oUR consUltants - London Bridge Hospital
oUR consUltants - London Bridge Hospital
oUR consUltants - London Bridge Hospital
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Cardiac Rehabilitation<br />
SIX<br />
Cardiac<br />
Rehabilitation<br />
at <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong><br />
As <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong> is an internationally-renowned centre of<br />
cardiac excellence, it is imperative that the surgeries and treatments<br />
performed by our specialist teams are followed up with an expert<br />
cardiac rehabilitation service to enable cardiac patients to get back<br />
to their normal way of life as quickly as possible.<br />
What is cardiac rehabilitation?<br />
Cardiac rehabilitation is a prescriptive<br />
exercise, relaxation and health<br />
information programme aimed at<br />
restoring and maintaining an individual’s<br />
optimal physiological status. Cardiac<br />
rehabilitation will benefi t any patient<br />
who has experienced:<br />
• A heart attack<br />
• Angioplasty or stent procedure<br />
• Coronary artery bypass graft<br />
• Valve surgery<br />
<strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong> provides phase<br />
1 and 2 cardiac rehabilitation to all of its<br />
cardiac patients. A bespoke programme<br />
is designed to provide patients with<br />
education and information on the<br />
condition of their heart, lifestyle and<br />
ways in which coronary risk factors<br />
might be modifi ed. This includes fi nding<br />
ways of improving functional capacity<br />
and means of alleviating activity-related<br />
symptoms, with the ultimate aim of<br />
increasing patients’ physical fi tness and<br />
returning to a healthy and active lifestyle.<br />
A Clinical Nurse Specialist (CNS) or<br />
senior cardiac nurse meets with patients<br />
on admission and prior to discharge to<br />
plan the rehabilitation process following<br />
any kind of cardiac event with the end<br />
goal of an optimal quality of life with an<br />
improved, healthy heart.<br />
Those who have undergone cardiac<br />
surgery and, if appropriate, those who<br />
For further information regarding the Cardiac Rehabilitation and Prevention services offered by<br />
<strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>, please contact the Cardiac Rehabilitation Clinical Nurse Specialist:<br />
t: 020 7407 3100 ext 42078 or ask for beep 071<br />
Cardiac Rehabilitation<br />
have been treated with angioplasty or<br />
stent procedures, will be seen during<br />
the recovery period as an inpatient by a<br />
team of health professionals consisting of:<br />
• Dietitian<br />
• Pharmacist<br />
• Physiotherapist<br />
F<strong>oUR</strong> phases oF caRdiac<br />
RehaBilitation<br />
phase 1<br />
Occurs on admission prior to cardiac<br />
surgery, angioplasty and stent or as<br />
a step change in a patient’s cardiac<br />
condition, such as:<br />
• Emergency hospital admission with<br />
coronary artery disease<br />
• Heart attack<br />
• Onset of angina<br />
Phase 1 involves comprehensive<br />
medical evaluation, reassurance, risk<br />
factor assessment and education.<br />
phase 2<br />
Initiated in early recovery following a<br />
cardiac event, procedure or surgery,<br />
this phase further develops the<br />
relationship between the Cardiac<br />
Rehabilitation Clinical Nurse Specialist<br />
and the patient. The patient will be<br />
provided with British Heart Foundation<br />
(BHF) literature on lifestyle changes<br />
and cardiac rehabilitation, which can<br />
be discussed at length with the CNS,<br />
who will consult with the patient to<br />
create a programme tailored to their<br />
needs. This is a time prior to discharge<br />
when many patients feel apprehensive<br />
and anxious, especially following<br />
surgery; a CNS will maintain regular<br />
contact with patients to check on<br />
their progress and answer any queries<br />
or address any concerns.<br />
phase 3<br />
This phase involves an ongoing<br />
personalised and structured course<br />
comprising of exercise, education<br />
and physiological support at an NHS<br />
hospital near to the patient’s home.<br />
The CNS will make a referral to a<br />
local cardiac rehabilitation centre on<br />
the patient’s behalf.<br />
phase 4<br />
Phase 4 is essentially focussed on the<br />
long-term maintenance of physical<br />
activity and permanent lifestyle<br />
changes to minimise future risk of<br />
further cardiac events.<br />
Of these, phases 1 and 2 are currently<br />
provided in-house by <strong>London</strong> <strong>Bridge</strong><br />
<strong>Hospital</strong>. Our Cardiac Rehabilitation<br />
Clinical Nurse Specialist refer<br />
patients to their local NHS cardiac<br />
rehabilitation centre and remain a<br />
point of contact to aid with the<br />
smooth transition from phase 2 to<br />
phase 3.<br />
Healthcare Excellence<br />
In the Heart<br />
of the City<br />
With a complete range of outpatient services located in the heart<br />
of the City of <strong>London</strong>, 31 Old Broad Street is the place to refer<br />
your patients for quick, convenient, high quality healthcare.<br />
31 Old Broad Street was developed<br />
with the patient in mind, offering a<br />
comprehensive range of outpatient<br />
services in the heart of the City.<br />
Located in the shadow of the iconic<br />
Tower 42 and open Monday-Friday<br />
from 8.00am-8.00pm, the centre is both<br />
convenient and accessible.<br />
The centre offers a wide range of<br />
specialist ‘one-stop’ clinics, diagnostic<br />
testing and consultations with specialists<br />
from <strong>London</strong>’s top teaching hospitals,<br />
all of whom also consult at <strong>London</strong><br />
<strong>Bridge</strong> <strong>Hospital</strong>.<br />
specialties and clinics<br />
offered include:<br />
• Dermatology<br />
• Gynaecology<br />
• Hand & Wrist Clinic<br />
• IVF Clinic<br />
• Neurology<br />
• One-Stop Breast Care<br />
• Phlebotomy<br />
• Rheumatology<br />
• Sports & Exercise Medicine<br />
Facilities at 31 old Broad<br />
street include:<br />
• 10 consulting rooms<br />
• 2 minor procedure treatment rooms<br />
• 1.5 Tesla MRI scanner<br />
• Extremity MRI scanner<br />
• Hand & wrist treatment centre<br />
• Phelebotomy room<br />
• Ultrasound, with dedicated reporting<br />
room staffed by a Consultant during<br />
operational hours<br />
• X-ray<br />
31 Old Broad Street enjoys the added<br />
benefi ts of being situated just under<br />
a mile from its parent site – where if<br />
further intervention is required, patients<br />
can be referred to the specialist facilities<br />
at <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>:<br />
Facilities include:<br />
• Full medical back-up<br />
• Integrated approach to patient care<br />
• Rapid access<br />
• Specialist nursing teams<br />
• 24-hour anaesthetic and RMO cover<br />
• 15 critical care beds staffed by expert<br />
nursing staff<br />
31 OBS<br />
SEVEN<br />
31 Old Broad Street