Pulmonary Rehabilitation. Steve Crogan RRT Pulmonary Rehabilitation, University of Washington Medical Center Seattle, Washington 10/13/07

Size: px
Start display at page:

Download "Pulmonary Rehabilitation. Steve Crogan RRT Pulmonary Rehabilitation, University of Washington Medical Center Seattle, Washington 10/13/07"

Transcription

1 Pulmonary Rehabilitation Steve Crogan RRT Pulmonary Rehabilitation, University of Washington Medical Seattle, Washington 10/13/07

2 Pulmonary Rehabilitation Created in the 1970 s Initially intended for COPD patients It is now recognized as appropriate for any patient with chronic lung disease who is disabled to some degree by respiratory symptoms A physician referral is necessary to enter Pulmonary Rehabilitation

3 Pulmonary Rehabilitation The primary goal of Pulmonary Rehabilitation is to restore the patient with chronic lung disease to the highest possible level of independent function This is done by helping people be more physically active, and to learn more about their disease, treatment options, and how to cope

4 Components of Pulmonary Rehabilitation Supervised exercise Endurance Strength Flexibility Consistency is essential to increase exercise capacity

5 Components of Pulmonary Rehabilitation Education, topics include: Structure and function of the lung Lung diseases Coping with stress and depression Respiratory medications Use of oxygen and related equipment Nutrition Energy conservation Dyspnea and breathing techniques Home exercise program planning

6 Components of Pulmonary Rehabilitation Breathing retraining and anxiety control Practice in pacing and energy conservation Strategies for coping during times when breathing is very difficult

7 Components of Pulmonary Rehabilitation Sufficient oxygen delivery during exercise Pacing controlling exertion

8 While Pulmonary Rehab does not alter the underlying lung disease, it does result in: reduced dyspnea increased ability to perform sustained physical activity improved sense of well being, confidence preparation for the stress of surgery (prehabilitation)

9 Who is Pulmonary Rehabilitation for? People with chronic lung disease and often one or more of these issues: Low oximetry values (sats) High supplemental oxygen requirements Lots of coughing Lots of sputum Severe breathlessness An aversion to exertion Other barriers to exercise, such as poor balance and falls risk, weakness, problems ambulating

10 Regardless of diagnosis, things in common Some degree of loss of independence Breathing related anxiety Decreased endurance Shortness of breath (dyspnea)

11 A Vicious Cycle Lung Disease Dyspnea with exertion Physical Conditioning Reluctance to exert Activity

12 Breaking the Cycle Supervised exercise Activity Reluctance to exert Physical Conditioning Dyspnea with exertion

13 Breaking the cycle by helping people to: Exercise safely at an intensity and frequency that will produce a significant gain in fitness Learn to cope with breathlessness during physical activity Become more knowledgeable about their disease Be more actively involved in their own health care Be more independent in performing daily activities

14 Exercise intensity, heart rate, and the Borg Scale Intensity = how hard you re working Exercising at the proper intensity is essential to improve fitness (not too easy, not too hard) Intensity is commonly gauged by heart rate except in lung disease Typically, when the exerciser has lung disease, shortness of breath limits intensity of exertion

15 The Borg Scale 0 Nothing at all 0.5 Very, very slight (just noticeable) 1 Very slight 2 Slight (light) 3 Moderate 4 Somewhat hard 5 Hard 6 7 Very hard Maximal

16 Supervised exercise session routine - UWMC Oxygen, weigh-in, oximetry Warm up Aerobic activity using exercise machine (treadmill, bike, stepper, etc.) Monitor oximetry, make oxygen adjustments Frequent assessment of dyspnea and exertion Resistance exercises Flexibility exercises

17 NuStep

18 Treadmill

19 Airdyne

20 Arm Ergometer

21 Class Schedule UWMC 3 days per week, M-W-F 24 sessions total 75 minutes in gym 60 minutes lecture (9 sessions)

22 Home exercise plan After pulmonary rehab, an effective, achievable exercise plan is essential or fitness gains will be lost Oxygen Frequency Intensity Duration Mode of exercise Variety

