Page 13 - Island hospital Heartbeats_Winter2018

CARDIOLPULMONARY CARE CENTER AT ISLAND BIOS

James W. Schermele RRT joined the
Cardiopulmonary Care Center at Island
ave you experienced a heart or lung The CCC at Island Hospital draws partici- Hospital in 2014 and provides pulmonary
Hrelated medical condition? If so, cardio- pants from a large geographical area that sur- rehabilitation services to patients. Prior to
pulmonary rehab at Island Hospital may be the rounds Anacortes, WA. joining the CCC, Schermele served as a respi-
perfect fit for you. The staff of the CCC consists of cardiac nurs- ratory therapist at the Billings Clinic, Billings,
MT; and St. Patrick Providence, Missoula, MT,
The Cardiopulmonary Care Center (CCC) es Jan Priggee RN, CCRP (certified cardiac
has the capacity to see up to 48 patients per day. rehab professional) and Kim Merrill RN, CEN where he gained experience in intensive
care, emergency room and in-patient thera-
Four one-hour strength and conditioning ses- (certified emergency nurse); Jim Schermele RRT py. He has also worked as a respiratory thera-
sions are offered three days per week: Monday, (registered respiratory therapist); and exercise pist at United General Hospital, Sedro-
Wednesday and Thursday. physiologist Courtney Stewart BS, CEP (certified Woolley, WA.
The goal of the program is to improve the exercise physiologist). The team works together Jan Priggee RN, CCRP has been with
participants’ overall health and quality of life in a to design individual exercise programs for each Island Hospital for 16 years in ICU and
safe, supervised setting utilizing an individual- participant. The program is overseen by Director Cardiac Rehabilitation and has been an inte-
ized treatment plan. Ilima Shaw PT, who is also the Director of gral part of community diabetic education
Both cardiac and pulmonary programs Physical, Occupational and Speech Therapy and a proponent of optimizing diet for cardi-
require a physician’s referral. A qualifying diag- It doesn’t matter what level of fitness partici- ac health. She has been a registered nurse for
nosis for the cardiac program could be triggered pants are in when they begin the program. 43 years with 20 years of experience in a
by a cardiac event such as a heart attack; a stent “You’re never too old or out of shape to start CCU/Open Heart Unit in a Chicago area hos-
or angioplasty; a cardiovascular surgical event, exercising,” said Schermele. ▲ pital.
such as a bypass, valve replacement or heart Each participant is taken through a number Patient Patrick Tyson enjoys working with Jim Schermele RPT during exercise regi- Courtney Stewart BS, CEP is an exercise
transplant; or Peripheral Artery Disease. of assessments to determine their exercise toler- men. physiologist who has worked at Island
A qualifying diagnosis for the pulmonary ance, and an exercise program of strength and Hospital for three years and develops individ-
program could include Chronic Obstructive endurance is specifically designed. Based on ualized exercise programs for patients
Pulmonary Disease (COPD) – an umbrella term individual lifestyle and the outcome of the help you to lead a more active and productive Cardiac and pulmonary rehab programs are enrolled in the CCC, including adaptive exer-
cise programs for patients with orthopedic
▲ for five different diseases: restrictive lung diseas- assessments, short- and long-term goals are lifestyle. covered by most insurance plans. injuries. She also monitors exercise sessions
Stewart is very skilled at adapting exercises
established. Whether you have an acute or
If you’ve had any heart- or lung-related con-
es, such as pulmonary fibrosis, interstitial lung
Jan Priggee RN, CCRP shares a light disease or obesity; and even neuromuscular dis- chronic disease, cardiopulmonary rehab can for all the participants with the baseline knowl- ditions, ask your physician if a rehabilitation for the participants after graduation.
Kim Merrill RN, BSN, CEN re-joined the
moment during a patient’s workout. eases, such as multiple sclerosis. help stabilize and slow the progression. This will edge that many also have orthopedic conditions/ program is right for you. For more information CCC staff in 2016, working part time. She has
concerns. This creates a positive environment about the Cardiopulmonary Care Center at worked in healthcare for more than 20 years
that enables these patients to be successful and Island Hospital, call (360)299-4242 or visit www. in roles that range from pre-hospital emer-
Bagpipes, my pipes and Pulmonary Rehab improve their overall health. islandhospital.org. gency medical services to emergency room
Vital signs – including blood pressure, heart
RN in level II trauma centers.
rate, O2 levels and cardiac rhythm – are moni-
by Bob Maxson, Pulmonary Rehab Care recipient bagpipes again – though they remained on my bucket list. tored throughout the treatment sessions to
I retired in 1999 and moved to Lopez Island after 20 years of ministry assure safety. The staff works closely with the
learned to play the bagpipes while in college and enjoyed it with the Presbyterian Church followed by 20 years as a counselor with
I immensely. Yet once I went off to grad school, I didn’t pick up the juvenile court. I soon learned that someone on Lopez taught bagpipes, referring physician to communicate any changes
in the participant’s baseline. Referrals are also
so I eagerly signed up for lessons but had to drop out because my pipes made to other health care professionals when
couldn’t produce the airflow needed to keep the bagpipes going. indicated.
I experienced early fatigue and shortness of breath with most physical This program began in 2003, and the Center
activities, and tests resulted in my diagnosis of COPD along with chronic was renovated and enlarged in 2013. There is a
asthma. (Walking had been my primary exercise, but I knew I really need- wide age range of participants – aged 20s
ed to do more. As far as my asthma, I was either ignorant of the symp-
toms or just chose to ignore them out of denial.) My doctor recommend- through 90s -- and outcomes reflect that all ages
ed that I take advantage of the pulmonary care offered by Island Hospital. benefit. Client numbers continue to grow with
I had the doldrums and didn’t want to do anything, but I eventually did currently about 150 patients enrolled each year.
as my doctor advised. The cardiopulmonary gym at Island Hospital
Jim [Schermele] and Courtney [Stewart] sat down with me and has a large number of aerobic exercise machines.
explained the program I was about to engage in. At the conclusion of The focus is not only for aerobic activities, but
their presentation, they asked if I had any questions. I asked, “Will I be also strength and high intensity interval training.
able to play the bagpipes?” I think I caught them off base, so to speak. In addition to exercise, a 30-minute educational
▲ Courtney responded, “We’ll do our best.” session on various health-related topics is offered
Within the first two weeks of rehab, I wanted to do things and name
Pulmonary Rehab patient Bob Maxson surprises the cardio- projects and tasks I had previously tossed aside as being “unnecessary” weekly.
After graduating from the 12-week program,
pulmonary staff (from left: Jim Schermele RT, Jan Priggee when, in fact, they had been simply too much for me to cope with. I was participants are encouraged and can continue to
RN, CCRP, and Courtney Stewart BS, CEP in background) inspired to regain the ability to do those enjoyable things that I had pre- exercise in this supervised setting 2 days a week,
on his graduation day from Pulmonary Rehab by playing viously dismissed as out of my reach. Tuesday and Friday, for a nominal fee. More
the bagpipes for them. He played “Amazing Grace” and I appreciate feeling alive again and credit the Pulmonary Rehab pro- than 80 percent of patients continue with an
“Saogan”, a Welsh lullaby. gram and team with my newly realized ability to play the bagpipes again. exercise program, either at the CCC or at local ▲
gyms. Courtney Stewart BS, CEP works with patient James Stewart .