Cardiopulmonary Rehab

Question 1

Focus of Pulmonary Rehab

Answer 1

> Improve exercise capacity 
- Reduce Symptoms
- Optimize functional status 
> Increase participation
- improve psychological well-being
> Reduce health care costs 

*By stabilizing/reversing systemic manifestations of disease

Question 2

Pulmonary Rehab - For who

Answer 2

> Any COPD patient with functional disability (3+ on medical research council (MRC) dyspnoea scale)
+ anyone that will benefit

> Exclusion Criteria

• Unstable angina
• unstable diabetes
• uncontrolled blood pressure
• uncontrolled arrythmia
• MI within six weeks of starting

*Can use BP/HR monitors + Borg/RPE scales to monitor patients during class

Question 3

Structure of Pulmonary Rehab

Answer 3

> 6-12 week program (within a month of discharge if appropriate)
2x per week
Combo of exercise classes and education

Doesn’t improve lung function - only improves efficiency of body with that function (ie won’t alter PFT scores)

Question 4

Cardiac Rehab aims

Answer 4

> Relieve symptoms
Reduce risk
Enhance QoL
Increase knowledge and understanding

Question 5

Cardiac Rehab - monitoring patients

Answer 5

> Measure Heart rate and BP as well as exercise tolerance using treadmill test (ecg whilst intensity is increased) or bruce protocol (intervals where intensity is increased - to exhaustion)
Patients are more at risk