100 Lincoln Avenue
Carbondale, PA
Tel: (570) 281-1000



Cardiovascular diseases are among the most prevalent illnesses facing our society today. Much research has been focused on the diagnosis and treatment of cardiovascular disease. As a result, chances of saving a life and reducing disability from heart disease have greatly improved. By understanding this disease and taking proper steps to alter lifestyle, most patients can resume their normal pattern of living. Marian Community Hospital is concerned that cardiac patients have appropriate outpatient care to complement the inpatient services that they have received. For this reason, the hospital provides a total Cardiac Rehabilitation Program to offer hope and support for those living with cardiac disease. This program is growing in popularity among patients and is recognized by physicians as an important component in their patients' recovery.
  What is Cardiac Rehabilitation?
Cardiac Rehabilitation is a program for persons with selected cardiac diseases or risk factors. The program is especially designed for persons who have had myocardial infarctions, coronary bypass surgery, stable angina, or angioplasty.

There are two distinct but related parts of cardiac rehabilitation:
  • Phase I, which begins early while the patient is still hospitalized, and
  • Phase II which is the continuation of the program after the patient leaves the hospital.

 Goals of Cardiac Rehabilitation

One of the most common concerns for patients recovering from a heart attack is their ability to return to normal activity. Causes of heart attack can be complicated. Some causes indicate the need for lifestyle changes, which may include a physical exercise program, weight control, smoking cessation, and a balanced diet.

The goal of the Cardiac Rehabilitation Program is to teach patients these healthy lifestyle practices and to dispel the myths and fears of living with heart disease.

 The Program

        Phase I

Phase I of Cardiac Rehabilitation begins early. While the patient is in the hospital because of a heart attack or related cardiac disease, the initial assessment is made. Cardiac nurse educators work with patients to help them understand the process of the disease and rehabilitation. In consultation with physicians, the cardiac rehabilitation team, representing several disciplines, discuss various aspects of recovery with the patient. Phase I includes exercise to increase strength and endurance and is continued through hospitalization. Each plan is individualized to meet the specific needs of the patient and is monitored for as long as needed.

        Phase II

Phase II of Cardiac Rehabilitation is the outpatient continuation of the program. When a patient is discharged from the hospital, physicians make a referral to Cardiac Rehab, and the outpatient phase of the program begins.

Groups of no more than four patients meet three times a week for three months. An exercise program is developed to meet each person's needs. In addition to exercise, education and counseling are offered to help members learn more about their heart disease and fins ways to reduce the risk of future heart problems. The most important result of the program is the patient's ability to return to normal activity. Increased physical strength and ongoing consultation with a cardiac nurse help increase the patient's confidence.

As patients achieve their goals, they also experience psychological healing. Participation in a cardiac rehabilitation group gives them an opportunity to meet others with the same disease. Members are supported in their quest for a healthier lifestyle, sharing feelings, success, and  encouragement.

This comprehensive program is an important component in the continuum of care for patients with heart disease.

     Phase III
Phase III Maintenance program is designed for graduates of Cardiac Rehab with the purpose of maintaining those lifestyle changes that were influential in their recovery. The sessions will be conducted on Tuesday and Thursday each week for a minimum of eight weeks. There is a fee of $3 for each session. Insurance will not cover this program. A physician’s order is required. Participants must demonstrate their ability to monitor their own pulse and to be able to regulate their own exercise.

"This program is in response to the needs of our many cardiac rehab graduates, said Lori Williams, RN, cardiac rehab nurse. Our intention is to continue the gain realized by our graduates. By continuing to physically condition their bodies, they are less at risk for future heart attacks." 

For more information about Cardiac Rehab or the Phase III Program, call Lori at Marian Community Hospital at 281-1000, ext. 3160.

  Requirements for Entry
Patients must be referred into the program by a physician and meet documented entry requirements. The program is open to both male and female patients over the age of 21 with cardiac problems.
 The Staff
The program is directed by a cardiologist and is operated under the direction of two registered nurses with experience and education in cardiac rehabilitation. Consultative services of a dietician, physical therapist, social service, and spiritual care are available as needed for individual patients.
 The Facility and Location
Cardiac Rehabilitation for outpatients is located on the first floor of Marian Community Hospital within close proximity to the Emergency Department. It is outfitted with state-of-the-art equipment which includes the treadmill, Airdyne rower machine, vision fitness cycle, pedometer, and arm ergometer. Patients are electronically monitored at all times during sessions to prevent overexertion.

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