Opening Keynote
8:00am – 9:30am
Quality and Performance: Where Have We Been and Where Are We Headed?
Helen Burstin, MD, National Quality Forum
Kick off the 24th Annual Meeting with Dr. Burstin as she discusses the current state of health care quality in America with a perspective on the changing quality measurement and improvement landscape. Consider and explore a shift of measurement and improvement across patient-focused episodes of care, explore the importance of interoperable health information technology as an enabler to this shift, and touch on the need for greater attention to outcomes and population health during this session.
1. Broadly understand the changing landscape in healthcare quality.
2. Recognize the role of health information technology as a critical enabler of quality measurement and improvement.
3. Distinguish between measurement across episodes of care and the importance of harmonization and patient outcomes.
Listen to a podcast with Dr. Helen Burstin
Breakout Sessions
9:45am – 11:15am
Exercise Prescription Forum: New Insights for Peripheral Arterial Disease, Lifestyle Activity, and Structured Exercise
Barry Franklin, PhD, FAACVPR; Patrick Savage, MS, FAACVPR; Kerry Stewart, EdD, FAACVPR
Despite the proven health benefits of exercise, the traditional model for getting people to be physically active has been ineffective and compliance to long-term exercise programs is poor. Discuss lifestyle activities, structured exercise programs, and the practical implications for counseling patients with coronary heart disease and peripheral arterial disease during this session.
1. Discuss the impact of lifestyle exercise vs. structured exercise on individuals with CHD.
2. Review the importance of exercise intensities in treating specific patient populations.
3. Learn about the parameters of exercise prescription along with precautions for patients with peripheral arterial disease.
AACVPR National Outcomes Data, Registry Status Update and a Look at the Canadian Experience
Neville Suskin, MBChB, MSc; Carl N. King, EdD, FAACVPR
Review the current status of the proposed AACVPR National Outcomes Data Registry with Dr. King and Dr. Suskin, past-president Canadian Association of Cardiac Rehabilitation, as they relate their experience with the development and end-user utility of their national data registry.
1. Familiarize yourself with the current status, parameters, and proposed implementation timeline for the AACVPR National Outcomes
Data Registry.
2. Understand the utility at the program, region, and national level associated with participation in a national registry product including program process improvement and benchmarking.
3. Discuss current status and future direction of the Canadian CR Registry project.
Pulmonary Rehabilitation: Reimbursement
Philip Porte, Legislative Analyst, GRQ; Trina Limberg, BS, RRT, FAACVPR
Administrators and clinicians will garner information and assistance to help prepare for the new Medicare NCD in 2010 in this session.
1. List two key concerns about implementing the new Medicare NCD for 2010.
2. Understand forecasting costs and projecting revenue: what will it cost to provide services and what will be reimbursed?
3. Learn what it takes to get billing codes loaded into the hospital charge master systems before January 1, 2010.
They Can't Bury You While You're Still Moving *NEW SINCE ADVANCE PROGRAM*
Richard ZuWallack, MD
Participation in activities of daily living is an integral component of health-related quality of life in COPD patients. In addition, those with decreased physical activity appear to require more health care utilization services and have higher mortality; this relationship remains even after controlling for other markers of disease severity such as the FEV1. It therefore makes sense to include increased physical activity as a goal of pulmonary rehabilitation. We often assume increased exercise capacity ("can do") from pulmonary rehabilitation is translated into increased physical activity outside the exercise area ("do do"). Discuss physical activity as an outcome in pulmonary rehabilitation during this session.
1. Understand why physical activity should be considered as an outcome for pulmonary rehabilitation
2. Learn potential ways to objectively measure activity in COPD patients
3. Review existing literature on the effect of pulmonary rehabilitation on physical activity
Yoga and Tai Chi: Complementary Rehabilitation Methods for Heart and Chronic Disease Management
Lonnie Sebastian, RN,BC, MSN; Pamela Kircher, MD
Explore yoga in the first part of this breakout session and tai chi in the second. Yoga philosophy including the Eighfold Path and a yogic lifestyle and attitude will be described as it relates to heart health. Understand how the practice of yoga contributes to fitness training, stress management, and weight management. Practical suggestions on how to incorporate yoga into a rehab program will be presented. Participants will have the opportunity to practice asana's or postures appropriate for heart patients. Next, discuss how tai chi is a gentle flowing exercise that has been modified in current times to meet the needs of people with chronic conditions. Tai Chi has been shown not only to reduce stress but also improve cardiovascular fitness, strength, posture, balance, and flexibility. An overview of tai chi and current scientific studies will be presented with an emphasis on common health issues in the cardiopulmonary population. Learn strategies for finding safe, modified tai chi classes and supporting clients in their practice will be discussed. Participants will have an opportunity to experience a modified tai chi for health form for themselves
1. Attain a basic understanding of the benefits of yoga related to heart health and how tai chi improves the health of people with chronic conditions.
