Leslie and Buckley (2010) stated that the population they studied was Caucasian males and females between the ages of 47 and 81 years of age. There were twenty two total participants 18 were male and 4 were female. The intervention was identified as
Patients attended outpatient supervised exercise training sessions twice a week for 12 weeks…. Each session began with a 10 to 15 minute warm up period, consisting of free arm and leg movements, stretches and breathing exercises. This was followed by 22 minutes of exercise training, comprising of aerobic and low intensity resistance exercises…. A 10 minute cool down period completed the exercise session, followed by 10 minutes of relaxation (Leslie & Buckley, 2010 p. 135).
In the article The Clinical Effectiveness of Exercise Training for Patients with Chronic Heart Failure, functional capacity, validated measure of quality of life (QOL), New York Heart Association (NYHA) classification, and brain natriuretic peptide (BNP) were the defined outcome measures.
Randomized Controlled Trial
The study by Leslie and Buckley (2010) is not a randomized controlled trial. To have a randomized controlled trial according to Knapp (1998), a trial is carried out with two groups. One of the groups is a treatment group and the other is a control group. In the study Leslie and Buckley (2010) there is one group and they are all given the intervention. This would be more of a correlation study. The writer believes that a correlational study was the correct study to do with the limited amount of research on this topic. There needs to be a starting point for the research to continue. The some data that came out of from this study showed to be significant. The writer believes that the research is worth ...
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... thinks that practice should not change. This is because there was no real statistical significance. There was clinical significance that could encourage a small amount of change. This change would be to implement exercise programs for CHF patients to help the functional capacity of their day to day lives. The writer does think that more evidence needs to be shown to implement a practice of exercise with CHF patients, and that would be to show a particular exercise program that would work.
Works Cited
Kanpp, T. R. (1998). Quantitative Nursing Research. United Kingdom: SAGE Publications.
Leslie, R., & Buckley, J. P. (2010, March). The clinical effectiveness of exercise training for
patients with chronic heart failure. British Journal of Cardiac Nursing, 5, 133-139. Retrieved
from http://www.cinahl.com/cgi-bin/refsvc?jid=3462&accno=2010605636
One study examined 170 people. One group attended swimming, fencing, or physical conditioning classes. The second group attended lecture classes where no exercise was involved.
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
Taylor RS, Sagar VA, Davies EJ, Briscoe S, Coats AJS, Dalal H, Lough F, Rees K, Singh S. Exercise-based rehabilitation for heart failure. Cochrane Database of Systematic Reviews 2014, Issue 4. Art. No.: CD003331. DOI: 10.1002/14651858.CD003331.pub4.
My clinical rotation for NURN 236 is unique in that all patients I care for at Union Memorial Hospital in Baltimore, Maryland have a diagnosis of heart failure (HF). HF occurs when the heart is unable to pump adequate blood supply, resulting in insufficient oxygen and nutrients to the tissues of the body (Smeltzer, Bare, Hinkle, and Cheever, 2012). Approximately 670,000 Americans are diagnosed with HF each year and is the most common hospital discharge diagnosis among the elderly (Simpson, 2014). Moreover, according to the Centers for Medicare and Medicaid Services (CMS), HF is the leading cause of 30-day hospital readmission followed by acute myocardial infarction (AMI) and pneumonia (medicare.gov|Hospital Compare, 2013). This information along with my weekly HF patient cohort prompted my curiosity regarding impacts of HF readmissions, factors of HF readmission, and to compare suggested evidence based practice with policies utilized at Union Memorial for reducing the 30-day readmission rate for HF.
Heart failure is a major clinical, social and economic problem in the United Kingdom according to the Department of Health [DH] (2013).The National Institute for Health and Clinical Excellence [NICE] (2010) reported that about 900,000 people suffer from heart failure in the United Kingdom. The National Institute for Cardiovascular Outcomes Research [NICOR] (2011) conducted a national audit which found that one in every 20 people over the age of 65 is diagnosed with heart failure which demonstrates that it mainly affects the elderly. As a leading cause of mortality, heart failure contributes to more than 6,000 deaths each year (NICOR, 2011). Newly diagnosed cases of heart failure have a 40% risk of dying within a year (NICOR, 2011). Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010).
...aining and which will not. The research on muscle activating pattern should be helpful in determining why strength training helps some patients and not others. Researchers should also include more participants for these studies.