Pulmonary Rehabilitation Outpatient Program

Pulmonary Rehabilitation Outpatient Program Pulmonary Rehabilitation Outpatient Program About Pulmonary Rehabilitation Pulmonary Rehabilitation is for people with chronic lung disease who are limited by breathlessness. This program may be suitable

More information

Cardio/Respiratory Physiotherapy Team

Cardio/Respiratory Physiotherapy Team Pulmonary Rehabilitation Home Exercise Programme Cardio/Respiratory Physiotherapy Team Page 1 of 13 Contents Page Pulmonary rehab and why continue exercising afterwards? Page 3-4 Benefits of Exercise Page

More information

CONTENTS. Note to the Reader 00. Acknowledgments 00. About the Author 00. Preface 00. Introduction 00

CONTENTS. Note to the Reader 00. Acknowledgments 00. About the Author 00. Preface 00. Introduction 00 Natural Therapies for Emphysema By Robert J. Green Jr., N.D. CONTENTS Note to the Reader 00 Acknowledgments 00 About the Author 00 Preface 00 Introduction 00 1 Essential Respiratory Anatomy and Physiology

More information

Pulmonary Rehabilitation Program - Home Exercise Program

Pulmonary Rehabilitation Program - Home Exercise Program Pulmonary Rehabilitation Program - Home Exercise Program Getting Started Regular exercise should be a part of life for everyone. Exercise improves the body's tolerance to activity and work, and strengthens

More information

Pulmonary Rehabilitation. Use it or lose it??? By John R. Goodman BS RRT

Pulmonary Rehabilitation. Use it or lose it??? By John R. Goodman BS RRT Pulmonary Rehabilitation Use it or lose it??? By John R. Goodman BS RRT Of all the forms of Rehabilitation that are available in medicine, pulmonary rehabilitation is a relative newcomer. For example Cardiac

More information

Waterloo Wellington Rehabilitative Care System Integrated Care Pathway for COPD Stream of Care (short version)

Waterloo Wellington Rehabilitative Care System Integrated Care Pathway for COPD Stream of Care (short version) Waterloo Wellington Rehabilitative Care System Integrated Care Pathway for COPD Stream of Care (short version) Care Setting ACUTE Activity Confirmation of COPD diagnoses: If time and the patient s condition

More information

Patient Name: Patient X Date of Birth: April 15, 1954 Age: 54 Start Date: May 20, 2008

Patient Name: Patient X Date of Birth: April 15, 1954 Age: 54 Start Date: May 20, 2008 Patient Name: Patient X Date of Birth: April 15, 1954 Age: 54 Start Date: May 20, 2008 Subjective: The patient stated during orientation: o CABG x 3 on 01/11/2008 o Former smoker who quit 3 years ago o

More information

Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD)

Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Development of disability in COPD The decline in airway function may initially go unnoticed as people adapt their lives to avoid

More information

Improvement in Dyspnea Implementing Pulmonary Rehabilitation in the Home

Improvement in Dyspnea Implementing Pulmonary Rehabilitation in the Home Improvement in Dyspnea Implementing Pulmonary Rehabilitation in the Home Mary Cesarz MS, PT Lisa Gorski MS, APRN, BC, FAAN Wheaton Franciscan Home Health & Hospice Milwaukee, WI Objectives To identify

More information

30 DAY COPD READMISSIONS AND PULMONARY REHAB

30 DAY COPD READMISSIONS AND PULMONARY REHAB 30 DAY COPD READMISSIONS AND PULMONARY REHAB Trina M. Limberg, Bs, RRT, FAARC, MAACVPR Director, Preventative Pulmonary and Rehabilitation Services UC San Diego Health System OVERVIEW The Impact of COPD

More information

COPD - Education for Patients and Carers Integrated Care Pathway

COPD - Education for Patients and Carers Integrated Care Pathway Patient NHS COPD - Education for Patients and Carers Integrated Care Pathway Date ICP completed:. Is the patient following another Integrated Care Pathway[s].. / If yes, record which other Integrated Care

More information

Understanding COPD Questionnaire

Understanding COPD Questionnaire Further information about the UCOPD questionnaire is available from http://www.science.ulster.ac.uk/ucopd/ or by contacting Dr Brenda O Neill (b.oneill@ulster.ac.uk) Understanding COPD Questionnaire Patient