2. Understand how yoga encompasses more than exercise, and may be included in a rehab program.
3. Learn how rehab professionals can encourage clients to participate in tai chi for health classes and practice at home.
Breakout Sessions
12:45pm – 2:15pm
Cardiac Rehabilitation Policy and Reimbursement: National and Local Perspectives
Karen Lui, RN, MS, FAACVPR, Legislative Analyst, GRQ; Philip Porte, Legislative Analyst, GRQ
Gain an overview of the legislation process to regulate cardiac rehabilitation and learn how the new bill will affect CR programs. There will a question and answer opportunity with information from both CMS and local contractor (MAC) perspective.
1. Understand how the cardiac rehabilitation law passed in July 2008 was interpreted by CMS into regulation for 2010.
2. Discuss the relationship (consistencies and variations) between national and local policies for CR.
3. Learn about future legislative and regulatory initiatives that AACVPR is pursuing.
Making the Right Oxygen Decisions
Robert McCoy, RRT; Trina Limberg, BS, RRT, FAACVPR
Long term oxygen therapy (LTOT) products and services are changing at a rapid pace. New technology is entering the market to address both patient and economic needs. It is important to understand the capabilities and applications of new oxygen systems to ensure that the patient is adequately oxygenated at all activity levels. Examine and discuss clinical research as it relates to LTOT products and services during this session.
1. Learn to identify two methods of determining oxygen delivery volumes at specific respiratory rates.
2. Identify two methods of determining patient capabilities based on effective oxygen delivery.
3. Explore two options for portable oxygen delivery systems based on activity.
Lurking in the Shadows: Spotlighting the Risk of Covert Anger
Kent Eichenauer, PsyD; Glenn Feltz, PsyD
Patients can display anger and hostility in overt raging or seething behavior. This critical risk factor can also "lurk in the shadows." The patients may not even recognize it in themselves. Discover hands-on tools to identify and assist patients in managing this problem during this session.
1. Explore the tools to assist patients in more effectively managing the anger/hostility risk factor.
2. Identify subtle and obvious characteristics of anger/hostility in rehab patients.
3. Become more knowledgeable regarding the evidence of anger/hostility as a psychosocial risk factor of CAD.
AACVPR Certification Review: If You Have Questions, We Can Help!
Gayla Oakley, RN, FAACVPR; Susan Carter, RN BC, FAACVPR; Mark Senn, PhD, FAACVPR
Review the application process for Cardiac and Pulmonary certification during this session.
This includes an overview of each section of the application, strategies for successful completion of the application, helpful resources, review of trouble prone areas for applicants as observed by Certification Examiners, and an open discussion of questions from attendees.
1. Understand the basic structure of the application for certification and the process for successful application submission.
2. Uncover the essential requirements for each area of the application.
3. Become familiar with the most frequent challenges of a successful application as viewed by actual examiners.
New Investigator Oral Presentations
12:45pm – 2:15pm
Breakout Sessions
2:30pm – 3:30pm
Management of Hyperglycemia in the Patient with Heart Disease
Mary Korytkowski, MD
Discuss glycemic goals for HA1c and home glucose monitoring with attention to three large recent clinical trials for individuals with type 2 diabetes (ACCORD/ADVANCE/VADT). In addition, intensification of hypoglycemic therapy while minimizing risk for hypoglycemia will also be explored.
1. Identify cardiovascular events as an opportunity for finding those with undiagnosed or inadequately treated type 2 diabetes.
2. Discuss glycemic goals for patients with type 2 diabetes. Define the ADA guidelines for glycemic control as related to the patient with established cardiovascular disease. Discuss how recent trials of intensive therapy influence these glycemic goals.
