R.W. Crosthwait, Sr. Rehab Center

The R.W. Crosthwait, Sr. Cardio-Pulmonary Rehabilitation Center is a natural continuation of the medical services offered at Providence Health Center.  The Rehabilitation Center is designed to help each individual regain and maintain his or her maximum quality of life through carefully monitored physical conditioning, an emotionally supportive environment and enhancement of continued compliance to physical guidelines.

The two-phase outpatient program is offered in an attractive setting with team support and individualized instruction and utilizes a combination of progressive exercise, education and counseling.

Program Eligibility

The Rehabilitation Center serves a broad spectrum of patients, including:

  • Those who have suffered heart attacks.
  • Those who have undergone cardiac surgery.
  • Those who suffer from coronary artery disease, such as angina (chest pain).
  • Those who have one or more coronary high-risk factors:  hypertension, diabetes, overweight, smoking, elevated blood fats (cholesterol/triglycerides), sedentary or stressful lifestyle or a family history of any of the above.
  • Those whom the attending physician feels would benefit from physical conditioning.

Program Benefits

Whether recovery or prevention is the primary concern, the R.W. Crosthwait. Sr. Cardiopulmonary Rehabilitation Center provides a structured program and education to assist patients in achieving the most rewarding life possible.

How Do I Become A Participant?

Patients with a written prescription from their physicians may participate in the cardiopulmonary rehabilitation program.  Prior to entering the program, patients must undergo a resting and working (stress) EKG, a blood analysis (cholesterol/triglyceride-lipid profile), anthropometric 9body fat) and girth measurements and a risk factor analysis.  Once tests are completed, results are given to the program’s medical director and staff who work together to design and individualize a program for each patient.

Program Information

The Cardiopulmonary Rehabilitation Center offers two programs:  Phase II and Phase III

Phase II

Phase II is an outpatient recovery program that assists patients in making changes to their lifestyle and in regaining or increasing physical capability.  All exercise is performed under the close supervision of highly skilled nurses, utilizing specialized heart monitoring equipment.

Each patient participates in 60-minute sessions three times each week.  Sessions are limited to six participants in order to provide maximum medical supervision. Participants perform individually prescribed exercise on the treadmill, stationary bicycle, rowing machine, pulleys, ski machine and indoor tract. Exercise sessions may be arranged to accommodate patients with transportation difficulties or financial concerns. The Phase II program also includes specialized education for both patients and their families.  The participation and socialization is a definite enhancement to the recovery process. 
Types of education provided are:

  • Classroom group sessions on topics of risk factor identification, behavior change, weight control, exercise physiology, work simplification, cardiac medication and stress management.
  • Counseling at each exercise session, where the nurse serves as a resource to answer questions, facilitate referrals, promote a positive environment and provide emotional support.
  • Auxiliary resources:  consultants, reference books, pamphlets.
  • Individualized counseling as needed.

Phase III

Phase III is an outpatient maintenance program for patients in need of primary prevention (risk factor modification) and who are graduates of the Phase II program.

The emphasis of Phase III is to effect and maintain lifestyle changes as well as physical conditioning. This program promotes an increase in independence and socialization. Patients exercise under the close supervision of highly skilled nurses, utilizing specialized heart monitoring equipment. Exercise programs are evaluated by trained staff; with individualized instruction offered in order to enhance compliance to changes in lifestyle and compliance with physician guidelines. Participation in continuing education is emphasized with patients receiving annual follow-up examinations using the treadmill, book analysis and anthropometric girth measurements.

Program Staff

Each patient works with a rehabilitation team, which includes the following:  medical director, nurse, physical therapist, dietitian, respiratory therapist, pharmacist and a social worker.  The medical director acts as supervisor for the program and is also available to answer questions and advise as needed.  Your primary physician receives frequent updates as to your progress in the program.

