Report (About The Patient)

Report(About The Patient)

Evaluate the case profile and generate appropriately detailed solutions and recommendations for prescribed exercise.

Assignment: Description: 

A case study analysis requires you to investigate a patient case or problem, examine the alternative solutions, and propose the most effective solution using supporting evidence and design a comprehensive exercise prescription protocol.  You are being offered a patient profile and being charged with crafting a Case Study Report for the patient based on the information provided. 

Directions: 

Prior to crafting your Case Study Report, I HIGHLY encourage you to review the attached guidelines, review the example offered in the 'Study Guides' content area to the left and review the Case Study Report Rubric. You will be assessed on the structure of your report. You should include the following sections:

• Statement or the main problem
• Patient profile
• Medications
• Alternative to current therapy recommendations
• Exercise prescription protocol
• FITT-VP protocol

Assessment: 

• Identification of the main issue(s) or problem(s) you need to clearly state the main issue(s) or problem(s) under a bolded heading. Any additional issue(s) or problem(s) can be offered under the identified main issue(s) or problem(s). 
• Patient profile needs to include all the information offered in the Case Study Assignment document and expanded information articulating any possible complications this information may present when considering the identified main issue(s) or problem(s). (
• Medications section should include a description of each medication offered in the Case Study Assignment, the medications intended effect and any possible complications associated with this medication use. (
• Alternatives to the currently recommended therapy should address a specific aspect of the case, cited and referenced. (3pts)
• Exercise prescription protocol should be detailed to the extent of the ACSM guidelines and offer supplemental information addressing the reasons for this specific prescription. 
• FITT-VP protocol should be organized in a chart/table format and include such detail that a patient or exercise physiologist could implement the protocol immediately. This detail should include the movement prescribed, frequency, intensity and volume. A protocol addressing strength, cardiovascular and mobility components to a complete program should be included. Recommendations of progression should be included as well. (
• Writing Mechanics and Grammar will also be assessed. Page limits, spelling errors, grammatical mistakes, citation and reference errors will be assessed. (5pts)

Cardiac – Outpatient

Scenario: 62-year-old male admitted to the hospital on Monday at 8am with an acute inferior wall MI. Patient underwent emergency PTCA 2.5 hours after the initial onset of chest discomfort. The MI was considered to be uncomplicated and the angioplasty procedure went well. Inpatient cardiac rehabilitation was ordered by Dr. Cardiology to begin on Monday evening. The patient successfully completed inpatient rehabilitation and was discharged Wednesday. The patient has now been prescribed outpatient rehabilitation at your facility.

Demography: Male, 62 years of age Normal weight Smoker Very little exercise history (walks the dog QOD) Hypertriglyceridemia No additional risk factors

Medications (prescribed post MI): Cardizem BID Plavix QD Crestor QD

Baby ASA QD Sublingual NTG prn

Hospital course: Resting HR averaged 84 throughout hospital course. Consider the hospital course to have gone well (put in a few minor problems). Dr. Cardiology ordered a LL-GXT for 8:00am Friday. The results are as follows:

Stage

0 0.5 I

HR BP

(1.7/0%) 100 (1.7/5%) 110 (1.7/10%) 120

120/68 130/70 142/68

EKG changes/signs/symptoms/ectopy

none

none

none