3. Provide an algorithm for the initial and progressive approach to glycemic management of the patient with type 2 diabetes. Define modifications in diabetes therapy that can minimize risk for hypoglycemia during exercise and cardiac rehabilitation.
Restrictive Lung Diseases: Pulmonary Rehabilitation and Exercise Guidelines
Kim Eppen, PT, PhD; Kevin F. Gibson, MD
Learn about special pulmonary rehabilitation considerations and exercise training guidelines for persons with restrictive lung diseases during this session. Obesity related pulmonary impairments will be discussed.
1. Define the pulmonary and extrapulmonary causes of restrictive physiology, and describe the impact of restrictive physiology on exercise capacity and gas exchange.
2. Have an appreciation for some of the unique needs of persons with restrictive lung disease/dysfunction and strategies that may be utilized in the context of pulmonary rehabilitation to address these needs. Also, recognize the value of exercise testing and how pertinent information can be utilized for exercise prescription, determining supplemental oxygen requirements, and for outcome purposes.
3. Understand the role of pulmonary rehabilitation and its unique challenges in patients with interstitial lung disease and be familiar with exercise guidelines for persons with restrictive lung diseases/dysfunctions.
Provider and Payer: Working Together to Change Healthcare
Mitchell D. Resnick, MD
Learn and understand the perspective of a large health insurance provider on what cardiac and pulmonary rehabilitation services have to offer the hospital, the community, and local payers and why these services are ''ahead of the curve'' in delivering secondary prevention.
1. Recognize the value of provider programs that you can bring to local employers and payers.
2. Learn about opportunities to partner with payers to improve the health of employees, local employers, and health plan members within the community.
3. Where are we headed? Learn what the government is doing to support the payer and provider relations
Addressing Psychological and Behavioral Issues Related to Sleep Disturbance
Jennifer Jones Cameron, PhD
Discuss and reflect on the accumulating research that demonstrates sleep is vital to physical and psychological health during this session. Cardiac rehabilitation patients often report sleep disturbance which hinders their recovery in both arenas, but behavioral interventions can effectively address sleep problems. Join this session to explore this topic.
1. Understand the reciprocal relationship between sleep disturbance and health (physical and psychological).
2. Become familiar with behavioral treatments for the types of sleep disturbances that pose special challenges for patients.
3. Learn how to inform, assist, and refer patients to address psychological and behavioral issues related to sleep disturbance.
Recertification Session: Understanding the Standards and Process
Mark Senn, PhD, FAACVPR; Pat Benfield, RN, MA, FAACVPR
Attend this session to receive practical information regarding each component (TAB) of the Recertification Application. Participants will be able to ask questions regarding the content and standards that are relative to their specific program during this session.
1. Understand the essential standards of each component of the recertification application.
2. Review the recertification application process.
3. Discuss the application process relative to
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Breakout Sessions
8:00am – 9:30am
Super-sizing Your Cardiac Rehabilitation Program
Thomas Draper, MBA, FAACVPR; Philip Ades, MD; Deborah Gurewich, PhD
Review the factors that influence enrollment in cardiac rehabilitation and secondary prevention programs during this session. Additionally, both traditional and nontraditional methods will be examined to enhance program participation.
1. Examine participation rates in cardiac rehabilitation and secondary prevention programs.
2. Explore the relationship between system level factors and cardiac rehabilitation use.
3. Discuss ways to expand traditional and nontraditional programs to increase participation.
Managing the Complex Cardiac Patient
Michael White, MD; Thomas Lenz, PharmD, MA, PAPHS
Many complexities exist when managing the care of cardiac patients. Focus on two common complexities seen in this population: resistant hypertension and the use of NSAIDs. Discussion will include management strategies, presence of co morbidities, and new approaches for managing resistant hypertension in patients with CHD. Additionally, there will be a discussion of the use of NSAIDs in patients with CHD who are also using aspirin/clopidogrel, and those with heart failure and renal disease.
1. Identify appropriate strategies for managing CHD patients with resistant hypertension.
2. List the risks involved for patients with CHD when taking NSAIDs.
3. Discuss appropriate pain-relieving strategies for CHD patients who also are taking aspirin/clopidogrel.
Pulmonary Rehab 101: Basics and Best Practices
Philip Porte, Legislative Analyst, GRQ; Trina Limberg, BS, RRT, FAACVPR; Lana Hilling, RCP, FAACVPR; Jane Knipper, APN, MA, AE-C, FAACVPR
Understand the necessary information to establish an evidence-based pulmonary rehabilitation program. Whether you are new to pulmonary rehabilitation, or a veteran wanting a review, this program will cover the minimum standards recommended for a quality pulmonary rehabilitation program.
