Cardiac Rehabilitation

• Medically stable with no significant fluctuations in medical status within 72 hours
• Motivated to participate in rehab, has active rehab goals
• Able to participate in active rehab therapy 5 to 7 days a week
• Patient's cognitive abilities and state of mental health support participation in active rehab
• Able to sit unsupported for a minimum of 30 minutes

Special needs accommodated include the following:

• Intermittent oxygen therapy/home oxygen
• Tracheotomy (must by corked)
• Intermittent tube feeds (PEG tube only)

To help ensure accurate assessment, please provide the following information about the patient, prior to, or upon admission:

Patient Profile

• Allergies
• Anti-coagulation profile (recent blood work; Coumadin/Fragmin doses: up to 4 days)
• Diet information with orders including formula, rate, # hours of feed, water flushes
• Medication Administration Record (MAR)
• Prescribed Activity levels for upper and/or lower (weight bearing; restrictions), (order to be signed by physician)
• Special needs (egs. infusion therapy, oxygen, Ostomy)
• Wound management orders
• Follow up specialist appointments

Work-Up

• Behavioral assessment/management (if applicable)
• Consult reports
• Discharge summary
• ECG/Echocardiogram (if applicable)
• Infection control screen results (MRSA, VRE, and others)
• Lab results (most recent copy)
• Names and contact information for all physicians, surgeons specialists
• Other tests results (including video fluoroscopy)
• Physician acute care admission report
• Surgical procedures and dates of surgery
• X-ray, CT/MRI (if applicable)
• Social Work summary

1. For seamless continuum of care, please ensure patients have had the following arranged before, or upon transfer:
   • Clinical follow-up appointments
   • Diagnostic (acute) appointments
   • Transportation for off-site tests/treatments

2. St. John’s Rehab is a rehabilitation facility and does not have the following services:
   • emergency services
   • mechanical ventilation, total parenteral nutrition, and nasogastric feeding
   • dialysis service
   • isolation or secured units

St. John's Rehab program at Sunnybrook Health Sciences Centre is dedicated to specialized rehabilitation. We are the only hospital in the Greater Toronto Area offering comprehensive inpatient rehabilitation programs following cardiac surgery. Our cardiac rehabilitation program offers care for patients recovering from recent cardiovascular surgery such as coronary bypass surgery, valve replacement and peripheral vascular surgery.

• We have partnerships with the Heart and Stroke Foundation of Ontario, Cardiac Care Network, Community Care Access Centre, acute care centres and Toronto Rehabilitation Institute cardiac outpatient services.
• Patients are admitted to our inpatient program as soon as three days following surgery.
• Our multidisciplinary team of rehabilitation professionals develops realistic goals and timelines with each patient and keeps in close contact with the patient and his or her family. This helps achieve maximum recovery, independence and quality of life.
• The individually customized program consists of assessment, treatment and support focused on the whole person - body, mind and spirit.
• Patients receive education on cardiovascular health and learn about lifestyle changes to promote optimal health and reduce heart health risks.
• Daily exercise and walking program to build strength and mobility. Energy conservation training and tips to reduce strain to the heart.
• Our highly skilled and committed multidisciplinary rehab team includes physiotherapists, occupational therapists, nurses, speech-language pathologists, pharmacists, physicians, dietitians, social workers, psychologists and spiritual care.
• As a teaching site of the University of Toronto, we excel in teaching and researching rehabilitation care.