Phase I of cardiac rehabilitation relates to the period of hospitalization following an acute cardiac event. The goals are to condition the patient, make them functionally independent, and provide counseling on nutrition, psychology, and secondary prevention. Phase II encompasses the immediate post-discharge period of 4-6 weeks, focusing on resuming physical activity and managing anxiety/depression through education, telephone follow-ups, and home visits. Phase III incorporates ongoing exercise training, education, and psychosocial/vocational interventions over 6-12 weeks to further functional goals and manage lifestyle changes long-term. Phase IV constitutes lifelong maintenance of lifestyle changes through continued professional monitoring.
6. Phase I
Relates to the period of hospitalization
following an acute cardiac event. The
duration of this phase may vary
depending on the initial diagnosis, the
severity of the event, and individual
institutions, usually one week acute
event/post-op.
7. Objectives
Conditioning from acute event/post-CABG
To make the patient functionally independent
To adjust with discharge from hospital
Psychological counselling
Nutritional counselling
Secondary prevention targetting
8. Phase I
During this phase, the patient will:
Have early mobilization and adequate discharge
planning.
Undergo a risk factor assessment and risk
stratification.
Receive information regarding their diagnosis, risk
factors, medications, and work/social issues.
Receive involvement and support of family and/or
partner.
10. Phase II
This phase encompasses the
immediate post-discharge period,
which is typically a period of 4-6
weeks.
11. Objectives
Functional goals exercise
training under supervision or at
home
Psychosocial goals
Anxiety/depression management
Secondary preventive targets
12. Phase II
Focuses on :
Health education
Resumption of physical activity
In the format of :
Telephone follow-up
Home visits
Individual/group education sessions
14. Objectives
Functional goals
Exercise training under supervision
Psychosocial goals
Return to work, hobbies and lifestyle
Anxiety/depression management
Secondary preventive targets
15. Phase III
This phase is sometimes erroneously referred to as the
Exercise phase.
It incorporates :
Exercise training in combination with ongoing education
and psychosocial and vocational interventions.
The duration of this phase may vary from 6-12 weeks, with
patients required to attend a CR unit 2-3 times/week for
structured exercise and other lifestyle interventions.
17. Phase IV
This phase constitutes the components of long-term maintenance of
lifestyle changes and professional monitoring of clinical status.
It is when patients leave the structured Phase III program and continue
exercise and other lifestyle modifications indefinitely.
This may be facilitated in the CR unit itself or in a local leisure center.
Phase IV may involved helping them set a safe and realistic
maintenance program.
18. Objectives
Maintenance of achieved functional
status
Return to work
Return to hobbies with lifestyle
modifications.
Secondary preventive targets.