Pulmonary Rehabilitation and programming

Question 1

explain bronchodilators

Answer 1

Take 15 minutes prior to exercise

three types

• beta-agonists (typically prescribed)
• Anticholinergics
• theophylline

fast acting (rescue/reliever medication)

Question 2

side affects of bronchodilators

Answer 2

Nervousness/shaky
increase HR -- Can't use to determine intensity 
palpitations
GI Upset
Trouble sleeping

Question 3

explain Corticosteroids

Answer 3

reduce inflammation 
reduces mucus production in the airways 
long-acting/long term 
taken daily 
(not effective during an asthma episode)

Question 4

Side effects of corticosteroids

Answer 4

Sore throat
Cough
Increased BP

Question 5

Statistics of Respiratory Disease

Answer 5

545 million people in the world have a chronic respiratory disease
- this is an increase of 39.8% since 1990
- due to pollution, lower levels of exercise, and symptoms from smokers just coming out now
COPD is the third leading cause of death worldwide

Question 6

explain obstructive lung disease

Answer 6

Characterized by airway obstruction
can result from the narrowing (obstruction) of the smaller bronchi and larger bronchioles due to excessive contraction of the smooth muscle itself (harder to get air out)

Question 7

explain restrictive lung disease

Answer 7

lung disease that prevents the airways from fully expanding with air
many are progressive and non-reversible (no cure)

Question 8

what is pulmonary rehab

Answer 8

it is the use of exercise, education, and behavioral intervention to improve the lives of those with pulmonary disease

Question 9

what is the purpose of pulmonary rehabilitation

Answer 9

the help patients breathe easier and improve the patients quality of life for certain lung conditions such as COPD , asthma, pulmonary hypertension, and cystic fibrosis

Question 10

what are the components of pulmonary rehab

Answer 10

• education
• general exercise training
• breathing retraining
• outcome assessment
• Nutritional advice
• Psychological support

Question 11

Who needs pulmonary rehabilitation

Answer 11

Patients with

• COPD
• pulmonary fibrosis
• cystic fibrosis
• muscular dystrophy

Question 12

Explain pulmonary hypertension

Answer 12

high blood pressure affects the arteries in the lungs
can occur due to some congenital heart diseases, connective tissue disease, coronary artery disease, high BP, blood clots in the lungs

Question 13

Explain Emphysema

Answer 13

its when alveoli in the lungs are damaged
- over time the inner walls of the alveoli become weak and rupture creating larger air spaces instead of multiple small spaces
one of the most preventable respiratory diseases (primary cause is smoking)
no cure-progressive

Question 14

explain pulmonary fibrosis

Answer 14

occurs when lung tissue becomes damaged and scarred

lung tissue becomes think and stiff which makes it challenging for the lungs to work properly

Question 15

Causes of pulmonary fibrosis

Answer 15

environmental pollutants
connective tissue disease
interstitial lung disease (causes airway inflammation)

Question 16

explain cystic fibrosis

Answer 16

an inherited disorder that causes severe damage to the lungs, digestive system, and other organs
affects cells that produce mucus, sweat, and digestive juices
life expectancy roughly 44 years

Question 17

explain muscular dystrophy

Answer 17

A group of diseases that cause progressive weakness and loss of muscles mass
abnormal genes interfere with the production of proteins required for healthy muscle formation
connected with respiratory failure

Question 18

explain respiratory failure

Answer 18

the inability of the respiratory system to provide proper oxygenated and carbon dioxide elimination
dyspnea

Question 19

What do you need to do to create a pulmonary rehabilitation plan

Answer 19

learn about the patients’ health

• lung function
• exercise
• possibly blood tests
• medical history and current treatments

Question 20

Inpatient rehabilitation program

Answer 20

provides specialized care for hospitalized patients

Question 21

Outpatient rehabilitation programs

Answer 21

during hospitalization, patients are referred to outpatient pulmonary rehabilitation

Question 22

benefits of pulmonary rehabilitation

Answer 22

minimize symptoms, decrease disability, increase PA, improve quality of life, improve ADL

Question 23

Explain the job of physio therapy

Answer 23

• teach patients the proper and safe way to move. assisting in regaining mobility
• assist with regaining the ability to walk, get out of bed, get into and out of a chair, climb stairs
• assist with teaching techniques to improve breathing

Question 24

whats better belly breathing or chest breathing

Answer 24

belly breathing

Question 25

Explain the role of occupational therapy

Answer 25

• evaluate a patient’s physical and mental abilities
• assist with regaining ability for activities of daily living (bathing, dressing, basic housekeeping activities)
• also screens for cognitive function

Question 26

Explain the role of social work

Answer 26

• assist with planning and decision making while an individual is in hospital as they transition to going home
• include counseling and support and community resource information

Question 27

explain the role of speech-language pathology

Answer 27

professionals in the field of communication and swallowing disorders

Question 28

topics of stress management

Answer 28

• stress, breathing, and muscle relaxation techniques
• improving assertive communication
• mindfulness and technostress
• uncovering negative automatic thoughts
• changing negative automatic thoughts/thinking errors
• managing sleep