Pulmonary Rehabilitation and programming Flashcards
explain bronchodilators
Take 15 minutes prior to exercise
three types
- beta-agonists (typically prescribed)
- Anticholinergics
- theophylline
fast acting (rescue/reliever medication)
side affects of bronchodilators
Nervousness/shaky increase HR -- Can't use to determine intensity palpitations GI Upset Trouble sleeping
explain Corticosteroids
reduce inflammation reduces mucus production in the airways long-acting/long term taken daily (not effective during an asthma episode)
Side effects of corticosteroids
Sore throat
Cough
Increased BP
Statistics of Respiratory Disease
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
explain obstructive lung disease
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)
explain restrictive lung disease
lung disease that prevents the airways from fully expanding with air
many are progressive and non-reversible (no cure)
what is pulmonary rehab
it is the use of exercise, education, and behavioral intervention to improve the lives of those with pulmonary disease
what is the purpose of pulmonary rehabilitation
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
what are the components of pulmonary rehab
- education
- general exercise training
- breathing retraining
- outcome assessment
- Nutritional advice
- Psychological support
Who needs pulmonary rehabilitation
Patients with
- COPD
- pulmonary fibrosis
- cystic fibrosis
- muscular dystrophy
Explain pulmonary hypertension
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
Explain Emphysema
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
explain pulmonary fibrosis
occurs when lung tissue becomes damaged and scarred
lung tissue becomes think and stiff which makes it challenging for the lungs to work properly
Causes of pulmonary fibrosis
environmental pollutants
connective tissue disease
interstitial lung disease (causes airway inflammation)
explain cystic fibrosis
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
explain muscular dystrophy
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
explain respiratory failure
the inability of the respiratory system to provide proper oxygenated and carbon dioxide elimination
dyspnea
What do you need to do to create a pulmonary rehabilitation plan
learn about the patients’ health
- lung function
- exercise
- possibly blood tests
- medical history and current treatments
Inpatient rehabilitation program
provides specialized care for hospitalized patients
Outpatient rehabilitation programs
during hospitalization, patients are referred to outpatient pulmonary rehabilitation
benefits of pulmonary rehabilitation
minimize symptoms, decrease disability, increase PA, improve quality of life, improve ADL
Explain the job of physio therapy
- 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
whats better belly breathing or chest breathing
belly breathing
Explain the role of occupational therapy
- 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
Explain the role of social work
- 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
explain the role of speech-language pathology
professionals in the field of communication and swallowing disorders
topics of stress management
- stress, breathing, and muscle relaxation techniques
- improving assertive communication
- mindfulness and technostress
- uncovering negative automatic thoughts
- changing negative automatic thoughts/thinking errors
- managing sleep
