Brainscape's Knowledge GenomeTM

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


See full index

Pulmonary Rehabilitation > Pulmonary Rehabilitation > Flashcards

Pulmonary Rehabilitation Flashcards

1
Q

It is a program of education and exercise that focuses on restoring chronic respiratory patients to the highest functional capacity possible.

A

Pulmonary Rehabilitation

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

is a comprehensive education and exercise program designed to
improve the cardiovascular fitness of patients with known cardiac dysfunction.

A

Cardiac rehabilitation

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

Pulmonary rehabilitation differs from cardiac

rehabilitation with _________________.

A

Respect to the organ affected and hence to the type of program implemented

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

Cardiac patients, on the other hand, are able to perform greater amounts of work and are __________________.

A

not limited solely by dyspnea

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

Other differences center on patient focus and monitoring during exercise.
• Cardiac programs are more concerned with ___________

A

Patient’s pulse, blood pressure, and electrocardiogram via telemetry

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

• Pulmonary patients are monitored for __________

A

pulse rate, respiratory rate, oxygen saturation, and peak flow rates

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

The restoration of the individual to the fullest medical, mental, emotional, social, and vocational potential of which he/she is capable. (Year)

A

1942

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Became more specific and formed the Committee on Pulmonary Rehabilitation, which specified a medical practice that was intended to help pulmonary patients attain their optimum state of heath (Year)

A

1974

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

ACCP stands for?

A

American College of Chest Physicians

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

continue the advancement of pulmonary rehabilitation in terms of programs, services, professional practice, networking, and continuing education (Year)

A

1983

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

AACVPR released new evidence-based guidelines recommending pulmonary rehabilitation for patients with COPD indicating that pulmonary rehabilitation can:
• Improve a patient’s exercise tolerance.
• Reduce levels of perceived dyspnea.
• Improve health-related quality of life.
• Reduce hospital admissions.
• Reduce the costs of health care utilization

(Year)

A

2007

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

The major goal of pulmonary rehabilitation :

A

Restore the patient to the highest possible functional capacity, given the patient’s degree of pulmonary impairment and overall life situation.

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

Two principal objectives of pulmonary rehabilitation

A

• To control and alleviate as much as possible the
symptoms and pathophysiologic complications
of respiratory impairment.
• To teach patients how to achieve optimal
capability for carrying out their activities of
daily living (ADLs).

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

Before any testing is performed, a complete patient

workup should be completed. This includes:

A
  • A complete patient history
  • Physical examination.
  • Laboratory testing
  • Electrocardiogram and chest X-ray.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Factors in doing PFT to patient:

A

• Allow for the differentiation between obstructive
and restrictive disease.
• Establish a baseline for the patient.
• Determine the extent of pulmonary impairment
present.
• Identify the degree of reversal produced by
bronchodilator therapy.

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

The most important aspect of patient evaluation and testing before any pulmonary rehabilitation effort

  • This is the most complex test but the most important in terms of the patient data and information it provides.
A

Cardiopulmonary Exercise Testing (CPX testing or stress test)

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

Major indications for CPX testing include:

A

• Patient assessment and evaluation.
• Differentiating between pulmonary or cardiac
dysfunction and overall poor physical
conditioning.

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

Main contraindications of CPX testing:

A

Acute electrocardiographic changes associated with serious cardiac dysrhythmias and angina.

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

The two basic components of the CPX test or evaluation are ______

A
  • regimens determining lung function

- those measuring cardiovascular function

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

A CPX test should last about ______ or _______

if the patient is elderly

A

10–12 minutes , 6 minutes

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

CPX test may be terminated for a number of other reasons, including:

A

• Equipment or monitoring-system failure.
• Patient fatigue.
• Clinical signs and symptoms of physiological distress
(vertigo, pallor, or headache).
• Significant hypoxemia.
• Major cardiac arrhythmias.
• Or substantial changes in blood pressure.

22
Q
  • This type of format is more traditional than the open
    format.
  • It uses a set period of time with a designated
    number of class sessions and a specific end date.
  • Sessions may be conducted once, twice, or three times a
    week for anywhere from 6 to 16 weeks.
A

CLOSED-FORMAT PROGRAMS

23
Q
  • This type of format have no designated number of class sessions or specific end dates.
  • Patients continue in the program and progress at their own pace until they achieve specific objectives and attain prescribed performance levels
  • patient who don’t achieve their goal in closed format
A

OPEN-FORMAT PROGRAMS

24
Q

Session in which may be conducted in the hospital, at the patient’s home, or at the rehab facility, require less equipment and personnel than do group sessions

A

INDIVIDUAL SESSIONS

25
Q

Individual programs are especially effective for _______ who are being weaned from ventilatory support or for those with neurological disorders

A

ventilator-dependent patients

26
Q

This session involve classes of 4–12 patients, depending on space, equipment, personnel, and the number of patients who qualify.

