Peninsula Regional Medical Center - Part of Peninusula Regional Health System


Cardiovascular & Pulmonary Rehabilitation and Prevention


Whether you are a cardiac patient at risk of developing a heart problem or simply want to improve your health, your physician can refer you to any or all parts of the program services offered through the Cardiovascular and Pulmonary Rehabilitation Department at Peninsula Regional Medical Center.

CARDIOVASCULAR REHABILITATION PROGRAM
The goal of cardiovascular or "cardiac" rehabilitation, as it's more commonly referred to, is to return each patient to an optimal level of physical, psychological, social and vocational well-being.  To achieve this goal, this program aims to improve cardiovascular function, promote healthier lifestyles, facilitate realistic/practical strategies for health improvement and risk factor reduction.

Eligible patients for cardiac rehabilitation include those who are recovering from heart attack (myocardial infarction), open heart surgery, angina, angioplasty, stent placement, heart transplant,  and those considered at risk for developing coronary disease.  Also eligible are those who want to participate in a structured exercise program to improve their health and reduce the risk of heart disease.
The professional cardiac rehabilitation team includes your personal physician, Peninsula Regional staff physicians, exercise physiologists, nurses, patient care managers, respiratory therapists and dietitians.  This team works together for you, your family and your physician to tailor the specific program components to meet your individual needs and abilities.

If you are a patient at Peninsula Regional recuperating from a heart attack, open heart surgery, angina, angioplasty or if you have an elevated risk of coronary artery disease, your physician may recommend PHASE 1 Cardiac Rehabilitation during your Medical Center stay.  This program includes light exercise, walking (as tolerated) and education.

PHASE I
Exercises include range of motion activities, walking and stair climbing.  These exercises aid your recovery, decrease deconditioning associated with bed rest, gradually increase your activity level and improve your confidence for long term lifestyle changes. 

Exercises are individualized for you based on your medical condition and recommendations from your physician.  Guidelines for activities, upon discharge, and a home exercise program are also included. The education for you and your family will include individual and group teaching sessions.  Some of the topics are risk factor identification, home exercise program, discharge instructions, family adjustments, diet counseling and spouse education.

PHASE II: ECG MONITORED EXERCISE PROGRAM

PHASE II is the conditioning phase of cardiac rehabilitation.  The primary goal is to improve cardiovascular functional capacity.  YOur exercise tolerance test will detemine your individualized exercise program.  The exercise prescription enables you to achieve cardiovascular conditioning safely, within the limitations of your heart disease.  PHASE II lasts typically from 6-12 weeks, with 1-hour exercise sessions meeting 2-3 times per week.  The frequency of the program can be designed to meet your individual needs.
The key components of PHASE II include supervision by personnel specially trained in exercise therapy, monitored electrocardiograms during exercise, an environmentally-controlled exercise facility equipped with a variety of aerobic exercise equipment and participation in lifestyle management classes.  These classes include stress management, diet instruction, smoking cessation and weight control.  The program fee schedule for Cardiac Rehabilitation will be reviewed with you at the orientation session.  Most insurance companies, including Medicare, reimburse for all or a portion of Phase II Cardiac Rehabilitation.

PHASE III: EXERCISE MAINTENANCE PROGRAM

Cardiac rehabilitation does not come to an end after the monitored Phase II program.  To maintain the cardiovascular improvements brought about in Phase II, you must continue your exercise program and make it a lifelong habit.  PHASE III allows you to do this.  Phase III features Peninsula Regional's exercise facility, periodic checks/adjustments in the exercise prescription, a monthly monitored exercise session, various education classes and lipid profile.  If diabetic, you will have HBAC 1C testing, weight training, ongoing support and encouragement from the Peninsula Regional staff and other participants.

Phase II & IV Hours of Operation 6:45 am - 6:15 pm Monday - Friday and Saturday 7 am -11:15 am
Warm-up sessions are at 7 am, 8:30 am, 10 am, 11:30 am, 2:00 pm and 5:00 pm. On Saturdays Warm-ups are at 8:30 am and 10 am. We are closed from 12:30 - 1:30 pm Monday, Wednesday and Friday and Tuesday & Thursday from 12:30 pm - 1:45 pm.

PHASE : PREVENTION PROGRAM

The components of Cardiac Rehabilitation can be applied to individuals who do not have coronary artery disease but who want to improve their physical health. PHASE IV is a prevention-based program which enables you to participate in a medically sound, progressive, supervised and enjoyable exercise program.  Now is the time to make that lifelong commitment to enhance your health. Peninsula Regional has the facility, staff and programs to assist you in making and keeping your commitment to improving your health.

Berlin Location  

The Guerrieri Heart & Vascular Institute offers a satellite cardiovascular and pulmonary rehabilitation program in Berlin, Maryland that includes the Phase III and Phase IV programs.  The clinical team offers this program to help improve overall wellness through exercise and lifestyle changes. It is designed to help the participant maintain or improve cardiovascular functions, adopt realistic and practical strategies for health improvement and to reduce risk factors such as an inactive lifestyle, high blood pressure, high cholesterol, body mass index and diabetes.  The program consists of the following:

o   An exercise physiologist and nurse to ensure a safe exercise environment

o   Monitored heart and blood pressure rates

o   Group warm-ups and cool downs

o   Heart rate and rhythm monitored monthly via telemetry during exercise

o   Glucose checks for those with diabetes

o   Available weight training with proper instruction

Berlin hours are Monday and Wednesday 7:00am - 3:15 pm (Closed from 12:30 pm to 1:15 pm) 
Tuesday, Thursday and Friday 7:00 am -12:30 pm 

Call 410-641-3926 to schedule your orientation appointment. 

