Pulmonary Rehab

Question 1

Four essential areas of pulmonary rehab

Answer 1

1. Exercise capacity
2. Symptoms (dyspnea and fatigue)
3. Health-related QoL
4. Psychosocial status

Question 2

Candidates for Referral

Answer 2

Obstructive disease: COPD, CF, Bronchiectasis
Restrictive diseases: Idiopathic Pulm Fibrosis, Sarcoidosis
High risk for COPD
Chest wall defects: Spinal, obesity, NM weakness
Other: Heart failure, PVD, Stroke

Question 3

CONTRAINDICATIONS to pulmonary rehab

Answer 3

Psychiatric involvement - Dementia
Unstable cardiac status, substance abuse, cancer, liver failure, neurologic or orthopedic condition preventing ambulation

Question 4

Pulmonary education should focus on what?

Answer 4

Disease process
Medications
Stress Management
Energy Conservation
Benefits of Exercise (functional strength training)
Maintaining good hydration for clearance

Question 5

What would be involved in a breathing class?

Answer 5

Pursed lip breathing, diaphragmatic breathing, bronchial hygiene/airway clearance techniques

Question 6

Benefits of Pulmonary Rehab

Answer 6

Reduced hospitalizations, improved QoL, decreased respiratory symptoms, reduced isolation, improved knowledge of disease management, improved ADLs, & increased survival rate