Pulmonary And Cardiac Rehab

Question 1

What patients are selected for pulmonary rehab?

Answer 1

COPD

Dysphnoea scale 3-5

Question 2

What patients are selected for cardiac rehab?

Answer 2

MI patients
Cardiac surgery
heart failure

The damage is done but can provide best QOL

Question 3

Before C/R rehab patients are?

Answer 3

Obese
Hypertensive
Smokers
Low activity levels
Have had a cardiac event 
Clinically anxious
Clinically depressed

Question 4

Main points to be aware of:

Answer 4

Specific
No lung influence
Reconditioning
Psychosocial impact

Question 5

What is including in an exercise programme for C/R?

Answer 5

Warm up
Walking
Aerobic
Strength
Cool down

Question 6

Apply the FITT principle to C/R rehab…

Answer 6

F - 2-3 times a week
I - 60-75% max HR
T - 20-30mins exercise - 15 mins warm up and cool down
T - aerobic and strengthening

Question 7

How many phases of CR rehab are there?

Answer 7

4

Question 8

What phases do physiotherapist normally see patients?

Answer 8

Phase 1 +3

Question 9

What is phase 1?

Answer 9

Assessment of needs
Info and advice
Prevent bed rest
Talking to carers
Exercise programme

Question 10

What is phase 3?

Answer 10

Organised Education and exercise sessions

Progress to long term maintenance

Question 11

What is the aim of education?

Answer 11

Patient become proactive
Gain understanding
Provide coping strategies
Can be in form of web based exercise

Question 12

What outcome measures can be used in C/R rehab?

Answer 12

Incremental shuttle walk test- 10m course
Six minute walk test
Borgs rating of perceived exertion

Question 13

What is the incremental shuttle walk test?

Answer 13

Like bleep test
10m course
Pace increases
Stop when patient doesn't make it
Measures HR, situations, symptoms 
Result is in metres

Question 14

What is the aim of C/R rehab?

Answer 14

Reduce cardiac problems - symptoms, 
Reduce risk factors
Promot individuals return to full and normal life 
Increase understanding
Enhance QOL