1. Identify criteria for patient selection for participation in a pulmonary rehabilitation program.
2. Discuss the three essential components of a pulmonary rehabilitation program.
3. Understand the principles of exercise, prescription for the pulmonary patient.
The Experience of the Experience Economy
G. Curt Meyer, FAACVPR; Barbra A. Fagan, MS
Gain an overview and tools to evaluate your program from a patient experience standpoint.
1. Be able to define the experience economy principles.
2. Learn how experience economy principles can be audited in the clinical setting and evaluated by the providers of care. Examples of application will be shared and discussed.
3. Learn how to identify delivery of care concepts in your setting that incorporate the six “I’s” of the experience economy.
Certification: Best Practice Examples
Gayla Oakley, RN, FAACVPR; Susan Carter, RN, BC, FAACVPR; Mark Senn, PhD, FAACVPR
Experience this question and answer session with the pros. Review applications and forms for the certification process.
1. Get a hands-on review of best practice applications and forms.
2. Identify problem areas in applications and be able to problem solve through question/answer period with the certification committee members.
3. Learn about the opportunity for mentoring through the certification process.
Cardiac Oral Presentations
8:00am – 9:30am
Award Winner Keynotes
9:45am – 11:15am
Award of Excellence Winner
Fitness and Aging: A Two-Way Street
Kerry Stewart, EdD, FAACVPR
Though there is a natural decline in many physiological functions with age, the rate of change is not the same for everyone. Many of the health issues and loss of functional capacity with aging is often accelerated by physical inactivity. This talk will review many of the benefits of exercise that lead to preserved health and increased functional capacity with aging.
1. Describe the general physiological changes that occur with normal aging.
2. Review how increased physical activity can affect the aging process.
3. Cover specific benefits of exercise on cardiovascular, musculoskeletal, and metabolic health that can improve functional capacity and prevent disease.
Michael L. Pollock Established Investigator Award Winner
Let History Help Guide Our Future *NEW SINCE ADVANCE PROGRAM*
Steven J. Keteyian, PhD
In this era of evidence-based medicine, it is important to understand and advance the existing scientific evidence that supports and drives what it is we do in cardiac and pulmonary rehabilitation. Review the key findings from important clinical exercise trials conducted over the past 30 years, as well as describe where more work is needed relative to determining the effectiveness of exercise therapy in the management of patients with a cardiopulmonary or other chronic disorder.
1. Better understand the important contributions of pivotal clinical exercise trials in the management of patients with cardiopulmonary disease.
2. Appreciate gaps in the scientific literature … that now need to be addressed by randomized clinical exercise trials.
3. Re-affirm that each patient we help care for … is an individual.
Featured Speakers
1:30pm – 2:30pm
Heart Failure 2009: Has the Paradigm Changed?
Ileana L. Pina, MD, FAACVPR
As the number of heart failure patients continues to rise, particularly in the elderly, it is time to reflect on the advances made in the diagnosis and potential therapeutic agents for this syndrome. We have traveled the road of neurohormonal blockade including beta blockers and have recognized the pathophysiologic contribution to disease onset and progression. The therapeutic bucket is plentiful and now devices have also taken their place as adjuncts to medical therapy. However, even with these advances, the practice of heart failure care is far from adequate and patients are not consistently receiving quality care. The fragmentation of medical care has compounded this problem as patients are discharged and followup is scattered, and inconsistent resulting often in repeated admissions. Not only should the providers use the multiple therapeutic options available, but also they should add appropriate assessment, follow up and continued patient/family education. The paucity of heart failure cardiology experts and teams available for this disease management type care, necessitates a new paradigm for the practicing clinician.
1. Receive an update on current medical therapy for heart failure.
2. Discuss the role of exercise training in heart failure.
3. Explore the current devices appropriate for the heart failure patient.
Rehabilitation for Patients with Pulmonary Hypertension
Nicholas S. Hill, MD
Gain a succinct update on the current definition and classification of pulmonary hypertension as well as approach to diagnosis. Review data available on Pulmonary Rehabilitation for PH patients and outline an approach to managing and monitoring them in the context of a Rehabilitation Program.
