Level 4 Cardiac Rehabilitation
Assessment Guidance & Documentation
The key email address is Case Studies for anything associated with externally delivered courses. Please note: For extension requests or queries regarding assessments please contact Case Studies.
Additionally, lecturing staff is not permitted to preliminary grade papers prior to submission. All communication should be made directly to the WRIGHT Foundation Office and any requests to review students' work will be declined.
Submission Dates
Case-study report: post-course written assessment.
To be completed post-course and is based on a ‘hypothetical’ client. Candidates have 12 weeks to complete this assessment and return it to the office. Pass Mark = 70%. per section.
Task 1 - Complete the Online Course
On Course Resources
The Cardiovascular System - Overview
The Respiratory System - Overview
Day Notes
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Day 1 - Link
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Scottish heart disease statistics [Year ending 31 March 2021] - Link
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The Bill of Health App - Link
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CV Lecturer Notes - Link
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Day 2 - Link
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Day 2 Diagnostic Slides - Link
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Day 2 Medication Slides - Link
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Day 2 Surgery Intervention Slides - Link
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Day 3 - Link
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Day 3 Background of Strength Training - Link
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Day 3 Background of Aerobic Endurance Training - Link
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Potential Risks in an Outpatient Cardiac Rehabilitation - Link
Appropriate Range of Exercise Physiology Textbooks
[Click the Book to Download]
Methods of Estimating Aerobic Exercise Intensity
Original Academic Papers on Heart Rate
Bitesize Animation on the Cardiovascular System
Bitesize Animation on Several Cardiovascular Conditions
Organisations & Qualifications Links
Task 2 - Case Study & Practical Resources
Case Study
Case Study Summary Guidance
You MUST complete the following steps [Use the Case Study Template Above]:
Section 1 - Create a summary statement of your client explaining his/her medical history and current medical diagnosis. [You may add to the client profile but DO NOT remove any].
Section 2 - Provide details of any medication your client may be taking [look at profile sheet], including the reason for taking the medication, the effect, the potential side effects, and the implications for exercise prescription. You should ensure the information provides greater clarification for the case study. [This may be in the format of a table with the mediation name, side effects, and implication to exercise].
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Link to an example template - Link
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Link to an example medication table - Link
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Link to the NHS medication list - Link
Section 3 - Provide statements of the appropriate clinical objectives. Each objective must be accompanied by the underlying reason, or multiple reasons, for the selection.
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Specific to cardiac but include other comorbidities where specified.
Section 4 - Design a proposed 12-week program of exercise/physical activity, which is safe, appropriate, and effective for your client.
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Note: This should be a minimum of a 12-week overview [Monday to Sunday] showing the progression of Frequency, Time, Type & Intensity). Look at the ACSM (2021) FIIT Recommendations and also this Cardiac Rehabilitation Exercise Programme [credit to Blackbird Leys] - Link
Section 5 - Justify each intervention by explaining the specific and/or general responses/adaptations to that exercise.
Section 6 - Discuss all psychological issues you feel are relevant in dealing with your client, in order to effect positive lifestyle change(s) and provide details of which behavioral strategies you feel would be appropriate.
Section 7 - Provide a summary of pre-post physiological measurements with a rationale for each measurement and, where appropriate, a rationale for not taking a specific measurement.
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Example pre-post intervention table has been provided here - Link
Section 8 - Create an information sheet suitable for your lay client (one side A4) giving advice on generally positive lifestyle changes regarding his/her specific condition.
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Example Fact Sheet from the American Association of Cardiovascular and Pulmonary Rehabilitation - Link
Section 9 - A plan of how you would engage the help of, or offer your services to, the local NHS/PCT to form a multidisciplinary team in cardiac disease management.
Task 2 - Case Study Resources
Key National Guidelines Associated with Cardiac Rehabilitation - Link
NHS Medication & BNF Resources [Case Study Relevant]
Mental Health Measurement & Tools [Case Study Relevant Section 6]
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GAD-7 [Anxiety] - Link
The Generalised Anxiety Disorder Assessment (GAD-7) is a seven-item instrument that is used to measure or assess the severity of generalized anxiety disorder (GAD). Each item asks the individual to rate the severity of his or her symptoms over the past two weeks. Response options include “not at all”, “several days”, “more than half the days” and “nearly every day”
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PHQ-9 [Depression] - Link
The PHQ-9 is the nine-item depression scale of the patient health questionnaire. The nine items of the PHQ-9 are based directly on the nine diagnostic criteria for major depressive disorder in the DSM-IV. The PHQ-9 can function as a screening tool, an aid in the diagnosis, and as a symptom tracking tool that can help track a patient's overall depression severity as well as track the improvement of specific symptoms with treatment.
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Warwick-Edinburgh Mental Well-being Scale (WEMWBS) - Link
WEMWBS is a 14-item scale of mental well-being covering subjective well-being and psychological functioning, in which all items are worded positively and address aspects of positive mental health. The scale is scored by summing responses to each item answered on a 1 to 5 Likert scale. The minimum scale score is 14 and the maximum is 70. WEMWBS has been validated for use in the UK with those aged 16 and above. Validation involved both student and general population samples, and focus groups.
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Short General Health Questionnaire (GHQ 12) - Link
The General Health Questionnaire (GHQ) is a screening device for identifying minor psychiatric disorders in the general population and within the community or non-psychiatric clinical settings such as primary care or general medical out-patients. Suitable for all ages from adolescents upwards (but not children), it assesses the respondent’s current state and asks if that differs from his or her usual state. It is therefore sensitive to short-term psychiatric disorders but not to long-standing attributes of the respondent.
Physical Resources & Tools [Case Study/ Practical Assessment Relevant]
Additional Exercise Testing & Exercise Recommendations
Click the image above to access the ACSM (2020/21 ) e-book
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ACSM (2020/21) FITT Recommendations for individuals with hypertension - Link
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ACSM (2020/21) FITT Recommendations for inpatient cardiac rehabilitation programs - Link
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ACSM (2020/21) FITT Recommendations for individuals with cardiac transplants - Link
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ACSM (2020/21) FITT Recommendations for individuals with heart failure - Link
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ACSM (2020/21) FITT Recommendations for outpatient cardiac rehabilitation programs - Link
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Example Chair Based Circuit - Link
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Recommendations for exercise testing, prescription, and monitoring in outpatient cardiac rehabilitation programs for independent UK and Ireland regions and Europe, including leading cardiac rehabilitation organisations (ACSM) - Link
Referencing Help & Support - Download Guide
Task 3 - Complete the Online Viewing Booklet
Please Note: All evidence or questions should be sent to the following address and NOT the Lecturers.