CAD ACS & AMI
Involuntary bedrest is the standard of care following a heart attack or acute heart failure hospitalization and is an ingrained part of acute care cardiology culture. However, bedrest is associated with muscle loss and decreased functional abilities, which can lead to delayed recovery and disability following hospitalization, particularly in older adults. Early mobilization is safe and is associated with increased muscle strength and improved post-hospital physical and cognitive outcomes. Yet early mobilization programs are currently underused, particularly in acute cardiac care units. The Highly Active Cardiac Unit workshop will be an interactive experience aimed to increase attendees knowledge of the benefits and role of early mobility in acute cardiac patients. Attendees will be introduced to a nurse-driven early mobility program that is endorsed by the Canadian Council of Cardiovascular Nurses and will be given the tools to implement the program in their cardiac care unit. The 60-minute workshop will be composed of short focused sessions led by a multidisciplinary team of mobility “champions” covering the following topics: - History of cardiology immobility culture in 1 minute (1 min) Michael Goldfarb, MD - Introduction and evidence for early mobility in cardiac patients (6 min): Michael Goldfarb, MD - Nurse-driven early mobility (6 min): Diana Dima, RN - Nurses’ experience (6 min): Diana Dima, RN - Physiotherapists /occupational therapists’ experience (6 min): Joelle Berube-Dufour, OT and Julie Valiquette, PT - Physicians’ experience (6 min): Barry Burstein, MD - Patients and family experience (6 min): Diana Dima, RN - How to turn your unit into a Highly Active Cardiac Unit (9 min): Diana Dima, RN and Michael Goldfarb, MD - Question and Answer period: 14 minutes Sessions will be led by Diana Dima, RN (co-chair), clinical nurse specialist and mobility leader; Michael Goldfarb, MD (co-chair) expert in cardiac intensive care and early mobility; Joelle Berube-Dufour, OT, instructor with clinical expertise in mobility; Julie Valiquette, PT, instructor and leader of EM program development; Barry Burstein, MD, trainee in acute cardiac care. By the end of the workshop, attendees will have the knowledge and skills to transform their cardiac care units into highly active cardiac units.