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 My name is Peter Scott and I would like to welcome you to my official
web site for Barnsley Health. I am a chartered physiotherapist and
highly experienced in delivering cardiac and pulmonary rehabilitation and continuing exercise
sessions for the provision of long term health. I am dedicated
to provide exercise rehabilitation and education for clients suffering
from respiratory and cardiac conditions.
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| The purpose of Barnsley Health
is to provide advice, education and long term exercise programmes
to people who suffer with cardiac or respiratory conditions.
I also aim to provide additional information relating to
other chronic long term conditions. |
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Performing appropriate exercise is universally accepted as an excellent
way of increasing fitness, maintaining activity levels, preventing
reduction in mobility and improving quality of life. It’s an excellent
way to appropriately reduce weight, reduce heart disease risks and
risks associated with other medical problems such as diabetes. It enables
the individual to take responsibility for their own well being, provides
a social environment; and
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| If exercise was put in to a bottle it would
be the strongest medicine money could buy! |
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 I
provide tailored exercise regimes for patients who have had heart attacks,
heart surgery, and revascularisation treatments or suffer from heart
failure and those who suffer from Chronic Obstructive Pulmonary Disease
(COPD). The exercise programmes run for between eight to twelve weeks
based on ability, which clients follow to enable them to become active,
more independent and confident about dealing with their condition.
The improvement in abilities and confidence reduces anxiety and improves
quality of life but delivered over such a short period of time, there
still remain opportunities to further increase fitness, if the person
was to continue to exercise over a longer period of time. |
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derived from a short rehabilitation programme, individuals
must continue to be active on a regular basis, because if
not the benefits are soon lost, which is why we provide
our long term exercise programmes. |
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 If exercise ceases the risk of further cardiac events increase and
for those with respiratory problems their improved abilities are gradually
lost.
It is not essential to perform formal exercise but there is a requirement
to work the body systems e.g. Heart, lungs and muscles etc at a specific
level several times each week (recommendations are five times each
week). The level required can be achieved by walking, cycling or performing
general exercises.
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From my experience I have found that too many people, despite
the best of intentions, lose the habit of regular exercise. For many
the rehabilitation programme was the start of a new lifestyle, which
included exercise.
It takes a while before frequently exercising
transforms the individual in to a habitual participant. Without appropriate
guidance and support over 50% drop out of the routine inside six
months and the most successful way forward is to maintain ongoing supervision
and monitoring to promote compliance.
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| The concept is incorrect that it is necessary to exercise at a higher or competitive level, suffer with pain or discomfort to get fitter or to maintain fitness |
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 It is important that the exercise sessions are enjoyable and represent
a social event where people look forward to exercising with others
who may have similar problems and have the understanding that those
problems may limit exercise and intensity.
Many people in this category
are older and have problems with other effects of life e.g. arthritis
etc. Many sport & leisure
centres are reluctant to allow people who have specific medical problems
to join with their healthy clients in exercise sessions and most
of these clients take medications, which can either increase or decrease
exercise performance. |
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| An exercise management plan should include consideration of medication-induced changes in ability to perform exercise so the effects of medication must be considered in the exercise management plan. |
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I feel that continuing to be able to exercise long
term is beneficial not only for the individual but also the NHS, reasoning
that by maintaining or improving their level of fitness, clients would
have a better quality of life and save the NHS time and money by reducing
hospital admissions, visits to A&E and their GP’s. It’s difficult
to prove this reasoning definitively as I could not find an establishment
in the country offering this kind of service so was unable to compare
performance.
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| Barnsley Health is a Not For
Profit Organisation |
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Peter Scott - Team Leader