“InnovateIT,” a software development company, is considering developing a new project management tool specifically designed for remote teams.  They’ve identified a growing market for such tools but need to conduct a feasibility analysis before committing significant resources to the project.

Wayne has been consistently attending his cardiac rehab sessions 2-3 days a week for the past 4 weeks. During the sessions he has progressed from 15 minutes of walking on a treadmill with an incline to 40 minutes at an RPE of 13/20 not including a 5 minute warmup and cooldown walking on the treadmill without any incline. He has declined to complete any resistance training because he wants to focus on building his endurance back up. He performes a hamstring, quad, and calf stretch at the end of his exercise session before checkout.    On his tenth session Wayne tells you that he would like to give resistance training a try. Wayne only has 1 hour to complete his exercise prescription in cardiac rehab, but is open to exercise on his off days. He reports walking for 30 minutes outside on days he does not attend CR.    How would you adapt Wayne’s exercise program? Clearly identify the FITT for aerobic and resistance training and program it to be realistically completed during a 1 hour CR session AND any guidelines for exercise outside of CR. 

Which of the following best describes a non-functional requirement in software development?

Caleb recovers well enough to be discharged from the hospital. He also begins to undergo additional testing for lung transplantation eligibility. After assessment by the lung transplant team, he is placed on the transplant waiting list with a lung allocation scale of 68. He is unable to continue participating in PR due to his deteriorating condition and begins using supplemental oxygen at home. He also moves into an apartment with his mother, which is closer to the lung transplant center. After 5 months on the wait list, Caleb receives a double lung transplant from an adult male cadaver donor. Following a 14-hour surgery, he is transferred to ICU, place on mechanical ventilation. On day 2 post-op he is weaned from mechanical ventilation and displays no complications or signs of acute organ rejection. On day 4 he is transferred from ICU to a hospital ward. On day 15 he is discharged to his local apartment. Immediately following the procedure, he is placed on immunosuppressant regime including prednisone, tacrolimus, and mycophenolate mofetil.   For the first 3 months post-transplant he is followed by the transplant team for weekly medical checkups and attends a pulmonary rehab program 2-3x a week.   Pre-Transplant PFT (5 weeks prior) ·      FVC: 38% predicted ·      FEV1: 25% predicted ·      FEV1/FVC: 65% predicted   Post-Transplant PFT (1 week post) ·      FVC: 87% predicted ·      FEV1: 63% predicted ·      FEV1/FVC: 72% predicted   Post-Transplant PFT (12 weeks post) ·      FVC: 101% predicted ·      FEV1: 91% predicted ·      FEV1/FVC: 90% predicted                   Examine the PFTs above. What lung disease pattern is demonstrated pretransplant? E

You created an exercise program for Wayne that includes resistance training at his request. However, he consistenlty reports NOT completing it. One day he states, ” I want to be stronger, but I just don’t have the time to do it all.”   Write a COMPLEX reflection that could further evoke discussions about change with Wayne. 

Caleb is a 22yoa male who was diagnosed with cystic fibrosis at 6 months of age. He had two older brothers with CF who have since died of respiratory complications. He currently attends college part-time with the goal of becoming a social worker. He is considered to have a moderate to severe disability. He has been attending your pulmonary rehab program due to his cystic fibrosis.    What other health care poressionals (aside from a CEP) should be involved with Caleb’s care in your PR program? 

In response to Wayne’s onset of worsening symptoms, his physican ordered a resting echocardiogram. Findings suggested normal systolic function with a LVEF of 65%. However, there was severe aortic stenosis moderate aortic regurgitation. A left heart cathererization with magnetic resonance aortography was completed prior to an aortic valve replacement surgery via open heart surgery. There were no complications with the procedure.    Wayne was discharged from the hospital after 3 days and plans to attend phase 2 cardiac rehab.    Which of the following is TRUE regarding return to exercise POST sternotomy?  

In response to Wayne’s onset of worsening symptoms, his physican ordered a resting echocardiogram. Findings suggested normal systolic function with a LVEF of 65%. However, there was severe aortic stenosis moderate aortic regurgitation. A left heart cathererization with magnetic resonance aortography was completed prior to an aortic valve replacement surgery via open heart surgery. There were no complications with the procedure.    Wayne was discharged from the hospital after 3 days and plans to attend phase 2 cardiac rehab.    Assuming Wayne has no history of depression and no other relavant medical history, what would be his AACVPR risk stratification?  

One day, Caleb comes to PR complaining of a worsening productive cough (thick dark green sputum), dyspnea, occasional hemoptysis, fatigue, and weight loss. You encourage Caleb to see his physician or go to urgent care. He follows your instructions and is ultimately admitted to the hospital due to respiratory compromise and an antibiotic resistant Staphylococcus aureus inflection. Additional information from his hospitalization is found below.   Arterial Blood Gases: ·      pH: 7.3 ·      PaCO2: 110 ·      HCO3-: 52 ·      PaO2: 45            Is compensation present?

Wayne is a 49yoa male who has been aware he has a heart murmur for years. A family doctor told him they would “follow-it”. Over the past year Wayne has become increasingly breathless during daily activities. As a recreational runner, he has become frustrated with being unable to run more than 10-15 minutes at a time for the past several months. He reports occasional chest pain during exercise but has not experiences any syncope or presyncope. Before his symptoms progressed, he ran at least 4 miles every morning and competed in road races up to the half-marathon distance. He reports no family history of cardiovascular disease, does not smoke, and does not take any prescribed medications. He takes a daily multivitamin and a fish oil supplement. Additional medical information is available below.   Height: 6’1’’ Weight: 194lbs Resting BP: 118/59   Fasting Labs: Total cholesterol: 192 mg/dL LDL: 139mg/dL HDL: 52 mg/dL HbA1c: 4.8%   Resting EKG: see below   List each CVD risk factor and negative risk factors. Identify if it is a positive risk factor for Wayne.