quiz Flashcards
Question 1
Define, in writing, the definition of Pulmonary Rehabilitation according to the 2015 American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation.
Note: ATS/ERS publication uploaded to the module
“Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed by patient-tailored therapies that include but are not limited to, exercise training, education, and behavior changes, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health-enhancing behaviors”
Question 2
Explain in writing why there are positive effects of pulmonary rehabilitation even though pulmonary rehabilitation does not improve FEV1.
Pulmonary rehabilitation generally provides the greatest benefits of any therapy available for patients with COPD over a wide range of outcome areas, including symptom relief, exercise tolerance, and health-related quality of life. There is an emerging body of evidence indicating it reduces healthcare utilization and expenditures. These positive effects occur despite the fact that pulmonary rehabilitation does not directly improve lung function such as FEV1.
Question 3
List three examples of potentially reversible conditions by pulmonary rehabilitation.
peripheral muscle dysfunction
the adoption of a sedentary lifestyle
body composition abnormalities
poor self-management skills
anxiety
depression
Question 4
Differentiate between what is meant by strength of evidence (Grade 1 or Grade 2) for evidence-based pulmonary rehabilitation practice according to the American College of Chest Physicians and the American Association of Cardiovascular and Pulmonary Rehabilitation.
The strength of evidence was determined based on the quality of the data:
-high (grade A, from well-designed randomized clinical trials yielding consistent and directly applicable results or from overwhelming evidence from observational studies),
-moderate (grade B, for the most part randomized clinical trials with limitations that may include methodological flaws or inconsistent results)
-low (grade C, from other types of observational studies).
strenght of evidence grade 1 means strong
strength evidence grade 2 means weak
this grade determine what category or how important pulmonary rehabilitation will benefit the patient
Question 5 Differentiate between the strength of evidence (Grade A, B, or C) for evidence-based pulmonary rehabilitation practice according to the American College of Chest Physicians and the American Association of Cardiovascular and Pulmonary Rehabilitation.
strength evidence A= high
strength evidence B= moderate
strength evidence C= low
these are based on the quality of data collected from studies
Question 6
Identify the strength of recommendation and the strength of evidence of this statement according to I ACCP/AACVPR guidelines:
1A
Question 7
Explain in writing or identify the difference between a recommendation with Grade 1A as compared to a Grade 2C.
according to the evidence- based from ACCP/AACVPR guidelines, there are positive possiblities that Grad1A patient who is referred by a physicain will benefit frompulmonary rehabilitation, thus outcomes will improves patient overall health such as improvemnet of dysnea, ability to do exercise training or exercise tolerance. in other hand grade 2C patient may not benefit for this type of program due to for example patient maybe too sick requiring supplemental oxygen
Additional answer: The Grade 1A recommendation is the highest level of recommendation that can be made, indicating that the intervention or treatment is highly likely to be beneficial, and that the evidence supporting it is of the highest quality. In contrast, a Grade 2C recommendation indicates a weaker recommendation based on moderate or low-quality evidence (not sure)**
Question 8
The GOLD initiative supports pulmonary rehabilitation as an:
an established treatment for COPD
Question 9
Is the evaluation of a patient’s FEV1 a definitive selection criteria for pulmonary rehabilitation.
No
Question 10
Is a physician referral necessary for pulmonary rehabilitation?
Yes
Question 11
What is the purpose of the interview of the pulmonary rehabilitation patient?
Answer:
to be able to selection the proper treatment plan accordingly. in other word to select the right individual pulmonary rehabilitation program for the right patient
Revised answer: To gather important information about the patient’s medical history, current symptoms, and physical abilities that will help the healthcare team design an individualized pulmonary rehabilitation program that meets the patient’s needs.
Question 12
Which of the following is NOT considered essential diagnostic data needed for the initial medical evaluation of the pulmonary rehabilitation candidate?
Thoracic CT Scan
Question 13
Write one example of how exertional dyspnea is commonly rated by the patient’s perception (i.e., a perceived exertion scale).
Answer:
exertional dyspnea is a feeling a patient experiences during a minimal effort such as carrying laundry up the room using stairs.
Revised answer: (this will depend on different examples) Another example is during a pulmonary rehab session, a patient with lung disease performs a set of leg exercises. The healthcare provider asks the patient to rate their perceived exertion during the exercises using the Borg RPE scale. The patient responds with a rating of 11, indicating that they feel a moderate level of exertion. Based on this rating, the healthcare provider adjusts the intensity of the exercise to ensure that it is appropriate for the patient’s level of fitness and physical abilities.
Question 14
The Global Initiative for Chronic Obstructive Lung Disease (GOLD) is a “living document” for continuous strategy improvement for diagnosis and for management of COPD
True
Question 15
Pulmonary rehabilitation programs are most effective when based on group needs taught in group sessions.
False