1. Learn the current definition and classification of pulmonary hypertension.
2. Review the currently available therapies of pulmonary hypertension.
3. Describe the approach to rehabilitation of pulmonary hypertension patients and supporting evidence.
Motivational Interviewing for Tobacco Dependence
Michael Burke, EdD
Using didactic, audio visual, and interactive examples this workshop will provide the participants with practical skills and underlying foundation to increase patient motivation to transform the difficult-to-change behaviors.
1. Discover how to assess different domains that constitute motivation for behavior change.
2. Learn how to engage currently unmotivated patients in an effective dialogue to increase the patents’ willingness to engage in tobacco dependence treatment.
3. Feel more capable to motivate behavior change.
Breakout Sessions
3:30pm - 4:30pm
HeartQoL Project Design and Interim Results
Neil Oldridge, PhD
Health-related quality of life [HRQL] represents the effect of an illness and its treatment as perceived by the patient. Comparing HRQL outcomes in patients with coronary heart disease [myocardial infarction, angina pectoris or heart failure] requires a common outcome measure that is available across different languages. The HeartQoL project aims to develop a core HRQL questionnaire and has recruited patients with CHD in 21 countries at 59 sites world-wide with data entered electronically for >6,000 patients. The HeartQoL project design, methodology and most recent results will be discussed with reference to the development of a single HRQL questionnaire for patients with MI, angina and heart failure.
1. Better understand health-related quality of life as a patient-reported outcome of cardiac rehabilitation.
2. Discuss the HeartQoL project objectives, study design, and interim results in >6,000 patients with MI, angina, or heart failure in Europe,
Canada, and the USA.
Inova HeartLink Tel-Assurance Program: Cardiac Rehab Outreach for Heart Failure Patients
Kathleen S. Kunath, RN; Lynne H. Weir, PT, CPD-ACSM
Patients with heart failure are rarely enrolled in cardiac rehab programs. Yet, rehospitalization rates are high and in most cases, hospitals are unable to recoup the cost of caring for these patients. This presentation will introduce an innovative program as developed by Inova Mount Vernon Hospital in Virginia that utilizes cardiac rehab staff to monitor and support up to 200 patients (per nurse) with heart failure. Although there is no reimbursement at this time, there is a substantially positive financial impact for the hospital. Learn about the programs development, obtaining hospital and physician leadership buy-in and the business case for implementing such a program.
1. List three measurable clinical or financial outcomes likely to encourage hospitals to implement a “non-traditional” program like Inova HeartLink Tel-Assurance® Program.
2. Understand how to compare and contrast the role of the cardiac rehab nurse in this program vs. traditional care in a rehab setting.
3. Discuss key strategies in gaining leadership and physician buy-in for this type of outpatient program.
Increasing Patient and Workforce Diversity in Cardiac and Pulmonary Rehabilitation
Mariano Rey, MD
Patients and staff from minority ethnic groups are under-represented in cardiac and pulmonary rehabilitation programs. Understand ways to address this problem, drawing on Dr. Rey's experiences as a Cardiac Rehabilitation Medical Director and Director of the NYU Centers for Health Disparities Research.
1. Understand how to make changes in your programs that increase services to patients from underserved ethnic groups.
2. Demonstrate an understanding of the ethnic and racial diversity in the burden of care of cardiovascular and pulmonary disease in the United States.
3. Identify cultural and gender bias in the cardiovascular and pulmonary management of diverse populations in the United States.
Food is Medicine: Evidence-Based Nutrition Applications for Preventing and Managing Atherosclerosis
Joseph Carlson, PhD, RD, FAACVPR
Increase your understanding of evidenced based cardiovascular nutrition recommendations for preventing and managing CVD risk factors and atherosclerosis during this session. Practical applications for helping patients adopt evidenced-based nutrition patterns that can positively influence multiple CVD risk factors including hypertension, dyslipidemia, inflammation, and thrombotic factors. Additionally, attendees will increase their awareness of evidence based nutrition resources that are available for both patients and clinicians for optimizing patient outcomes that emphasize what foods and food patterns to include versus what foods to exclude.
1. Increase knowledge of recent evidence-based cardiovascular nutrition recommendations for preventing and managing CVD risk factors and atherosclerosis.
