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“Be clear about your goal, but be flexible about the process of achieving it.”
—Brian Tracy
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LEARNING OUTCOMES
By the end of this chapter, readers will be able to:
9-1. Articulate age-related changes that are expected in cardiovascular and cardiopulmonary function and surgical versus nonsurgical interventions for cardiovascular and cardiopulmonary dysfunction.
9-2. Based on practice frameworks, prioritize the focus of assessment based on older adults with cardiovascular and cardiopulmonary dysfunction.
9-3. Design an intervention plan for the cardiovascular and cardiopulmonary population given associated theoretical and practice frameworks.
9-4. Connect the factors one should consider in prioritizing goals of an intervention plan with the cardiovascular and cardiopulmonary population.
9-5. Articulate a rationale for heart and pulmonary disease related to extrinsic factors, such as medical interventions and medications.
9-6. Distinguish the need for collaboration with interprofessional colleagues regarding the cardiovascular and cardiopulmonary population.
9-7. Evaluate the feasibility of providing education for the promotion of health and wellness in relation to disease management for the cardiovascular and cardiopulmonary population.
9-8. Differentiate the role of occupational therapy in providing evaluation and intervention to individuals within the cardiovascular and cardiopulmonary population.
9-9. Select appropriate intervention approaches to use when providing occupational therapy services for the cardiovascular and cardiopulmonary population.
9-10. Select proper intervention strategies and therapeutic outcomes for the cardiovascular and cardiopulmonary population when receiving occupational therapy services.
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Mini Case Study
Jerilene Ruffin is a 73-year-old Hispanic woman who was diagnosed with chronic obstructive pulmonary disease (COPD) 1 year ago. She also has a previous medical history of diabetes, osteoporosis, and depression. She is a nonsmoker, but her husband smoked for 42 years. She currently is on 1 L of supplemental oxygen 24/7. She does not own adaptive equipment or durable medical equipment. She lives with and provides care for her husband, who has been on a disability pension for 12 years. They live in a one-story home with two steps to enter. Jerilene is able to complete her occupations independently, but she reports difficulty with initiating her morning routine. She states that she is able to complete necessary occupations with increased time and frequent rest breaks. She currently drives without difficulty. Jerilene works as a store attendant part-time 3 days a week. She reports that work has also become difficult for her, as she becomes quite fatigued when she stands for more than a few minutes.
Provocative Questions
In what ways are Jerilene’s health and well-being compromised based on her current medical status?
With consideration of health and well-being, how will you identify and consider short- and long-term implications of her COPD diagnosis related to formulating an intervention plan?
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This chapter focuses on the cardiopulmonary and cardiovascular systems and the dysfunction that may occur within those systems. Occupational therapists assist older adults with cardiopulmonary and/or cardiovascular disease in maintaining and enhancing function that supports their ability to maintain independence while ultimately promoting their quality ...