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Recovery, Rehabilitation and Outreach



Whether you are a cardiac patient at risk of developing a heart problem, or want to improve your health...


Your physician can refer you to all or any parts of the program services offered through the Cardiac Rehabilitation Department at Peninsula Regional Medical Center. The goal of cardiac rehabilitation is to return each patient to an optimal level of physical, psychological, social, and vocational well-being. This would include: improving cardiovascular function, promoting healthier lifestyles, facilitating realistic/practical strategies for health improvement and risk factor reduction.


Eligible patients for cardiac rehabilitation include those: who are recovering from heart attack (myocardial infarction), open heart surgery, angina, angioplasty, stent placement, heart transplant, considered at risk for developing coronary disease, or who want to participate in a structured exercise program for their own health to reduce risk of heart disease.


The professional cardiac rehabilitation team includes your personal physician, Peninsula Regional staff physicians, exercise physiologists, nurses, patient care managers and dieticians. This team works together for you, your family, and your physician to tailor the specific program components to meet your individual needs and abilities.


For information contact the Cardiac Rehabilitation Program at 410-543-7026.



If you are a patient at Peninsula Regional recuperating from a heart attack, open heart surgery, angina, angioplasty or if you have an elevated risk of coronary artery disease, your physician may recommend PHASE 1 Cardiac Rehabilitation during your hospital stay. This program includes light exercise, walking (as tolerated), and education.


PHASE I exercises include range of motion activities, walking, and stair climbing. This is done to: enhance your recovery, decrease deconditioning associated with bed rest, gradually increase your activity level and improve your confidence for long term lifestyle changes.


The exercises are individualized for you depending on your medical condition and recommendations from your physician. Guidelines for activities upon discharge and a home exercise program are also included.


The education for you and your family include individual and group teaching sessions. Some of the topics are: risk factor identification, home exercise program, discharge instructions, family adjustments, diet counseling, spouse education.



PHASE II is the conditioning phase of cardiac rehabilitation. The primary goal is to improve your cardiovascular fitness. An individualized exercise prescription is determined from the results of your exercise tolerance test. The exercise prescription enables you to achieve cardiovascular conditioning safely, within the limitations of your heart disease. PHASE II lasts typically from 6-12 weeks, with 1-hour exercise sessions meeting 2-3 times per week. The frequency of the program can be designed to meet your individual needs.

The key components of PHASE II include: supervision by personnel specially trained in exercise therapy, monitored electrocardiograms during exercise, an environmentally-controlled exercise facility equipped with a variety of aerobic exercise equipment, and participation in lifestyle management classes such as stress management, diet instruction, smoking cessation, and weight control.



Cardiac rehabilitation does not come to an end after the monitored Phase II program. To maintain the cardiovascular improvements brought about in Phase II, you must continue your exercise program and make it a lifelong habit. PHASE III allows you to do this by providing:


Peninsula Regional's exercise facility, periodic checks/adjustments in the exercise prescription, a monthly monitored exercise session, various education classes, lipid profiles, and if diabetic, HBAC 1C testing, weight training, ongoing support and encouragement from the Peninsula Regional staff and other participants.



The components of Cardiac Rehabilitation can be applied to individuals who do not have coronary artery disease but who want to improve their physical condition. PHASE IV is a prevention-based program which enables you to participate in a medically sound, progressive, supervised and enjoyable exercise program. Now is the time to make that lifelong commitment to enhance your health. Peninsula Regional has the facility, staff and programs to assist you in making and keeping your commitment to improving your health.




Program Objectives:

• improve cardiovascular and respiratory function

• improve self-confidence with activities of daily living

• improve breathing techniques and train respiratory muscles

• promote healthier lifestyle

• educate patients and significant others about the nature and extent of the patient's illness

• return patients to gainful employment if appropriate


• patients typically benefiting from Pulmonary Rehabilitation include those with obstructive pulmonary disease (i.e., COPD, asthma, emphysema, chronic bronchitis, etc.)

• restrictive pulmonary disease

• documented occupational/environmental lung disease.

• those having undergone lung transplantation/lung surgery

• those planning or having completed lung volume reduction surgery

All patients must be non-smokers to be eligible for the Pulmonary Rehabilitation services. The education series is open to all interested patients, however specific testing is required to determine the eligibility of patients best suited to the exercise program. A physician referral is required to participate in the Exercise Component of the Pulmonary Rehabilitation Program.

