Respiratory PRM Flashcards

1
Q

What is the DEFINITION of Pulmonary Rehab?

A
  • It’s an evidence-based multidisciplinary for patients with chronic respiratory diseases who are symptomatic
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2
Q

What’s the AIM of Respiratory PRM?

A
  • To REDUCE Symptoms
  • Optimise Functional Status
  • INCREASE the Participation of the Px
  • DECREASE Healthcare Costs £££
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3
Q

What are the BENEFITS of Resp PRM?

A
  • Improves exercise tolerance ll Muscle Strength + Mass
  • DECREASES feeling of Dyspnoea / Anxiety + Depression / Exacerbations
  • REDUCES N.O of Hospital Stays
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4
Q

What are the COMPONENTS of Resp PRM?

A
  • Dyspnoea Management
  • Exercise Training
  • Nutrition / Body Composition
  • Patient Education
  • Cognitive Behavioural Therapy
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5
Q

What is the ASSESSMENT for Resp PRM?

A

STRESS Testing = Physical performance test to measure activity limitation

  • By doing a 6-minute walk test
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6
Q

What are the COMPONENTS of Exercise Training?

A

1) ARM Exercises = Strengthen UPPER Limbs

2) LOWER Extremity = Walking treadmill / stationary bicycle / stair-master / sit + stand

3) VENTILATORY MM Training =** Spirometer** / Resistance to flow-training

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7
Q

What are the 2 FORMS of Exercise?

A

1) Endurance / aerobic

2) Strength / resistance

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8
Q

What are the Types of CHEST PT & Breathing Retraining Exercises?

A
  • Pursed-lip Breathing
  • Posture Techniques
  • Diaphragm Breathing
  • *Postural Drainage**
  • Coughing Techniques
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9
Q

What are the INDICATIONS of Resp PRM?

A
  • Obstructive PD = COPD / Emphysema / Asthma / Bronchiectasis
  • Restrictive PD = Interstitial Fibrosis / Sarcoidosis
  • Restrictive Chest Wall D = Ankylosing Spondylitis
  • Cystic Fibrosis
  • Lung Resection / Transplantation
  • Occupational Lung Diseases
  • Lung Cancer
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10
Q

What are the CONTRAINDICATIONS of Resp PRM?

A
  • Severe Orthopaedic / Neurological Disorders
  • Pulmonary Arterial HT
  • Exercise-Induced Syncope
  • Unstable Angina / Recent MI
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11
Q

What are the Bronchial Hygiene Techniques??

A
  • Inhalation w/ Bronchodilators / Mucolytics / Mineral Water
  • Postural Drainage
  • Percussion / Vibration on Chest Massage = Cough the expel mucus
  • Coughing Techniques
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12
Q

What’s the PRM Method to STIMULATE the Immune System?

A
  • UV Light at Sub-erythemal Doses on the Whole Body
  • Sauna Therapy
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13
Q

What’s the PRM Method to RELIEVE Inflammation?

A
  • Infrared Radiation / Paraffin = Gives out exogenous heat

ULTRA-HIGH Frequency = Gives out endogenous heat + has anti-inflammatory effect

  • LOW Frequency Pulsed Magnetic Field
  • UV Erythemas = For the Blocking Effect
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14
Q

What other Specialised PRM helps with Breathing?

A
  • Climatotherapy
  • Resort Therapy
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15
Q

What is the PRM Programme for CYSTIC FIBROSIS?

A

1) INHALATION Therapy

  • Mucolytics = To loose mucus
  • Nebulisers

2) ACTIVE Kinesiotherapy = Breathing Exercises

3) PASSIVE Kinesiotherapy = Chest Massage + Postural Drainage

4) THERMOTHERAPY - Using a Paraffin Wax / IR

5) ELECTROTHERAPY

  • HIGH-Frequency Current = For Anti-inflammatory effect
  • LOW-Frequency Pulsed Magnetic Field
  • Microwaves + Laser = For Focused Areas
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