2.50
Hdl Handle:
http://hdl.handle.net/10755/182279
Category:
Abstract
Type:
Presentation
Title:
New Knowledge: Optimal Rehabilitation of the Diabetic Cardiac Patient
Author(s):
Masters, Barbara
Author Details:
Barbara Masters, RN, BSN, CVN, Protestant Memorial Medical Center, Belleville, Illinois, USA, email: bmasters@memhosp.com
Abstract:
The Cardiac Rehabilitation staff at a 313-bed Midwest community hospital raised clinically important questions about the safe blood glucose range to exercise diabetic patients in phase II of cardiac rehabilitation. The trigger for this inquiry was two patients experiencing significant hypoglycemia post exercise, one of which required the rapid response team. Review of cardiac rehabilitation literature did not provide the specific guidelines staff sought but did emphasize the importance of normoglycemia in this population. Staff developed exercise guidelines based upon general diabetes exercise literature which advised safe minimal pre-exercise blood glucose range of 100 to 300. The need to stratify patient risk for hypoglycemia based upon the type of oral agent or insulin therapy the patient takes was also identified. Staff began to specifically educate patients about the relationship between their diabetes medication, exercise, blood glucose, and hypoglycemia prevention. Staff recorded fasting, pre-exercise and post-exercise blood glucose of patients for nine months (July 2007 to March 2008) and presented their data at the 2008 annual conference of the Illinois Society of Cardiopulmonary Health & Rehabilitation (ISCHR). This informative presentation led to regional recognition of the need for specific guidelines for exercise of the cardiac rehabilitation diabetic patient. The Cardiac Rehabilitation Coordinator at our community hospital is working with ISCHR and an interdisciplinary team of the American Association of Cardiovascular and Pulmonary Rehabilitation to develop national guidelines for safe exercise of the cardiac rehabilitation patient with diabetes. References: Beaser, R. (2007). Joslin's Diabetes Deskbook. A Guide for Primary Care Providers (2nd ed.). Boston, MA: Joslin Diabetes Center.; Lazar, H.L., Chipkin, S.R., Fitzgerald, C.A., Bao. Y. H., Cabral, H., & Apstein, C.S. (2004). Tight Glycemic Control in Diabetic Coronary Artery Bypass Graft Patients Improves Perioperative Outcomes and Decreases Recurrent Ischemic Events. Circulation, 190, 197-1502. ; Mensing, C. (2006). The Art and Science of Diabetic Self-Management Education. A Desk Reference for Healthcare Professionals. Chicago, Illinois: American Association of Diabetes Educators.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleNew Knowledge: Optimal Rehabilitation of the Diabetic Cardiac Patienten_GB
dc.contributor.authorMasters, Barbaraen_US
dc.author.detailsBarbara Masters, RN, BSN, CVN, Protestant Memorial Medical Center, Belleville, Illinois, USA, email: bmasters@memhosp.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182279-
dc.description.abstractThe Cardiac Rehabilitation staff at a 313-bed Midwest community hospital raised clinically important questions about the safe blood glucose range to exercise diabetic patients in phase II of cardiac rehabilitation. The trigger for this inquiry was two patients experiencing significant hypoglycemia post exercise, one of which required the rapid response team. Review of cardiac rehabilitation literature did not provide the specific guidelines staff sought but did emphasize the importance of normoglycemia in this population. Staff developed exercise guidelines based upon general diabetes exercise literature which advised safe minimal pre-exercise blood glucose range of 100 to 300. The need to stratify patient risk for hypoglycemia based upon the type of oral agent or insulin therapy the patient takes was also identified. Staff began to specifically educate patients about the relationship between their diabetes medication, exercise, blood glucose, and hypoglycemia prevention. Staff recorded fasting, pre-exercise and post-exercise blood glucose of patients for nine months (July 2007 to March 2008) and presented their data at the 2008 annual conference of the Illinois Society of Cardiopulmonary Health & Rehabilitation (ISCHR). This informative presentation led to regional recognition of the need for specific guidelines for exercise of the cardiac rehabilitation diabetic patient. The Cardiac Rehabilitation Coordinator at our community hospital is working with ISCHR and an interdisciplinary team of the American Association of Cardiovascular and Pulmonary Rehabilitation to develop national guidelines for safe exercise of the cardiac rehabilitation patient with diabetes. References: Beaser, R. (2007). Joslin's Diabetes Deskbook. A Guide for Primary Care Providers (2nd ed.). Boston, MA: Joslin Diabetes Center.; Lazar, H.L., Chipkin, S.R., Fitzgerald, C.A., Bao. Y. H., Cabral, H., & Apstein, C.S. (2004). Tight Glycemic Control in Diabetic Coronary Artery Bypass Graft Patients Improves Perioperative Outcomes and Decreases Recurrent Ischemic Events. Circulation, 190, 197-1502. ; Mensing, C. (2006). The Art and Science of Diabetic Self-Management Education. A Desk Reference for Healthcare Professionals. Chicago, Illinois: American Association of Diabetes Educators.en_GB
dc.date.available2011-10-28T15:17:11Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:17:11Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.