For information, please contact the Cardiovascular and Pulmonary Rehabilitation Department at 410-543-7026.


PULMONARY REHABILITATION PROGRAM
Pulmonary Rehabilitation is an outpatient program which includes exercise and education.  The goal of Pulmonary Rehabilitation is to return each patient to an optimal level of physical, psychological, social and vocational well-being.

The professional Pulmonary Rehabilitation team includes your personal physician, Peninsula Regional Medical Center staff physicians, exercise physiologists, nurses, dietitians, respiratory therapists, social workers and other allied health professionals.  This team works together with you, your family, and your physician to design an individual program to meet your needs and abilities.

Program Objectives
- Improve cardiovascular and respiratory function 
- Improve self-confidence with activities of daily living
- Improve breathing techniques and train respiratory muscles
- Promote a healthier lifestyle
- Educate patients and significant others about the nature and extent of the patient's illness
- Return patients to gainful employment, if appropriate

Eligibility
- Patients typically benefiting from Pulmonary Rehabilitation include those with obstructive pulmonary disease (COPD,
  asthma, emphysema, chronic bronchitis, etc.)
- Patient with restrictive pulmonary disease
- Patients wil lung cancer
- Patients with documented occupational/environmental lung disease
- Those having undergone lung transplantation/lung surgery
- Those planning or having completed lung volume reduction surgery

All patients must be non-smokers to be eligible for Pulmonary Rehabilitation services.  The education series is presented one-on-one. Specific testing is required to determine the eligibility of patients best suited to the exercise program.  A physician referral is required to participate in the exercise component of the Pulmonary Rehabilitation Program.

Phase II Pulmonday Rehab Hours: Monday, Wednesday & Friday 3 pm, Tuesday & Thursday 11:30 am and 3 pm

Exercise Component
The exercise component of the Pulmonary Rehabilitation Program is held 2-3 times per week for one-hour sessions.  A complete range of exercises and equipment are utilized including weights, stationary bikes, arm ergometers, rowing machines, steps and treadmills.  The length of the program is usually 10 weeks, although the duration can be adjusted depending on the individual patient's progress, recommendations of the referring physician and Pulmonary Rehabilitation Medical Director and reimbursement status.  The primary objective of the exercise program is to train the skeletal muscle system and teach better breathing techniques to decrease the perception of shortness of breath.  In certain cases, supplemental oxygen is required during the exercise session to aid in performance.  More importantly, the exercise program builds self-confidence in performing daily activities.  All sessions include continual ECG monitoring, pulse oximetry monitoring, blood pressure check and supervision by trained staff.

Education Component
Education is the other component of the Pulmonary Rehabilitation Program.  This is a requirement for patients who are eligible to join the Pulmonary Rehabilitation exercise program. 

The educational component is presented by a team of health care professionals. The following topics are addressed:
- Medication and O2 therapy
- Disease process
- Coping strategies
- Breathing techniques
- Signs & symptoms of infections
- Role of exercise

Payment/Fee Schedule
The fee schedule for Pulmonary Rehabilitation Program services will be reviewed with you at the time of the orientation session.  Most insurance companies, including Medicare, reimburse for all or a portion of the charges. 

For information or to schedule an orientation session, please contact the Cardiovascular/Pulmonary Rehabilitation Department at 410-543-7026.



FITNESS AND WELLNESS CLASSES
Here's a list of the Fitness and Wellness Classes offered to the general public at various times throughout the year by the Fitness Plus team at Peninsula Regional Medical Center.
 
Core Conditioning:  This class places emphasis on strengthening the muscles of the abdominals and torso to improve balance and flexibility.  This type of work can tone and condition the abs, improve lower back pain, and help the body to move properly both in exercise and everyday movement. 

Cycling:  45 minutes of constant movement for a great cardiovascular workout. Cycling consists of various workout phases to fun energetic music. Warm-up, steady, up-tempo cadences, sprints, climbs, cool-downs, etc. You control the resistance on your bike to make the pedaling as easy or difficult as you choose. Constant adjustment is normal. This class is designed for beginner to advanced participants. 

Pump & Tone:  A 30 minute, all over body workout designed to strengthen and firm up muscles, using a variation of strength training equipment, from hand weights, to bands, to body bars, you’ll burn calories, improve your overall strength, and shape and tone muscles! Come and get your body moving and your blood pumping! 

Zumba:  Zumba fitness is designed for all levels. Dance your way into shape with this fun 30 minute aerobic workout that will leave you wanting more! Just come ready to shake those hips! 

Total Body Fitness:
  If you are looking for an exercise class that offers variety, gets your heart pumping and your muscles moving, that will train your entire body this is the class for you. Exercise intensity ranges from moderate/high. Training focuses on cardio, body sculpting/shaping, muscle endurance/strength, core training, and flexibility No previous experience needed. Come ready for a high energy, fun workout and be prepared to SWEAT!

For more information on any of these classes and the associated enrollment fees, please call 410-543-7028.