Cardiac and pulmonary rehabilitation: the clinician’s exercise prescription, each session, the walk-test trend, and the weeks between visits reported back.
Offered in: India only.Cardiac rehabilitation after a heart attack, angioplasty, bypass or valve surgery, or for heart failure, from phase I in hospital through supervised phase II to phase III maintenance. The cardiologist or rehab physician enrols the patient, records the risk category they assessed with the scheme they used, and writes the exercise prescription — the exercise, sessions a week, minutes and the intensity in their own words — with every change kept. Exercise sessions are recorded only once a prescription is written: heart rate at rest and at peak, blood pressure, minutes, the patient’s exertion on the Borg 6–20 scale, and any symptoms; a session the patient missed is recorded as missed, with no numbers. Outcome measures — the six-minute walk, peak METs, resting heart rate and blood pressure, weight and waist, a quality-of-life questionnaire by name — are taken at baseline, at the end of a phase and at follow-up. Every phase move is kept. The list leads with patients who need a prescription or missed their last session. Pulmonary rehabilitation runs on the same record without phases — for COPD, interstitial lung disease, bronchiectasis and the rest — and any session keeps the breathing technique practised, the lowest SpO2 and breathlessness on the scale the team names (the modified Borg, say; cited, the score as scored). The six-minute walk is repeated on the interval the team sets for the patient, with its source (none ships): the next one is due from the last, overdue first on the list. Between visits: the cardiologist’s walking target with its source, the team’s own diet checklist, one check-in a day from a call, visit or message (what was walked, medicines all taken or missed, which checklist items were kept), week-by-week figures from enrolment, and a progress report of the weeks between two days, frozen when sent to a prescriber who alone marks it read.
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