NRS 410 Topic 1 DQ 2
DQ 2 :Discuss what resources are often necessary for nonacute care for cardiorespiratory issues.
Explain how they support patient independence and decrease readmission.
Upon discharge, patients with cardiorespiratory conditions will likely need additional resources to
promote independence and prevent repeat hospital admissions. Non acute care patients may
benefit greatly from cardiac or pulmonary rehabilitation. These programs operate as a bridge to
independence for patients after a cardiac event or a COPD exacerbation and help them learn to
manage their condition and exercises to restore cardiorespiratory function. Cardiac rehab
programs have been shown to improve daily functioning and reduce the risk of another cardiac
event or repeat hospital admission (Servey, 2016).
Patients may also need additional durable medical equipment to function safely at home. This
could include oxygen supplies or mobility aids like a cane or walker (Johnson, 2018). Living
conditions should also be examined for potential needs, like bars in the bathroom/shower, or
ramps for a wheelchair. Patients may also need help arranging transportation to medical
appointments or to pick up medications from the pharmacy (Johnson, 2018). If they plan to return
to work they may need documentation that shows what modified work they may perform, or they
may need additional time off for recovery (Johnson, 2018). All of these resources can help patients
regain their independence with a cardiorespiratory condition. Ambulatory aids help preserve their
ability to move around independently, and environmental modifications ensure their home is safe
while they perform their ADLS. Furthermore, ensuring they have access to necessary medical
equipment, their medications, transportation to follow up care, and a safe home environment will
help prevent hospital readmissions.
Johnson, A. (2018). Cardiorespiratory complexities. In Pathophysiology Clinical Applications for
Client Health. Grand Canyon University (Ed). https://lc.gcumedia.com/nrs410v/pathophysiology-
Servey, J. T., & Stephens, M. (2016). Cardiac Rehabilitation: Improving Function and Reducing
Risk. American family physician, 94(1), 37–43. https://pubmed.ncbi.nlm.nih.gov/27386722/
replied toMary Kate Morrisette
Jun 26, 2022, 11:59 PM
Replies to Mary Kate Morrisette
Hello Mary Kate,
Thank you for your post. There plenty of programs and resources that a patient can receive to
help them better take care of themselves with a new cardiopulmonary disease. One of these
resources would to receive a referral to respiratory and occupational services. These
programs would also a patients to have a better adjustment in living with their new illness and
to be able to do simple things like eating a full meal without becoming winded. That can
definitely lower the chances of an exacerbation and possible readmission into the hospital.
Grand Canyon University. (2018). Pathophysiology: Clinical applications for client
health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-
Karapolat, H., Cinar, M. E., Nalbantgil, S., Kayikcioglu, M., Mogulkoc, N., & Kulltursay, H.
(2019). Effects of cardiopulmonary rehabilitation on pulmonary arterial hypertension: A
prospective, randomized study. Turkish Journal of Physical Medicine & Rehabilitation (2587-
1250), 65(3), 278-286.
Jun 25, 2022, 9:04 AM
Replies to Mary Kate Morrisette
The book states cardiorespiratory patient will have a variety of needs after being discharged from
an acute care facility; This includes cardiac rehab, pulmonary rehabilitation, or just the need for
different types of durable medical equipment. (Johnson,2018) Resources necessary for non-acute
care of cardiorespiratory issues would include patient education and support as they transition
from acute care to non-acute care. Rehabilitation services, medical equipment, proper
transportation and access to medication and supplies are also important resources for patients. In
some cases, access to assisted living facilities is required before patients can return to their
normal living conditions due to limited mobility or the effects of required medications. Home health
care providers are another resource that may be necessary for patients living at home. Sometimes
durable medical equipment such as walkers, canes, or wheelchairs are necessary as a result of
impaired balance or mobility. Transportation may also be needed for appointments, often provided
by a service or by family. Living conditions may need to be adjusted if the patient is going home.
For instance, if a wheelchair is needed you may need a ramp and shower chair to assist. It’s
important for patients to have resources for non-acute care so that they may transition safely and
resume there lifestyles independently. These types of resources can decrease chances of
readmission by monitoring closely the effectiveness of the medication regimen and treatments to
ensure that the patient’s condition is improving.
Johnson, A. (2018). Cardiorespiratory complexities. In Pathophysiology clinical applications for
client Health (1st ed.). https://www.gcumedia.com/digital-resources/grand-canyon-
What is Cardiac Rehabilitation? (n.d.). Retrieved from https://www.heart.org/en/health-