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心肺康复计划

The goal of Burke’s Cardiopulmonary / Cardiac Rehabilitation Program is to help you achieve the most active and productive life possible, despite physical limitations. It is divided into two parts: the cardiac program and the pulmonary program. The cardiac program is tailored for individuals with heart disease and the post-operative cardiac patient. The pulmonary program serves young adult through elderly patients, with diagnoses such asCOPD- emphysema, bronchitis, bronchiectasis, chronic and acute respiratory failure, and pulmonary fibrosis.

Whether you are living with a chronic lung disease or have suffered an acute lung condition, we assist your recovery with intensive therapy and we teach you strategies to help you manage your condition.

心肺康复计划为所有录取的心肺功能障碍的患者提供了护理,从而导致功能能力的局限性。患者通过外科手术或加重慢性心肺疾病后,需要急性康复医院提供的护理水平。患者具有不同水平的医疗敏锐度,这是诊断和/或基于加重的患者。患者必须在医学上稳定,才能在急性康复环境中进行医学管理,并耐受约3小时的治疗/天。

在一个安全,安全内核e and structured environment, Burke offers intensive therapy seven days a week. Your schedule will be determined by your individual needs and goals. As a patient in any of Burke's inpatient programs, you will receive up to 3 hours of therapy a day, 5 days per week, generally Monday through Friday, and additional therapy on Saturday and/or Sunday for one hour. Skilled therapy will be provided in a combination of physical therapy and occupational therapy and/or speech therapy as needed. Rehabilitation nursing and access to a physician are available 24 hours a day, seven days a week.

Scope of Services

The Cardiopulmonary Team is committed to ensuring that each individual’s needs are addressed by:

  • 通过跨学科的方法提供康复,强调沟通,协作与合作
  • Lessening limitations of activities by focusing on the individual’s capabilities and utilizing compensatory strategies and devices
  • Providing the highest quality, patient focused rehabilitation
  • Removing or lessening restrictions to participation in life situations to the fullest extent possible
  • Providing counseling to the individual and family and/or caregiver on alternative possibilities for life participation when necessary
  • 准备个人,家庭和/或护理人员,使其过渡到康复过程的下一阶段

Cultural and religious needs are respected for each patient by the entire team. Accommodations to the patient’s schedule, dietary needs and requests, and the provision of appropriate equipment are provided to enhance the patient’s experience and support full participation in the rehabilitation program. All staff members participate in annual cultural diversity and sensitivity training.

The diagnoses commonly served in the Cardiopulmonary Program include but are not limited to:

  • COPD: emphysema, bronchitis, asthma, bronchiectasis
  • Idiopathic Pulmonary Fibrosis
  • Restrictive Lung Diseases
  • 术后胸切开术S/P肺切除术,叶切除术或楔形切除术。
  • Status Post Lung Volume Reduction Surgery
  • Congestive Heart Failure
  • Status Post Coronary Artery Bypass Graft
  • Status Post Valve Replacement (mitral, aortic)
  • Medical debility
  • S/P lung; heart transplant
  • S/P Left Ventricular Assist Device placement
  • COVID-19

在2020年,心肺计划:

  • Served 99 patients with cardiac conditions ranging in age from 30 to 94.
  • Served 81 patients with pulmonary conditions ranging in age from 30 to 95 years old.
  • Discharged patients to the following:
  • 68% (67) of the patients with cardiac conditions and 74% (61) of the patients with pulmonary conditions returned home with home care, outpatient, or no further services because services were no longer needed.
  • 9% (9) of the patients with cardiac conditions and 9% (7) of the patients with pulmonary conditions went to a sub-acute facility to continue their inpatient rehabilitation.
  • 23% (23) of the patients with cardiac conditions and 15% (12) of the patients with pulmonary conditions were transferred to an acute hospital.
  • 0% of the patients entered a long-term care facility.

Within the scope of the Cardiopulmonary Program, patient evaluation and care planning are designed around traditional medical disablement models. These models assess three levels of dysfunction which stem from the patient’s admitting diagnosis (pathology).

损害: Weakening, damage, or deterioration of function within a specific component of the cardiopulmonary and/or musculoskeletal system resulting from injury or disease.

Examples: Decrease in exercise tolerance, decrease in balance, limitations in pulmonary hygiene, decreased cardiac output, decreased ventilatory capacity, decrease in strength, decrease in active and/or passive range of motion.

活动限制: The inability to perform a specific task as a consequence of the impairments mentioned above.

Examples: Difficulty with ambulation, stair negotiation, dressing, grooming, or self-care.

Participation Restrictions:障碍和活动限制对一个人参与生活角色的能力的累积影响。

Examples:Inability to perform duties as a parent, caregiver, employee, or participant in social and leisure activities.

In addition to these medical characteristics identified through the utilization of the disablement model, social barriers to discharge must also be assessed. These factors are societal and environmental by nature and often times they impact the determination of services rendered upon discharge.

这些障碍可以包括但不限于:

  • Limited transportation
  • 无法接近的生活环境
  • 有限的护理人员支持
  • Financial resources/insurance benefits

The initial assessment performed by each discipline should capture the patient’s most accurate burden of care via GG scoring as well as functional endurance which is measured via 6-minute walk test. Based upon the results of the initial evaluation, each interdisciplinary team member will create a patient-specific plan of care designed to meet each patient’s goals. The team will formally meet twice weekly to discuss discharge planning and treatment progress.

