Start with a clear plan
Before discharge, clarify which medicines are prescribed, when follow-up appointments are due and whom to contact with questions. Keep the discharge summary, prescriptions and contact details in one folder. If instructions are unclear, ask the treating team rather than relying on memory or advice intended for another patient.
Do not stop or change treatment yourself, even if the person feels better. Ask a doctor or pharmacist for specific advice about side effects or a missed dose. A relative can help with organisation while keeping the patient involved in decisions.
Movement at the right pace
Cardiac rehabilitation combines gradual activity, education and support. Ask the cardiologist which programme is suitable and when it can begin. The type and duration of activity depend on the person’s condition and treatment; there is no single timetable for everyone.
Help the day include prescribed activity and time to rest. Do not push the person to match someone else’s progress or return quickly to heavy work. New symptoms during movement need medical assessment.
Everyday support
Agree who will help with shopping, meals, transport and appointments. Diet and any salt or fluid restrictions must follow individual instructions, especially if the person also has heart or kidney failure.
Fear of another heart attack can affect sleep and a return to familiar activities. Listen to your loved one and discuss persistent anxiety or low mood with the team. Support is more helpful than constantly reminding someone that they are ill.
When it is an emergency
For new pressure-like chest pain, especially spreading to the arm, neck or jaw, severe breathlessness, cold sweats or loss of consciousness, call immediately: 112. Do not wait for a reply to an online enquiry or drive yourself to hospital.
What to keep handy
- An up-to-date list of medicines and instructions.
- Follow-up dates and the rehabilitation plan.
- The treating team’s telephone number and agreed help from family.
