The BACR guidelines (BACR, 1995) recommend that patients receive a programme of graduated mobilisation and exercises, so that by discharge time the patient is ambulant, able to climb stairs and attend to his or her own activities of daily living. Individualised home-walking programmes should be prescribed for phase II. Thompson, et al. (1996) suggest that prior to discharge, patients are taught simple ways of self-assessing the level of physical activity, using pulse rate measurement and the Borg rating of perceived (RPE) exertion scale (Borg, 1998). Early introduction to the concept and skills of self-monitoring of exercise is important (see Chapter 3). Phase I CR represents for the majority of cardiac patients their first exposure to risk factor modification and education and acts as a gateway to the next phases of CR (Spencer, et al., 2001).

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