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OTA PTA therapeutic skills - cardiorespiratory system > Week 4 - Pulmonary rehab > Flashcards

Week 4 - Pulmonary rehab Flashcards

1
Q

What is pulmonary rehab

A

Program designed to improve QoL for certain lung conditions

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2
Q

Lung conditions

A

COPD
asthma
pulmonary hypertension
cystic fibrosis

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3
Q

pulmonary rehab aims to

A

Increase awareness about chronic disease and its management/monitoring
provides education on how to achieve exercise/activities with less SOB
Reduce symptoms, leading to more active life
enable people to achieve and maintain their maximum level of independence and functioning

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4
Q

Pulmonary rehab team

A

doctors
nurses
dieticians
PTs
OTs
OTA PTA
respiratory therapists

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5
Q

Doctors in pulmonary rehab

A

diagnosis

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6
Q

Respiratory therapists

A

experts in respiratory function
O2 devices - a lot more training
decide which device is most appropriate for pt.

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7
Q

Settings where services are delivered

A

hospital
clinic
follow up at home
physical care medicine
ICU

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8
Q

Areas of interventions

A

smoking cessation
exercise
breathing training
learning to eat well
psychological counselling
ultimate goas
education

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9
Q

Breathing training

A

Pursed lip breathing
diaphragmatic breathing
distress control techniques

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10
Q

Psychological counselling

A

depression
anxiety

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11
Q

Ultimate goal

A

manage condition at home and in community

services to maximize functional independence within the context of their own homes

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12
Q

OT performance issues - general physical deconditioning

A

few days of inactivity in bed reduces skeletal muscle mass and strength
long term consequences

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13
Q

OT performance issues - pain and fatigue is from…

A

from prolonged bed rest
mild, moderate or severe fatigue

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14
Q

OT performance issues - impaired activity tolerance

A

at different levels

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15
Q

OT performance issues - cognitive impairments

A

chronic or acute

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16
Q

OT & OTA role in pulmonary rehab (16)

A

early mobilization
positioning
ADL re-training
IADL re-training
activity tolerance and energy conservation techniques
Ventilation strategies
stress management
relaxation strategies
therapeutic exercise programs
UE function
safety
home O2 management
wellness at home and in community
cognitive strategies
equipment provision, seating and mobility

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17
Q

Early mobilization - settings

A

ICU
Acute setting
subacute setting

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18
Q

Examples of OTA intervention - Low functioning

A

transfer safety
mobility indoor
basic ADLs
activity tolerance, daily and weekly schedule

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19
Q

Examples of OTA intervention - High functioning

A

Building on activity tolerance
Life balance
IADLs
could come in later in rehab plan

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20
Q

Supplemental Oxygen

A

low levels of oxygen for long periods of time can cause problems to vital organs
prolongs life
improves QoL
can be temporary or permanent

21
Q

Endotracheal intubation

A

aren’t able to breathe
inserted into mouth down to throat
cannot talk
often not conscious
will never leave to go home intubated

22
Q

Standards of practice - allowed and not allowed

A

Never change O2
can change if you have a serious, precise conversation

23
Q

Diaphragmatic breathing

A

improves breathing pattern
improves SOB & fatigue
most efficient muscle for breathing

24
Q

pursed lip breathing

A

helps control SOB
quickly slows down pace of breathing
moves old air out of lungs

25
Q

reporting to therapist

A

use appropriate terminology and medical abbreviations
use outcome measures
Document how long
Doc difficulty

26
Q

Posture

A

Slump vs. upright

27
Q

speed of breathing

A

shallow/fast vs. deep/slow
regaining control of your breathing

28
Q

where should breathing occur

A

Diaphragm

29
Q

which should be longer, breathing in or out?

A

out

30
Q

What to do if pt. shows signs of respiratory distress

A

stop activity
take a break
check vital signs
seek medical help if symptoms don’t improve after rest
inform OT and team
modify for future interventions to decrease intensity

31
Q

Outcome measures

A

Borg RPE scale
VAS scale

32
Q

Documenting how long…

A

pt. is able to tolerate each activity to show progress overtime

33
Q

doc difficulty

A

activity and progression each session that you’re addressing activity tolerance

34
Q

RR and pattern - Normal

A

Symmetry between movement of chest wall and abdomen

35
Q

RR and pattern - apneic (apnea)

A

long pause after every inspiration and expiration

36
Q

Apneic cause

A

neurodegenerative disease, obesity, narcotic use, hypoventilation syndrome

37
Q

RR and pattern - Orthopnea

A

only able to breathe comfortably when in upright position
often measured in number of pillows required to breathe while sleeping

38
Q

Respiratory rates - under 6 years

A

25-60 bpm

39
Q

Respiratory rates - 10 years

A

15-20 bpm

40
Q

Respiratory rates - adults

A

12-29 bpm

41
Q

Barrel chest

A

large shaped chest
trapped air
usually seen with COPD

42
Q

Kyphotic chest

A

increased curvature of spine
postural (hunched over)
reduced air flow/ineffective inspiration
seen more in frail pt.
posture education

43
Q

Scoliotic chest

A

curvature of spine
reduced air
dysfunctional respiratory muscles

44
Q

Signs of respiratory distress

A

increased RR
cyanosis around lips, nails
nostrils flaring
indrawing
sweating
wheezing/whistling
positioning

45
Q

Cyanosis

A

blue lips
loss of heat from lips or nails

46
Q

Indrawing

A

chest and neck “sing: in with each breath

47
Q

Things we may feel (palpate)

A

vibrations
respiratory expansion
subcutaneous emphysema
skin temp
pulse

48
Q

Auscultation

A

listening to lungs
abnormal sounds:
crackles
wheezes
decreased flow

OTA PTA therapeutic skills - cardiorespiratory system (8 decks)

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