  • more cost-effective than individual sessions.
  • attend rehabilitation programs more for psychosocial
    than for physical reasons
A

GROUP SESSIONS

27
Q

Facilities that offer outpatient pulmonary rehabilitation must address patient needs in terms of ____________

A

Accessibility, parking, and mass transit.

28
Q 
For an average class of 8–12 patients, a classroom that is 
\_\_\_\_\_\_\_\_\_\_\_\_ is adequate,
A

12 feet by 16 feet (192 square feet)

29
Q

and an exercise area approximately twice that size up to ______________ should suffice.

A

(up to 400 square feet)

30
Q

A typical group session should be
approximately ______, whereas individual
sessions can range from a ________.

A

2 hours long , half hour to an hour

31
Q

Normally, ____________ of each session can be

devoted to patient education.

A

30–60 minutes

32
Q

Each session should begin with a _______ followed by the patients’ comments on their
progress

A

welcoming remark

33
Q

These techniques can produce profound benefits by
helping patients control their breathing, improve
ventilatory muscle endurance and strength, and reduce
the work of breathing and dyspnea.

A

Breathing Retraining

34
Q

Considered to be the cornerstone of breathing retraining for
COPD patients in pulmonary rehabilitation

A

Diaphragmatic breathing with pursed lips

35
Q

Retarding expiration:

A

• Slows their respiratory rate.
• Reduces the work of breathing.
• Creates a back pressure that prevents collapse of
the smaller airways.
• Lessens the probability of air trapping.
• Promotes more effective ventilation.

36
Q

It may take ________ before some patients

breathe diaphragmatically

A

6–8 weeks

37
Q

Incentive spirometer, should be performed for up to _______ , ________ on a regular basis to be
effective.

A

15 minutes,

three or four times a day

38
Q

This apparatus uses a spring-loaded valve mechanism to provide a consistent inspiratory pressure training load, independent of
inspiratory flow rate.

A

Threshold loading

39
Q

movement without
resistance or tension

  • To increase stamina and endurance, improve cardiovascular
    status, and increase maximum oxygen consumption
A

Aerobic or isotonic conditioning

40
Q

movement with resistance
or tension

  • To increase muscle strength
    and tone for both upper and
    lower body
A

Isokinetic techniques

41
Q

resistance or tension without
movement

  • To increase muscle strength
    and tone
A

Isometric exercises

42
Q

stretching and
bending

  • To increase flexibility, agility, and
    strength
A

Calisthenics

43
Q

used to document a

patient’s perceived degree of dyspnea

A

The Borg or modified Borg

Dyspnea scale

44
Q

Patients may be included in pulmonary rehabilitation when they terminate an exercise evaluation at a level less than what percentage of their maximum oxygen consumption?

A

75%

45
Q

The most effective breathing technique a patient
with chronic obstructive pulmonary disease can
acquire is which of the following?

A

diaphragmatic breathing with pursed lips

46
Q

Reconditioning involves the following :

A
  • strengthening essential muscle groups,
  • improving overall O2 utilization and
  • enhancing the body’s cardiovascular response to physical activity
47
Q

To determine the patient’s cardiopulmonary status and

exercise capacity, both __________ and a ____________ may be performed.

A

pulmonary function testing , cardiopulmonary exercise evaluation

48
Q

With regard to test preparation, patients should fast ________
before the procedure.

A

8 hours

49
Q

The ideal class size of Rehabilitation Program should range from _____ to _____ participants

A

3 to 10

50
Q

The quantity of equipment needed depends on ________ , _______, and ______

A

class size, scheduling, and available space.

51
Q

Pulmonary rehabilitation programs must include five
components which must be documented in the patient’s medical
record. The five components include the following:

A
  1. Physician-prescribed exercise, including aerobic exercise
    performed during each session
  2. Education and training that relate to an individual patient’s
    needs
  3. Psychosocial assessment
  4. Outcomes assessment
  5. Treatment plan that details how these components are used
    for each individual patient
52
Q

If no improvements in physical or psychosocial measures
occur within a class or group, _________ are the most
likely cause

A

program deficiencies

Pulmonary Rehabilitation (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions