Setting: Local Medical Clinic

Background: You see a 45-year-old patient who suffered a mild anterior acute myocardial infarction two weeks ago. Recovery was uncomplicated, and the patient was discharged from the hospital four days ago. The patient is now concerned about how much physical activity is appropriate during recovery.

Task:

• Find out the reason for the patient’s visit by asking open-ended questions to understand their concerns and how they’ve been feeling since the heart attack. Build rapport by acknowledging any anxieties they might have about recovery.
• Reassure the patient about their fatigue, explaining that it’s a normal part of recovery. Discuss the typical timeline, emphasizing that it often takes 4–6 weeks for full energy levels to return.
• Emphasize the importance of gradually reintroducing exercise for heart and overall health. Explain how moderate physical activity strengthens the heart, lowers cholesterol, and improves circulation.
• Provide specific recommendations for moderate physical activity that fits the patient’s recovery stage. Discuss the benefits of joining a cardiac rehabilitation program to increase exercise tolerance under supervision.
• Explore the patient’s job and inquire about their work environment. Provide a realistic timescale for returning to work, such as 4–6 weeks for a desk job, and discuss the importance of being physically and emotionally ready.