Which оf the fоllоwing pаin mаnаgement strategies focuses on changing negative thoughts about pain?
Scenаriо: A 60-yeаr-оld femаle patient with a histоry of coronary artery disease (CAD) is being treated for chest pain. She is prescribed nitroglycerin to manage angina. The patient reports feeling lightheaded and slightly weak when standing up, especially after taking her medication. She is referred to physical therapy for rehabilitation after being stabilized, with the goal of improving her cardiovascular endurance and functional mobility. 1. What are the potential effects of nitroglycerin on the patient's cardiovascular and musculoskeletal systems, and how might this impact her participation in physical therapy? A) Increased blood pressure and enhanced muscle contractionB) Increased muscle strength and enduranceC) Vasodilation, which may cause hypotension and dizziness, especially upon standingD) Vasoconstriction, which would make it difficult to increase heart rate during exercise 2. What specific physical therapy interventions would be appropriate for this patient while she is on nitroglycerin? A) Intensive aerobic exercise immediately to strengthen cardiovascular enduranceB) Gentle, low-impact cardiovascular exercises with frequent rest breaks to prevent dizzinessC) Heavy resistance training to increase muscle mass and strengthD) High-intensity interval training to maximize heart rate and endurance 3. How would you adjust your therapy sessions to account for the patient's current medication regimen and potential side effects? A) Increase the exercise intensity to compensate for the medication's effect on blood pressureB) Focus exclusively on strengthening exercises with minimal aerobic activityC) Avoid all physical activity until the patient has stopped taking the medicationD) Monitor for signs of dizziness or hypotension, avoid sudden positional changes, and encourage slow transitions