Международный журнал физической медицины и реабилитации
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Managing Heart Failure through Rehabilitation: Insights from In-Hospital Care to Post-Discharge Support

Liliane Neto Gallusena Erickatulistiawan * , Cholid Tri Tjahjono, Veny Mayangsari

Heart failure is a pervasive and debilitating condition that demands a holistic approach to management. Cardiac rehabilitation has emerged as a vital component of this continuum of care, aiming to enhance patient well-being through structured interventions. This review article provides a comprehensive exploration of the journey from in-hospital care to post- discharge support, shedding light on key insights that shape heart failure management. Highlighting the acute management of heart failure, the role of multidisciplinary teams, pharmacological strategies, and vital cardiac function assessments are detailed, providing the foundation for comprehensive care. Components of cardiac rehabilitation has the closer look at exercise therapy, nutritional counseling, medication optimization, psychological support, and patient education underscores the holistic approach that rehabilitation programs embrace. We explore the vital role of structured exercise programs and educational interventions within hospital settings, along with strategies to promote patient adherence. Recognizing the pivotal role of post-discharge care, we underscore the importance of personalized care plans and seamless patient information transfer. Outlining outpatient, home-based, and telehealth rehabilitation options, we examine the growing role of caregivers and family support in sustaining progress. The review delves into key performance indicators, patient progress monitoring, and outcomes data analysis, essential for evaluating program effectiveness. Common challenges in program implementation and strategies for overcoming disparities in access are discussed, acknowledging the need for innovative solutions. As we glimpse into the future, emerging technologies, research initiatives, and the potential for personalized treatment approaches in cardiac rehabilitation are explored. In closing, we recap the critical insights gleaned, affirming the significance of comprehensive cardiac rehabilitation in heart failure management. A call to action echoes through these pages, urging healthcare providers and policymakers to prioritize and evolve rehabilitation as an essential pillar in heart failure care.