出院计划有可能开始the first day of the patient stay with the discussion of outpatient follow up services, patient goals, and patient support base being initiated by social work. The combination of the patient’s medical, physical and social circumstances will dictate the most appropriate discharge environment from the services available.

Team Description

Led by pulmonologistRichard Novitch, M.D.,您的跨学科护理团队的专业人员将评估您的医疗和康复需求,并与您合作以建立个人目标。在密切合作的情况下,团队设计和实施您的治疗计划。在您的整个治疗过程中,整个团队每周一次正式开会一次,讨论您的进度,Novitch博士监视了整个团队过程和结果。

The philosophy of the Cardiopulmonary Program is that the program’s mission can best be accomplished by providing rehabilitative care through an interdisciplinary team approach. Upon admission, each patient will be evaluated and cared for by members of the interdisciplinary team. The interdisciplinary team make up is determined by patient assessment, medical needs, rehabilitation needs and predicted outcomes. Based upon individual patient needs, the team may be comprised of individuals from, but not limited to, the following disciplines:

  • Individual with cardiac/pulmonary condition
  • Individual’s family and/or caregiver(s)
  • 医师/居民
  • 康复护理
  • Respiratory Therapy
  • Occupational Therapy
  • Physical Therapy
  • 社会工作
  • Neuropsychology
  • 娱乐疗法
  • 语言病理学

该患者是该团队不可或缺的一部分,并确定了个别团队成员的跨学科团队成员的发现和预期的结果,因为确定了护理计划。

Support services available include:

  • Medical consultation (Psychiatry, ENT, Dermatology)
  • Spiritual services
  • Orthotic/Prosthetic services
  • Complimentary therapy
  • Laboratory services
  • 药房服务
  • Radiology
  • Driver assessment and education
  • Medical nutrition
  • Wound Care by Certified Wound and Ostomy Nurse(s)

The overall function of this team is to create the most appropriate patient-centered plan of care. The team’s goal is to help the patient achieve the highest level of independence and education while establishing a discharge plan that keeps the patient progressing within the healthcare continuum. In doing so, the team aims to minimize impairments, reduce activity limitations, lessen participation restrictions and achieve predicted outcomes. The ideal outcome is an independent discharge to the community with follow up outpatient services concurrently arranged.

From admission through the discharge planning process, team members work collaboratively with each other, the individual with the cardiac/pulmonary condition and the family and/or caregiver(s) to ensure that the specific needs of each individual are addressed. Patient and family and/or caregiver involvement and participation is strongly encouraged throughout the entire rehabilitation process.

Based on the results of the initial assessment, goals are determined with the individual and/or family, and a treatment plan is implemented. The individual’s progress is discussed formally once per week at team conference/medical rounds. Team consultation and collaboration occur throughout the treatment program. In addition to speaking directly with members of the team regarding the patient’s medical condition, progress, functional status, participation in therapy, achievement of established goals, family members and/or caregivers are strongly encouraged to attend and participate in treatment sessions and patient care as appropriate.

病人和家庭/照顾者教育

所有心脏和肺病患者将参加由跨学科团队提供的每日患者教育课程。这种教育对家庭和照料者出勤以及患者的参与开放。患者教育课程的教育目标基于自我护理和疾病管理,资源利用以及出院后的社区重新进入。团队成员每天提供有关肺健康的一系列讲座和讨论。

Family members and caregivers are encouraged to attend and participate in treatment sessions and care as appropriate. Comprehensive education for you and your family and/or caregiver is essential to reaching your goals.

Admission Criteria

Every potential patient who may benefit from our care is discussed with the screening staff, physician, and/or program director. The rehabilitation potential for every patient is evaluated prior to admission.

Screening Process
伯克通常由医生推荐,social workers, discharge planners or case managers. A reasonable medical and functional profile must be provided and appropriate sections of the medical record from the acute care process are included. A rehabilitation nurse may also perform a detailed evaluation at the referring institution. Recommendations are then made to the appropriate member of the medical staff who renders a final decision with regard to admission.

Discharge Planning

The discharge planning process begins when the patient is first admitted to the program. The social worker/case manager leads the planning process, coordinating information from all members of the interdisciplinary team and acting as the primary liaison between the team and the patient and family. Based on the individual’s functional status for self-care, mobility and other daily life skills, family/caregiver support, medical needs, pre-morbid living situation and level of function, and available health insurance, the team, in collaboration with the patient and family, makes recommendations for the most appropriate and suitable discharge plan for the patient. At the team or family’s request, a meeting with the team and patient/family is scheduled to discuss available discharge options. The patient’s and family’s preferences are of primary concern and the team will make recommendations for a safe discharge when options for continued care and rehabilitation are considered.

Recommendations may include, but are not limited to:

  • Home with home care services
  • Home with outpatient services
  • Sub-acute rehabilitation services
  • Long term care services
  • Hospice services

Financial Information

For information regarding fees and insurance,please click here.

Location

Located in White Plains, New York, Burke Rehabilitation Hospital's Cardiopulmonary Rehabilitation Program attracts cardiopulmonary patients from Westchester County, New York City, Long Island, Northern New Jersey, and Connecticut. Burke also welcomes cardiopulmonary patients from across the country and around the world.

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Cardiopulmonary - Cardiac Rehabilitation Program Video

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白色平原, NY 10605

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(914)597-2500,(888) 99-BURKE

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