2. Learn about practical applications based on recent CVD risk reduction interventions for improving multiple CVD risk factors including hypertension, dyslipidemia, inflammation, and thrombotic factors.
3. Learn about evidence-based nutrition resources for both patients and clinicians for optimizing patient outcomes that emphasize what foods and food patterns to include vs. what foods to exclude.
Outcomes 2009 Update
Helen Graham, RNC, MSN, PhD; Beth Dole, BS; Andrew Winslow, MS, FAACVPR
Review and discuss the utility of outcomes measure in cardiac and pulmonary rehabilitation with a focus on the importance of outcome measure in program improvement and management. Explore the opportunities and utility of participating in state, regional, and/or national outcomes registries.
1. Gain an increased understanding of working with outcomes.
2. Understand quality improvement/process improvement.
3. Learn how to establish a statewide outcomes program including funding sources, collaboration with existing programs, significance of regional disparities, and opportunities for process improvements.
Breakout Sessions
4:45pm – 5:45pm
CAD Risk Assessment
Donald M. Lloyd-Jones, MD, ScM
Examine current CVD risk assessment algorithms and how they may be incorporated into practice during this session. Explore the utility of novel risk markers and imaging in CVD risk assessment.
1. Know how to access and use CVD risk assessment tools.
2. Understand the strengths and limitations of 10-year risk equations, and the utility of adding long-term and lifetime risk estimates to short-term risk estimates.
3. Understand the utility of measuring traditional risk factors and novel biomarkers and the utility of imaging for subclinical atherosclerosis.
Cardiac Rehab: Basics and Best Practice
John Porcari, PhD, RCEP, FAACVPR; Bonnie Anderson, MS, FAACVPR; Barbra A. Fagan, MS; Tracy Herrewig, MS, RCEP, FAACVPR
Learn the three essential components for improving patient care and program effectiveness during this session. This session is designed for people new to the field.
1. Formulate an exercise prescription for a typical cardiac patient.
2. Identify and incorporate at least one outcome measure crucial for program metrication.
3. Develop an individualized care plan for a patient based upon patient needs.
Solutions to the Omnivore’s Dilemma
Christopher Gardner, PhD
Your patients are faced with an unprecedented number of food choices, and an indecipherable barrage of health claims and warnings. Dietary supplement confusion is added to this. Solutions and insights to this omnivore’s dilemma will be addressed with an engaging blend of science and humor.
1. Learn how to distinguish between the strong evidence-based nutrition approaches for acute health conditions, and the weakly supported approaches for chronic health conditions.
2. Become aware of the potential role of social responsibility in promoting healthy dietary modifications.
3. Take away several new resources for approaching the challenges of working with patients to help them to improve their diets.
Recertification: Success without the Stress
Pat Benfield, RN, MA, FAACVPR; Mark Senn, PhD, FAACVPR
Take part in this hands on opportunity to learn best practices, talk face to face with a committee member, and get step by step assistance to put together a successful recertification application.
1. Review and take away actual best practice application examples.
2. Utilize strategies presented to complete a successful application.
3. Understand the requirements for recertification.
Pulmonary Oral Presentations
Innovation Award
4:45 -- 5:45pm
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Breakout Sessions
8:30am – 9:30am
Physical Activity, Fitness, and Rehabilitation: The Year in Research
Murray Low, EdD, FACCVPR
Review the recently published scientific literature related to the role of physical activity and physical fitness as significant predictors for total and cardiovascular mortality.
1. Review the recently published scientific literature related to the role of physical activity and physical fitness as significant predictors for total and cardiovascular mortality.
2. Review the recently published scientific literature related to the interactions of physical activity, physical fitness, obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease.
3. Understand the current scientific basis for delivery of exercise training as a powerful therapeutic modality for primary and secondary prevention of metabolic syndrome, type 2 diabetes, and cardiovascular disease.
Pulmonary Rehabilitation: The Year in Review 2009
Brian Carlin, MD, FAACVPR
Review the most current scientific literature available in the field of pulmonary rehabilitation during this session.
