Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PPR EXAM > PPR EXAM > Flashcards

PPR EXAM Flashcards

1
Q

Provides care for people with a history or risk of cardiovascular and lung (pulmonary) conditions

A

Cardiopulmonary Rehabilitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cardiac Rehabilitation Program

A

Improving your physical activity habits
Improving your diet
Maintaining a healthy weight
Taking prescribed preventive medications
Avoiding tobacco use or exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A personalized cardiac rehabilitation plan may include the following:

A
  1. A highly supervised exercise program
  2. Patient education and wellness programs, such as cooking demonstrations and written resources
  3. Nutrition counseling
  4. Smoking cessation counseling
  5. Stress Management
  6. Individualized risk factor management recommendations with regular evaluation by prevention.
  7. Physical and occupational therapy
  8. Psychological and pharmacological counseling
  9. Referrals to other medical areas as necessary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Conditions of Patients who undergo cardiac rehabilitation

A

Chest Pain (angina)
Coronary angioplasty and stents
Coronary bypass surgery
Heart attack
Heart failure
Heart transplant
Heart valve repair or replacement
Peripheral artery disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Patients who have high risk developing Cardiovascular diseases

A

Diabetes
Hypertension
High Cholesterol
Metabolic Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Patients with Pulmonary Diseases

A

Asthma
Bronchiectasis
Chronic Bronchitis
Chronic Lung Disease
Cystic Fibrosis
Emphysema
Interstitial Fibrosis
Lung Transplant
Occupational or environmental lung disease
Respiratory Failure
Sarcoidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Goals of the Cardiopulmonary Rehabilitation Program

A
  1. Improving your health and quality of life
  2. Helping you adjust physically and psychologically to your condition.
  3. Reducing your symptoms
  4. Reducing your risk of future cardiovascular disease or progression of pulmonary disease
  5. Providing education and counseling to improve your understanding of your condition
  6. Providing guidance about returning to work
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Art of medical practice wherein an individually tailored, multidisciplinary program is formulated, which through accurate diagnosis, therapy, emotional support and education stabilizes….

A

Pulmonary Rehabilitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

General Goal of Pulmonary Rehabilitation

A

To improve the quality of life experienced by patients with a disabling pulmonary disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

According to the American Thoracic Society pulmonary rehabilitation has the following two specific objectives:

A
  1. to control and alleviate the symptoms and pathophysiological complications of respiratory impairment
  2. to teach patients how to achieve optimal capability for carrying out their activities of daily living
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Recommend reconditioning programs for chronic lung patients to help improve their ability to walk without dyspnea.

A

Alvin Barach, 1951

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Associates published results confirming Barach’s insight into the value of reconditioning.

A

Pierce, 1962

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Demonstrate that the benefits of reconditioning could be achieve on an outpatient basis with minimal supervision

A

Christie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Work in _______, other investigators have continued to research the benefits of pulmonary rehabilitation.

A

Christie, 1968

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

At rest, an individual maintains homeostasis by balancing external, internal, and cellular respiration.

A

Physical Reconditioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Physical Activity such as exercise, increases energy demands.

A

Physical Reconditioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Increase to supply tissues and cells with additional oxygen and eliminate the higher levels of carbon dioxide produced by metabolism.

A

Ventilation and Circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The RQ of carbohydrates

A

1.0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

RQ of protein

A

0.8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

RQ of fat

A

0.7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Increase in linear fashion as exercise intensity increases

A

Oxygen and Carbon Dioxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

In exercise physiology, this point is called

A

The onset of blood lactate accumulation (OBLA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Appears to be a good indicator of the respiratory system’s ability to handle increased levels of physical activity.

A

The maximum voluntary ventilation (MVV)

24
Q

Can be measured directly or estimated.

A

MVV

25
Q

Normal individuals can achieve and maintain _______ to ______ of their MVV value on maximum exercise.

A

60% to 70%

26
Q

Patients with COPD who lack this reserve will have severe limitations to their exercise capabilities.

A

Patients with COPD who lack this reserve will have severe limitations to their exercise capabilities.

27
Q

Their high rate of CO2 production during exercise results in respiratory acidosis and a shortness of breath out of proportion to the level of activity.

A

Their high rate of CO2 production during exercise results in respiratory acidosis and a shortness of breath out of proportion to the level of activity.

28
Q

Their high rate of CO2 production during exercise results in respiratory acidosis and a shortness of breath out of proportion to the level of activity.

A

Their high rate of CO2 production during exercise results in respiratory acidosis and a shortness of breath out of proportion to the level of activity.

29
Q

As ventilation levels increase, a COPD patient’s rate of oxygen consumption increases earlier and faster than normal.

A

As ventilation levels increase, a COPD patient’s rate of oxygen consumption increases earlier and faster than normal.

30
Q

Pulmonary rehabilitation must therefore include efforts to physically recondition patients and increase their exercise tolerance.

