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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978

Hypertension and Angina > Exercise

Exercise

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Exercise for Hypertension and Chronic Stable Angina

Physical inactivity is a major cardiovascular risk factor. Many of us are not physically active enough to gain any real health benefits. Whether it is a structured physical activity program or is part of a daily routine, sustained physical activity is an important part of reducing risk of heart disease.

According to the latest joint American Heart Association/American College of Sports Medicine guidelines on physical activity, all healthy adults 18-65 years old should be getting at least 30 minutes of moderate intensity physical activity five days per week. For those with chronic disease, musculoskeletal problems such as arthritis can arise if over the age of 65 years old but there are specific guidelines on how to proceed with physical activity if you have these types of conditions.

The recommendations for older adults have several important differences from those of the adult recommendations. The recommended moderate intensity of aerobic activity takes into account the older adults’ aerobic fitness level. Activities that maintain or increase both balance and flexibility to reduce fall risk are recommended. Guidelines incorporate preventative and therapeutic recommendations and emphasize muscle strengthening, reducing sedentary behavior and risk management. These guidelines incorporate recommendations for those with chronic and musculoskeletal disease. (Hypertension, diabetes, coronary artery disease, dyslipidemia, osteoarthritis and vascular disease).

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Assess (6 documents)
For patients with stable angina, assessment should include an exercise stress test to guide physical activity prescription.
 
Plan (9 documents)
The plan of care is based upon the patient’s level of cardiopulmonary stability, their current neuromuscular activity tolerance balance, their safety, and their readiness for behavior change. This includes specific and measurable patient goals in the plan of care.
 
Implement (32 documents)
When implementing an exercise program for patients with hypertension and/or stable angina, consider flexibility, strengthening, as well as endurance.
 
Evaluate (7 documents)
The goals and interventions for physical activity should be regularly evaluated and revised in order to achieve measurable outcomes.
 
 


The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.