COPD Part 2 (pulmonary rehabilitation)

Question 1

Pulmonary Rehabilitation (a program for patients with chronic lung disease)

Answer 1

Big difference/reduction in disability associated.

• improve adherence to treatment
• decrease frequency and severity of symptoms
• improve mood and motivation
• improve quality of life

THROUGH EXERCISE AND EDUCATION

Question 2

Exercise intolerance

Answer 2

One of the main reasons of limited participation of daily activities

Most limiting COPD symptoms:

• dyspnoea
• fatigue

Cause of reduced exercise tolerance often complex and multifactorial

Question 3

Draw cycle of inactivity

Answer 3

…

Question 4

Programme structure

Answer 4

6-8weeks
2 classes per week and 1-2 home sessions
In a hospital or community venue

Not to fix, but give the tools for long term

Question 5

Is COPD an isolated issue?

Answer 5

No, usually there are multiple conditions that need to be managed. Also co-morbidities

Question 6

MRC test

Answer 6

Quantifies ones breathlessness, 5 is the worst

Question 7

6 minute exercise walk test

Answer 7

Normal ~ 1km

Question 8

Goals in pulmonary rehabilitation

Answer 8

Really important to be meaningful for that patient, so they will stick to it!

Question 9

Will a patients spirometry change much?

Answer 9

No. Damage to lung function is permanent, we work more on exercise tolerance, breathing, education etc