A

Pulmonary rehabilitation must therefore include efforts to physically recondition patients and increase their exercise tolerance.

31
Q

Involves strengthening essential muscle groups, improving overall oxygen utilization, and enhancing the body’s cardiovascular response to physical activity.

A

Involves strengthening essential muscle groups, improving overall oxygen utilization, and enhancing the body’s cardiovascular response to physical activity.

32
Q

Depending on the specific needs of the participants, program objectives can include the following:

A
  1. Development of diaphragmatic breathing skills
  2. Development of stress management and relaxation technique
  3. Involvement in a daily physical exercise regimen to condition both skeletal and respiratory related muscles.
  4. Adherence to proper hygiene, diet, and nutrition.
  5. Proper use of medication, oxygen, and breathing equipment.
  6. Application of airway clearance techniques
  7. Focus on group support
  8. Provision for individual and family counseling
33
Q

Common Goals for Pulmonary Rehabilitation Programs

A
  1. Control of respiratory infections
  2. Basic airway management
  3. Improvement in ventilation and cardiac status
  4. Improvement in ambulation and other types of physical activity
  5. Reduction in overall medical costs.
  6. Reduction in hospitalization
    7.Psychosocial support
  7. Occupational retraining and placement
  8. Family education, counseling and support
  9. patient education, counseling and support
  10. Control of respiratory infections
34
Q

Potential Hazards Include the following:

A

Cardiovascular Abnormalities
Blood Gas Abnormalities
Muscular Abnormalities
Miscellaneous

35
Q

Cardiac Abnormalities

A

Cardiac Arrhythmias
Systemic Hypotension

36
Q

Blood Gas Abnormalities

A

Arterial Desaturation
Hypercapnia
Acidosis

37
Q

Muscular Abnormalities

A

Functional or structural injuries
Diaphragmatic fatigue and failure
Exercise-induced muscle contracture

38
Q

Miscellaneous

A

Exercise induced asthma
Hypoglycemia
Dehydration

39
Q

Evaluation of Rehabilitation Program Outcomes

A

Changes in exercise tolerance
Before and after 6 or 12 minute walking distance
Before and after pulmonary exercise stress test
Review of patient home exercise logs
Strength measurement
Flexibility and posture
Performance on specific exercise
Changes in symptoms
Dyspnea Measurement comparison
Frequency of cough, sputum production, or wheezing
Weight loss or gain
Psychological test instrument
Other changes
Activities of daily living changes
Post program follow up questionnaires

40
Q

Helps achieve specific programming objectives with the selected group of participating patients.

A

Good design

41
Q

Involve both format and content, with emphasis on patient reconditioning and education

A

Key design considerations

42
Q

Programs can use either an open ended or closed design, with or without planned follow up sessions

A

Format

43
Q

Good for self directed patients or those with scheduling difficulties. It is also may be the best format for patiets requiring individual attention

A

Format

44
Q

More formal and group support and involvement is encouraged

A

Presentations

45
Q

Will dictate session length

A

Group size
Available equipment
Group interaction

46
Q

To complement the physical recondition aspect of the pulmonary rehabilitation effort, the educational portion of the program should cover topics that are both useful and necessary to the patient.

A

EDUCATIONAL COMPONENT

47
Q

Patient and program outcomes must be evaluated at the conclusion of the program and periodically thereafter

A

Program Results

48
Q

Other options of reimbursement

A

Senior care
Rehabilitation hospitals
Grants

49
Q

Ancillary Liability and Casualty Insurance Programs

A
  1. Automobile insurance, related to auto accidents
  2. Worker’s compensation, related to accidents on the job
  3. Business insurance coverage, related to injuries sustained on business premises
  4. Homeowner’s insurance, related to injuries sustained on the owner’s premises
  5. Malpractice insurance on providers of health care
  6. Product and service liability insurance related to product or service cased injuries
50
Q

Federal and state health insurance programs

A

Medicare
Medicaid
Uncompensated service (Hill-Burton)
Comprehensive outpatient rehabilitation facility (CORF)
Veteran’s administration benefits
Civilian health and medical programs of the uniformed service (CHAMPUS)
Federal workers insurance

51
Q

Factors affecting pulmonary rehabilitation program costs

A

Marketing and programs promotion
Number of personnel involved in program facilitation and administration
Space and utility expenses
Audio visual exercise, and monitoring equipment
Production and duplication of course and materials
Patient supplies
Office supplies
Refreshments
Miscellaneous expenses

52
Q

Rehabilitation programs usually project their fees based on the average cost per participant

A

Cost, Fees, and Reimbursement

53
Q

Both the instruction and reconditioning component of the program require equipment

A

Equipment

54
Q

Another issue that must be addressed. Theoretically, a rehabilitation program could be conducted with as few as one participant or up to 15 or more depending on available space, equipment and staff.

A

Class size

55
Q

Another aspect of program implementation involves timely scheduling of the rehabilitation sessions.

A

Scheduling

PPR EXAM (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions