At forty-four, Bob was living a good

At forty-four, Bob was living a good life; not great, but good. His job as a machinist with a global manufacturer of replacement parts for small aircraft has survived the economic recession, although he did have to cut back on hours and increase his workload after many of his friends at work were laid off. With less free time, Bob has begun to stop for breakfast at the fast food restaurants between his home and the factory. He usually has a “short lunch” of a soft drink and vending machine snacks, followed by two cigarettes outside, before returning to work for another five hours. Typically, he waits until he gets home for the big meal of the day, usually ready-to-serve meals he picks up on sale at the supermarket every Sunday afternoon; his favorite is the frozen “Big Guy” meal of fried chicken and mashed potatoes. Bob is a sports fanatic; he loves to watch college ball on Saturdays and the pro games on Sunday afternoon into the evening. Although he no longer exercises as much as he did in high school or junior college, he still has a standing “date” with his dad every fourth Sunday for a round of golf on the public course — weather permitting. His father underwent open heart surgery six years earlier and has recently suffered a mild stroke; because of this, he is no longer able to go a full eighteen holes, and they often stop after six or eight holes, retiring to the pub for a couple of beers and an order of hot wings as they watch the games on the large screen television. Two weeks ago, Bob began to experience regular bouts of tightness in his throat and a feeling he described as horrendous heartburn. After trying to control the problem with over-the-counter antacids, he finally made an appointment with a primary care doctor, one his foreman recommended. As he was driving past the hospital on his way home, the heartburn seemed to be taking on a life of its own; not only was it in his throat but it also seemed to radiate down through his chest and arms, as well. He decided to pull in and have the ER doctors check him out. Two hours later, he was in the telemetry/ICU unit waiting to speak with a cardiac surgeon. Within hours of being admitted to the hospital, Bob learned that he had significant blockages in the arteries leading away from his heart ,and that the sac around the heart was dangerously enlarged; he would need immediate bypass surgery followed by an extended period of cardiac rehabilitation. Today, you will begin working with Bob as “his” cardiac rehabilitation nurse. You have met with his cardiologist, the cardiac surgeons who performed his operations, his new primary care physician, and the perioperative and cardiopulmonary nurses who cared for him before, during, and following his surgery. This is what you know: His health is gradually returning His medications have been structured and balanced While he initially denied anything was wrong with him other than heartburn, he now fears that he will experience another heart attack, or simply die as a result of his illnesses He is mildly depressed, but is anxious to return to work Your task now is to develop the Phase I and Phase II cardiac rehabilitation programs that will get Bob back on his feet, back to work and living a lifestyle, including diet and exercise, that will keep him out of the telemetry and cardiac units in the future. Submit your Phase I and Phase II cardiac rehabilitation programs that will get Bob back on his feet, back to work and living a lifestyle, including diet and exercise, that will keep him out of the telemetry and cardiac units in the future. Image transcription text Submit your Phase I and Phase II cardiac rehabilitation programs that will get Bob back on his feet. back to work and living a lifestyle, including diet and exercise, that will keep him out of the telemetry and cardiac units in the future. SCIENCE HEALTH SCIENCE NURSING

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