Exercise Component:

The exercise component of the Pulmonary Rehabilitation Program is held 2-3 times per week for one-hour sessions. A complete range of exercises and equipment are utilized including weights, stationary bikes, arm ergometers, rowing machines, steps and treadmills. The length of the program is usually 12 weeks, although the duration can be adjusted depending on the individual patient's progress, recommendations of referring physician and Pulmonary Rehabilitation Medical Director, and reimbursement status. The primary objective of the exercise program is to train the skeletal muscle system and teach better breathing techniques to decrease the perception of shortness of breath. In certain cases, supplemental oxygen is required during the exercise session to aid in performance. More importantly, the exercise program builds self-confidence in performing daily activities. All sessions include continual ECG monitoring, pulse oximetry monitoring, blood pressure check and supervision by trained staff.

Education Component:

Education is the other component of the Pulmonary Rehabilitation Program. This is a requirement for patients who are eligible to join the Pulmonary Rehabilitation exercise program.

For education schedule, contact the Pulmonary Rehabilitation Department at 410-543-7026.

The educational component is presented by a team of health care professionals. The following topics are addressed:

• medication and 02 therapy

• disease process

• coping strategies

• relaxation techniques

• breathing techniques

• dietary guidelines

• community support

Payment/Fee Schedule:

The fee schedule for the Pulmonary Rehabilitation Program services will be reviewed with you at the time of the orientation session. Most insurance companies, including Medicare, reimburse for all or a portion of the charges. The charges will be submitted to your insurance company for reimbursement.

For information or to schedule an orientation session, contact the Cardiac/Pulmonary Rehabilitation Department: 410-543-7026.

About the Program:

Pulmonary Rehabilitation is an outpatient program which includes exercise and education.

The goal of Pulmonary Rehabilitation is to return each patient to an optimal level of physical, psychological, social and vocational well-being.

The professional Pulmonary Rehabilitation team includes your personal physician, Peninsula Regional Medical Center staff physicians, exercise physiologists, nurses, dieticians, respiratory therapists, social workers and other allied health professionals. This team works together with you, your family, and your physician to design an individual program to meet your needs and abilities.




What is the Heart Check Program?

It is a way for people without a cardiologist and knowledge of preexisting heart problems to determine their heart disease risk, learn more about their cardiac health, and obtain recommendations for a healthier lifestyle.

What does the Heart Check screening include?

1.  12 hour fasting lipid profile (Total cholesterol, HDL, triglycerides, risk ratio, and blood glucose)

2.  Physician supervised Exercise Tolerance Test (stress test)

3.  Health Risk appraisal on-line assessment

4.  Body composition measurements (body fat, BMI)

5.  Strength and flexibility assessments

6.  Results and recommendations

7.  Access to Activhealth website and educational modules

8.  Follow-up results sent to your primary care physician (only upon request)

What is the cost?

$250.00 per person (self-pay, insurance will NOT be billed)

How do you sign up for the program?

Call Autumn Romanowski at 410-543-7028

Appointments are scheduled on Fridays from 8:00AM - 12:00PM and are 2 hours in length




Tai Chi

This class combines breathing, stretching, and relaxation through slow, controlled movements.

For beginner to advanced participants


Vinyasa Yoga

Vinyasa Yoga is a gently energizing flow of yoga postures, linking breath to movement designed to build strength,stamina and flexibility. Each class concludes with a complete relaxationexercise.

All exercise levels are welcome.


This class combines breathing, stretching, and relaxation through avariety of Yoga postures. It is designed to increase muscular flexibility andstrength.

For beginner to advanced exercise participants

Beginning Yoga

This 60 minute class is designed to teach the fundamentals of yoga including history and philosophy, and also increase flexibility and strength through performing yoga postures. This is a great class for beginners or for those who have been away from yoga for a while.

Muscles Conditioning

This class uses a variety of weights, bands, and body bars to increase muscle mass and burn calories.

Recommended for beginner to advanced exerciseparticipants.

Beginninq and Intermediate Pilates

Indoor Cycling

45 minutes of cardiovascular conditioning with high energy music on a Reebok stationary bike. Come ready to sweat with this workout!

For beginners to advanced exercise participants


For more information, call 410-543-7026.

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