Tracking Progression

During the Phase II program, the staff will review the report with you and will send a six-week report to your physician.  Additional stress EKGs (conducted at 6 and 12 weeks), anthropometric and girth measurements and lifestyle evaluations are also used to measure progress.  An exit interview is provided to help you establish long-term lifestyle change goals, along with a maintenance conditioning program.

Insurance Coverage

Most insurance companies will pay 75 to 100 percent of Phase II rehabilitation.  Phase II is also covered by Medicare.  Phase III rehabilitation is available at a reasonable monthly fee.

Pulmonary Rehabilitation Program

The purpose of pulmonary rehabilitation is to provide progressive medically supervised exercise and education to individuals with chronic pulmonary disease.  The focus emphasizes the overall health continuum, thereby improving quality of life.  The primary goal is to enable and equip the participant and family or significant other(s) to make informed decisions concerning the participant’s future health.

Program Objectives

  • Control and alleviate the symptoms and pathophysiological complications of respiratory impairment.
  • Train the participant to achieve optimal capacity, enabling them to carry out activities of daily living.
  • Decrease symptoms of anxiety or depression.
  • Improve quality of life.
  • Continue in or return participant to gainful employment when possible.
  • Promote independence and self-reliance.
  • Increase exercise tolerance promoting energy conservation, improving physical deconditioning and reducing ventilatory requirement.
  • Preoperative conditioning and education for people with lung disease, resulting in improved patient outcomes and shorter length of stays after surgery.  (Ask your physician).
  • Reduce exacerbations and hospitalizations.
  • Encourage participation in recreational pursuits.
  • Breathing retraining to improve ventilatory efficiency.

Exercise and Conditioning

Participants will enter a conditioning program that includes physical exercise and education.  The level of exercise will be based on individual response to an initial exercise test. All participants will be given information regarding the amount and type of regular exercise that should be performed.  Exercise sessions will be available on a regularly scheduled basis.  Sessions may be adjusted depending on individual progress.  Blood pressure, heart rate and oxygen saturation will be monitored pre- and post-exercise and during exercise, if necessary.

Education will include breathing exercises, proper use of MDI (metered dose inhaler) and aerosol therapy, relaxation techniques, importance of diet and proper hydration, gait training, therapeutic exercise, ADL (activities of daily living) training, coughing and clearance techniques, ways to conserve energy and other important topics of interest to the pulmonary rehabilitation participant.

Additional learning opportunities are available through providence “Air-Ways” Pulmonary Support Group, which meets on the last Tuesday of each month.

Program Availability and Registration

The Pulmonary Rehabilitation Program includes three sessions each week on Monday, Wednesday and Friday.  The length of rehabilitation, however, will depend upon each participant’s needs and measure of progress.

Registration into the rehabilitation program is through physician referral only.  Upon receipt of a physician’s written orders, an appointment will be made for enrollment and evaluation.  A summary will be sent to the referring physician and pulmonologist to keep them abreast of interventions and participant’s progress.

Program Staff

The Providence Pulmonary Rehabilitation team includes multidisciplinary professionals from:

  • Respiratory Care
  • Exercise Physiologist
  • Nutritional Services
  • Rehabilitative Services (PT/OT)
  • Social Services
  • Chaplain Services
  • Providence Home Care
  • Providence Medical Equipment

Goals and Expectations of Pulmonary Rehabilitation

  • Feeling Better
  • Reduced dyspnea
  • Greater confidence
  • Less depression, anxiety and panic
  • Less frequent insomnia

Greater Activity

  • At home
  • In the community
  • During leisure time

Increased Endurance and Strength

  • Muscles of ambulation
  • Upper extremities
  • Ventilatory muscles

Greater Range of Function

  • Self-care
  • Care of the home
  • Shopping
  • Sexual activity
  • Leisure activity
  • Work (if appropriate)

Self-Control and Self-Management

  • Dyspnea
  • Living situation
  • Clearance of secretions
  • Medications
  • Oxygen
  • Nutrition
  • Family matters