Supervision Level. The defendant’s level of supervision, including caseload type and electronic monitoring shall be determined by the Idaho Dept of Correction.
Supervision Level. The offender’s level of supervision, including caseload type and electronic monitoring shall be determined by the Idaho Department of Correction (IDOC).
Supervision Level. This relates to potential difficulties when taking part in the exercise component of cardiac rehabilitation e.g. hard of hearing, poor vision, poor balance, musculoskeletal/neurological problems which may affect the staff to patient ratio or type of exercises prescribed. 1 = High supervision needs 2= Moderate supervision needs 3= Low supervision needs Appendix F: Extra Considerations for Patients with Heart Failure HF is characterised by an inability of the heart to adequately deliver oxygenated blood to metabolising tissue. It is a clinical syndrome with objective evidence of cardiac dysfunction at rest and hallmark symptoms of breathlessness or fatigue either at rest or during exertion, as quantified by the New York Heart Association (NYHA I - IV) classification system [95]. Impaired cardiac output, defined by an ejection fraction (EF) of <40%, and abnormalities in central haemodynamic function can lead to abnormalities in skeletal muscle metabolism and morphology, peripheral blood flow, vascular function, neuro-hormonal responses and pulmonary function, with consequent progression of disease. The prognosis for HF is poor with 50% of diagnosed patients dying within 4 years and in patients with severe HF, 50% of those will die within one year (56,96). Systematic reviews of exercise-based CR in stable CHF patients have confirmed the safety and effectiveness of exercise as an intervention (28,57,65,96). Benefits have been reported in increased exercise capacity, decreased symptoms and improved QOL (28,57,96,97). In particular, the Cochrane review reported average increases in: • VO2 max by 2.16ml/kg per min • exercise duration by 2.38 min • work capacity by 15.1 xxxxx (W) • six minute walk test (6MWT) by 40.9 metres. The European Society of Cardiology (ESC) (56,98), American Heart Association (60) and the ACSM (22) provide guidelines and protocols for exercise training with HF patients. Risk stratification HF patients are classified amongst those deemed at highest risk of further cardiac events according to the AACVPR stratification criteria (i.e. an EF of <40%) (43). Patients may additionally present with other criteria: • significant symptoms at low levels of activity of less then 5 METs • abnormal haemodynamics with exercise testing • peak VO2 of <10 ml/kg per min • 6MWT of <300m which is associated with poorer short-term survival. Given the pathophysiology of HF and acknowledged increased risk with exercise, rigorous individual patient assessment and ri...
Supervision Level. (a) A Research Assistant functioning in a technical position may receive routine supervision to general direction depending on experience and complexity of the tasks.
Supervision Level. (a) In professional positions, routine supervision to general direction, depending on tasks involved and experience.
Supervision Level. (a) At this level there is a requirement for persuading others to adopt a particular course of action where there are competing objectives and priorities plus a variety of outcomes. Royal District Nursing Service Ltd Victorian Operations Enterprise Agreement 2016
Supervision Level. (a) At this level there is a requirement for persuading others to adopt a particular course of action where there are competing objectives and priorities plus a variety of outcomes.
Supervision Level. (a) Negotiation with external groups on contracts and other issues that impact the effective running of the department and hence affect the organisation, would be a regular requirement of this position.
