, including psychological distress, self-efficacy, and HRQoL, following rehabilitation interventions.

Main Methods:

  • A multicentric observational study involving 195 older inpatients (age ≥65 years) diagnosed with CHF or COPD.
  • Comprehensive assessments of clinical, psychological, functional, and frailty measures were conducted at baseline (T0), discharge (T1), and 6-month follow-up (T2).

Main Results:

  • Significant improvements were observed in psychological distress (P < .0001), HRQoL (P < .0001), and self-efficacy (P = .0005) from baseline to follow-up.
  • Frailty, as measured by the Clinical Frailty Scale, remained stable throughout the study period (P = .12).
  • Regression analysis identified age, sex, Barthel Index, Braden Scale, HRQoL, self-efficacy, and Short Physical Performance Battery scores as significant predictors of frailty at 6-month follow-up.

Conclusions:

  • While cardiac and pulmonary rehabilitation positively impact psychological well-being and HRQoL in older adults with CHF or COPD, frailty persists as a significant challenge.
  • There is a critical need for integrated interventions that address physical, psychological, and functional domains to effectively manage frailty in this population.
  • Further research into novel or enhanced rehabilitation strategies is warranted to improve long-term outcomes for frail older adults with CHF or COPD.