Due to the strong and growing evidence in scientific literature on the beneficial effects of physical activity on health and well-being, the importance of Clinical Exercise Science has increased. Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure. Exercise, is a subcategory of physical activity that is planned, structured, repetitive, and purposeful in the sense that the improvement or maintenance of one or more components of physical fitness is the objective (http://www.who.int/dietphysicalactivity/pa/en/; last accessed on 30 April 2016). Generally speaking, Clinical Exercise Science is an applied clinical branch which deals with the application of various exercise modalities for
...hers developed and should be used for further investigation of the issue. There were some limitations that should have been examined, however, to make this experiment more effective. One concern is that the sample allocation was not random, because people were able to choose which group they wanted to be in. These individuals could have picked the immediate intervention group because they care more about their health than others in the community. Another issue was the dada analysis because the groups were so vastly different in size and the delayed group did not give an adequate amount of demographic information for comparison. Yet, the researchers did a good job in ethical considerations by guiding their experiment with the principles of principlism. They also had a clear purpose of the research and what problem they were trying to identify and find a solution for.
This essay aims to evaluate relevant research findings (according to the author’s best use of the critical appraisal) in an attempt to identify the more effective exercise programs as treatment of CLBP with relevance to the case study in table 1.
Houghton, S., Saxon, D., Bradburn, M., Ricketts, T., & Hardy, G. (2010). The effectiveness of
...the study the participants had to be female and obtain permission from a doctor to clear them for physical activity. The setting was semi-naturalistic. Participants were randomly assigned to the control or the experimental group. Measurements were taken for BMI and blood pressure, as well as a blood sample to determine the participant’s baseline. They were also assessed for activity tolerance, agility and flexibility. The participants in the experimental group underwent 16 weeks of exercise training that consisted of walking, stretching and balance exercises. The classes were held three-times per week, for a duration of about 60-70 minutes. The results showed that there was a significant decrease in all variables measured in the experimental group. Triglycerides, total cholesterol, HDL, LDL and VLDL cholesterols as well as BMI and blood pressure had all decreased.
The idea behind conforming to evidenced based practices is that research is the most likely tool to improve patient
Weight loss, obesity, cardiovascular health, risk falls, and mental issues are just factors that commonly affect American citizens daily. Exercising has always been there ever since it was discovered, and it will continuously be accessible for everyone as the best solution to see real results. Clearly, exercising is the best choice to include in any regimes anyone may think of when trying to invest in their health. It benefits those citizens naturally with self confidence which leads them to live happily and avoid other life circumstances that general population may go through. As compared to other recommendations when choosing exercise being the best solution to health issues, it can definitely be challenging. Some may consider types of solution that are easy and gives immediate outcomes such as taking diet pills, diet supplements, or surgeries and if they are wealthy, they may even consider getting laser liposuctions. Yet, since these alternate ways are not done naturally, it may come back faster than they think and can still affect one's mental and physical health.Therefore, exercise is the best solution due to the fact that it’s a natural way of taking care of the human body. Through this process, anyone who will participate in exercise or physical activities will learn that it’s a journey. They will learn how strong they really are physically and mentally as a person. Exercising “ ‘provides
The minimum exercise recommendations according to the Physical Activity Guidelines for Americans my age and cohort should complete at least two and a half hours of moderate intensity aerobic physical activity every week to gain health benefits (“Physical Activity Guidelines”, n.d). Based on my cohort, I should focus most on physical activities that strengthen my muscles as well as, some form of aerobic training. Some more common muscle strengthening activities are things like weight training and resistance training which overwhelm the muscles (“Physical Activity Guidelines”, n.d). Other activities are things like pushups, pullups, sit-ups, and even heavy gardening and lifting (“Physical Activity Guidelines”, n.d). According to the text these activities help to raise muscular fitness as well as bone strength within my age and cohort. Activities for the also important aerobic aspect of the physical guidelines are things like swimming, running, playing basketball, dancing, bicycling, and even vigorous walking (“Physical Activity Guidelines”, n.d). According to the text these activities are endurance activities where muscles are moved for a more continuous period of time which. These activities are exercising the heart which makes the heart stronger over
Lack of physical body exercises; basing on their tight schedules, most adults allocate little time or none at all for body exercises, subjecting themselves to cardiovascular body problems which may trigger harmful cases such heart attack, high blood pressure, heart/kidney failure, among others. Moreover, body exercises also enhance the functioning of body systems, organs, tissues and cells, which is instrumental for the health of adults. This can be improved through deliberate support to old individuals, and creation of awareness for them to embrace