Pulmonary Rehab

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Define Pulmonary Rehab (PR)
-Highly researched treatment for COPD and other diseases
-Education + supervised exercise
-Min of *2 a week for 6 weeks
1 of 15
Name benefits of exercises in relation to CV patients
-Stronger immune system
-Social support
-Improved ADLS
-Reduction in smoking habits
-Improved physical functioning
2 of 15
Describe the general referral criteria for PR
-Diagnosed lung disease
-MRC 3 or above, MRC 2 and hospital admission
-Medically stable to perform exercise
-Motivated to take part in programme
-Optimal respiratory medication
3 of 15
Describe the subjective assessment for PR
-PMH
-Medications
-Symptoms/limitations
-History of infections
4 of 15
Name contraindications for PR
-Unstable angina
-Large aortic aneurism
-Recent MI
-Recent PE/DVT
5 of 15
Describe the objective assessment for PR
-Respiratory exam
-Observations
-MSK/neuro exam:
Strength test
6 MWT/1STS
-Goal setting
6 of 15
Name cautions for PR
-Falls
-Injuries
-Cognition
7 of 15
Describe the grades of the MRC Dyspnoea scale
1: Not troubled by breathlessness except on vigorous exertion
2: SOB when walking up inclines
3: Walks slower than others due to SOB, has to stop for breath when at own pace
4: Stops for breath after walking 100m or stops after few mins of walking on leve
8 of 15
Describe the guidelines for volume of physical activity per week (adults)
-150 mins of moderate intensity or 75 mins of vigorous intensity per week or combination
AND
-2 days of strength training
9 of 15
Describe the Modified Borg Scale in terms of function and application
-Function: measures patient's perception of their exertion during physical activity
-Application: patient reports perception of exertion on scale of 1-10.
-1 = nothing at all
-10 = maximal exertion
-Training zone = 4-6
10 of 15
Explain some benefits of CV training?
-CV + muscular endurance
-Breathlessness management = confidence
-Energy management = less fatigued
11 of 15
Explain some benefits of strength training
-Muscular endurance
-Muscular strength
-Assists in ADLS/QOL
-Quads weakness indication of inability to complete ADLS
12 of 15
Describe how to improve posture and balance
-Hip abduction
-Standing on one leg
-Standing glute contractions
-Glute bridge
-Palov press
-Sit to stand
13 of 15
Explain the importance of relaxation techniques
-Teaches you to switch off for a few mins
-Reduces anxiety
14 of 15
Explain the importance of goal setting and exercise diary review sessions
-Assisting with future goals
-Keep track of progress
-Increased confidence and sense of achievement
Fundamental question:
-What do you want to achieve from these sessions?
15 of 15

Other cards in this set

Card 2

Front

Name benefits of exercises in relation to CV patients

Back

-Stronger immune system
-Social support
-Improved ADLS
-Reduction in smoking habits
-Improved physical functioning

Card 3

Front

Describe the general referral criteria for PR

Back

Preview of the front of card 3

Card 4

Front

Describe the subjective assessment for PR

Back

Preview of the front of card 4

Card 5

Front

Name contraindications for PR

Back

Preview of the front of card 5
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