I am uncertain of the surgical precautions enforced in your respective countries, but in the US we must be tailor our interventions to Sternal Precautions that markedly alter the manner in which we teach transfers, bed mobility, and therapeutic exercise. O2 Sat is also highly valuable in monitoring improvements in cardiorespiratory endurance and as well as acute responses to exercises. Often our issues with insurance force discharge before Sternal Precautions are lifted and often require the recommendation of continued home PT/enrollment in cardiac rehab/hiring of home health aides until the physician deems the sternal incision is appropriately healed for UE use.
Areas of focus are obviously ambulatory with appropriate AD (both indoors/outdoors) on variable surfaces with ramps, curbs, etc. Stair training, Car transfers, bathroom transfers, and dynamic balance activities while concurrently monitoring 02 Sat responses. Education is of course pivotal as well (i.e. bracing incision if coughing/sneezing). I'd be interested in knowing if other countries utilize similar precautions s/p CABG as the US?





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