document Flashcards
Both program personnel and patients enrolled in
the pulmonary rehabilitation program must keep
records of ________.
patient activity, response to therapy, and
progress in the program
In its simplest form, _______can tell whether a program was beneficial. Patients often relate anecdotally a number of ______ benefits derived from the education, breathing retraining, and
physical reconditioning is associated with rehabilitation.
subjective patient surveys, subjective
However, practitioners involved in pulmonary rehabilitation need to be more ____. _____ measurements tend to be more reliable indicators of actual patient outcomes and any patient benefits realized
objective, Objective
________ is a process that should start
with identifying and addressing patient expectations
Outcomes assessment
three major accepted benefits of Pulmo rehab
increased exercise tolerance and endurance
Increased maximum oxygen consumption
Increased physical performance (with decreased ventilation, oxygen consumption, and heart rate and increased anaerobic threshold)
Possible benefits of Pulmo rehab
Increased sense of well-being with less anxiety and depression Better quality of life Ability to be more active and enhanced ability to carry out ADLs Increased mucociliary clearance Fewer infections and hospitalizations Increased hypoxic drive Increased left ventricular function
Unlikely or debated benefits of Pulmo rehab
Increased longevity and survival
Improvement in PFT
Improvement in ABGs
Lowered pulmonary artery pressure
Improved blood chemistry, including blood lipids
Change in muscle oxygen extraction
Change in step oxygen desaturation and apnea
Five basic steps can be used for the assessment process:
- Create a focused clinical question.
- Systematically search the literature.
- Assess the validity of all studies identified.
- Apply the results to the area of practice.
- Evaluate targeted performance.
In most instances, changes or increases in post-rehabilitation CPX testing parameters by _____ or more suggest a significant improvement.
15%