1. Gain knowledge of the most recent scientific publications in the field of pulmonary rehabilitation.
2. Learn how to apply findings of recent scientific publications to your pulmonary rehabilitation program.
3. Gain insight into the types of research necessary to conduct in the field of pulmonary rehabilitation.
Let’s Talk About Sex: Pearls for the PR Professional
Gerene Bauldoff, PhD, RN
Information related to sexual function, sexual health, and symptom management during intimate behaviors is an important topic for PR. Unfortunately, there is a dearth of information. This session will describe common symptoms and issues reported by PR participants. It also will offer evidence-based information, teaching suggestions, and tips for the PR professional.
1. Learn to identify common sexual issues reported by the pulmonary rehabilitation participant.
2. Discuss pulmonary symptoms that commonly occur during intimate behaviors as reported by pulmonary rehabilitation participants.
3. Utilize evidence-based information for development of sexual health education in pulmonary rehabilitation.
Collaborating to Evoke Support for Programs and Initiatives
Barbara Fulton, PhD
1. Learn how to think differently about experience design and be able to give examples of how it applies to a potential supporter of a program or project.
2. Apply principles to one’s own project needs.
3. Understand the relation between the generosity initiative and the strategies for program support. International Forum Session
Central Adaptations to Exercise Training in Chronic Heart Failure Patients
Pantaleo Giannuzzi, MD
Central Adaptations to Exercise Training in Chronic Heart Failure Patients
In chronic heart failure patients, the increase of peakVO2 observed after a period of aerobic training is currently attributed more to peripheral (skeletal muscle) than central (heart) adaptations. Review the current scientific evidence regarding the existence or the absence of significant training-induced adaptations of peak cardiac output and its determinants in patients with chronic heart failure due to left ventricular systolic dysfunction.
On the basis of available literature, a training-induced significant increase of peak cardiac output with respect to pre-training values does exist in the chronic heart failure population. Such an effect is due to adaptations of the main cardiac output determinants - i.e. heart rate and stroke volume, whose relative contribution to the cardiac output increase will vary in the single patient due to variability in the individual response to the training stimulus. Moreover, these data emphasize both the safety and even the central morpho-functional benefits of aerobic training programs in the chronic heart failure population, setting the stage for an even more widespread use of this non-pharmacologic intervention in the everyday clinical practice.
1. Review the scientific evidence of central adaptations to exercise training in heart failure patients
2. Address the central morfho-functional benefits of aerobic training programs in the chronic heart failure population
3. Underline the safety and the key elements for a widespread use of exercise training in heart failure.
Featured Speakers
9:45am – 10:45am
Cardiac Risk Reduction
Lora E. Burke, PhD, MPH
Receive an overview of risk factors for coronary heart disease with an emphasis on lifestyle modification to address risk reduction and strategies to promote behavior change and treatment adherence.
1. Discuss the main risk factors for coronary heart disease.
2. Identify evidence-based strategies to reduce CVD risk.
3. Learn two to three strategies to improve adherence to lifestyle modification goals.
Pulmonary Rehabilitation: Addressing Skeletal Muscle Dysfunction in COPD Patients
Neil MacIntyre, MD
Review the pathophysiology of skeletal muscle dysfunction in COPD. Use this as a basis to design rehabilitation strategies.
1. Understand pathophysiology of skeletal muscledysfunction in COPD.
2. Understand the role of exercise in skeletal muscle dysfunction from COPD.
3. Understand the role of comprehensive rehabilitation in COPD with muscle dysfunction.
Dietary Strategies for Weight Management
Barbara Rolls, PhD
Balancing energy intake with energy expenditure is the key to maintaining a stable body weight. To promote adherence, it is important to choose foods that control hunger and enhance satiety. Recent studies show that both the portion size and calorie density of foods can be used strategically to enhance satiety and reduce energy intake and body weight. Consumption of a diet low in calorie density is associated with a healthy eating pattern that helps to ensure optimal nutrition while managing weight.
1. Learn about recent research related to diet and satiety.
2. Understand how calorie density and portion size affect energy intake.
3. Gain practical advice on how to eat nutritiously and avoid hunger when managing weight.
Closing Keynote
11:45am – 1:00pm
Chocolate and Cocoa: From Ancient Remedy to Modern Medicine
Debra Miller, PhD
Understand the history of the medicinal uses of chocolate and cocoa from ancient tribes such as the Mayans and Aztec through modern times and recent nutrition science discoveries. In addition, information on the cocoa bean, its composition and it how it is harvested and prepared into chocolate will be shared.
Program concludes at 1:00pm
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