Answer 2
- Deconditioning
- Short term: Increase distance mobilized by 10m by 2 weeks OR decrease support when mobilizing to bathroom (from supervision to independent) by 1 week.
- Long-term: Maintain or slightly decrease shortness of breath when mobilizing up or down the stairs by 6 months.
- Be aware that because fibrosis is progressive, the patient will not likely make a full recovery, so you have to cater your goals differently.
- Shortness of breath on exertion
- Short term: Decrease shortness of breath on exertion when using a gait aid to mobilize to the bathroom by 2 weeks
- Long term: Have patient join a cardiovascular exercise program by 6 months.
- Smoking cessation
- Long term: Join smoking cessation group/therapy by 6 months.
- May consider using the transtheoretical model of behavior change. ie. assess the patient’s readiness to change. If they are in the contemplation or preparation stage then this may be a short-term goal. if pre-contemplation, then long-term goal
- Comorbidities
- Short-Term: Have the patient be independent in recognizing symptoms of angina by 1 day
- Long-term: Have the patient join a cardiovascular exercise program by 6 months.
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