More information

Clinical Care Program

Clinical Care Program Clinical Care Program Therapy for the Cardiac Patient What s CHF? Not a kind of heart disease o Heart disease is called cardiomyopathy o Heart failure occurs when the heart can t pump enough blood to meet

More information

Pulmonary Diseases. Lung Disease: Pathophysiology, Medical and Exercise Programming. Overview of Pathophysiology

Pulmonary Diseases. Lung Disease: Pathophysiology, Medical and Exercise Programming. Overview of Pathophysiology Lung Disease: Pathophysiology, Medical and Exercise Programming Overview of Pathophysiology Ventilatory Impairments Increased airway resistance Reduced compliance Increased work of breathing Ventilatory

More information

IMGPT: Exercise After a Heart Attack 610 944 8140 805 N. RICHMOND ST (Located next to Fleetwood HS) Why is exercise important following a heart

IMGPT: Exercise After a Heart Attack 610 944 8140 805 N. RICHMOND ST (Located next to Fleetwood HS) Why is exercise important following a heart Why is exercise important following a heart attack? Slow progression back into daily activity is important to strengthen the heart muscle and return blood flow to normal. By adding aerobic exercises, your

More information

National Learning Objectives for COPD Educators

National Learning Objectives for COPD Educators National Learning Objectives for COPD Educators National Learning Objectives for COPD Educators The COPD Educator will be able to achieve the following objectives. Performance objectives, denoted by the

More information

EUROPEAN LUNG FOUNDATION

EUROPEAN LUNG FOUNDATION PULMONARY REHABILITATION understanding the professional guidelines This guide includes information on what the European Respiratory Society and the American Thoracic Society have said about pulmonary rehabilitation.

More information

Heart Failure Patient information exercise sheets

Heart Failure Patient information exercise sheets Aerobic Exercise and Chronic Heart Failure Shortness of breath and tiredness are common symptoms for people with chronic heart failure. Many people find that they are unable to do some activities that

More information

Success and Survival in Pulmonary Rehab

Success and Survival in Pulmonary Rehab Success and Survival in Pulmonary Rehab 35 Years and Still Growing Valerie McLeod, RRT Manager, Pulmonary Rehabilitation McLaren Flint, MI Disclosure Information I have no disclosures. While some brands

More information

BREATHING TECHNIQUES for BREATHLESS MANAGEMENT in CHRONIC RESPIRATORY CONDITIONS

BREATHING TECHNIQUES for BREATHLESS MANAGEMENT in CHRONIC RESPIRATORY CONDITIONS BREATHING TECHNIQUES for BREATHLESS MANAGEMENT in CHRONIC RESPIRATORY CONDITIONS AIM To be able to safely and effectively teach and supervise a service user undertaking techniques to minimise breathlessness

More information

AEROBIC EXERCISE EARLY AFTER STROKE Information for Patients and Families

AEROBIC EXERCISE EARLY AFTER STROKE Information for Patients and Families AEROBIC EXERCISE EARLY AFTER STROKE Information for Patients and Families What is aerobic exercise? Aerobic exercise refers to physical activity that requires the body to use oxygen to generate energy.

More information

Dec 2016 Jan Feb Your life, your choice, your health! h e a l t hy C A M R O S E L I V I N G C E N T R E

Dec 2016 Jan Feb Your life, your choice, your health! h e a l t hy C A M R O S E L I V I N G C E N T R E Dec 2016 Jan Feb 2017 Your life, your choice, your health! C A M R O S E h e a l t hy L I V I N G C E N T R E INDEX OF CLASSES OFFERED NAME OF CLASS PAGE NAME OF CLASS PAGE Chronic Disease Management NUMBER

More information

Walking Program after Vascular Surgery

Walking Program after Vascular Surgery Walking Program after Vascular Surgery Your surgical site needs time to rest and heal. It also needs exercise to get back in shape. Exercise improves blood flow of oxygen-rich nutrients to working muscles

More information

Pulmonary Rehabilitation

Pulmonary Rehabilitation Pulmonary Rehabilitation What is Pulmonary Rehabilitation (PR)? PR is a exercise and education programme for people with long term lung conditions. It involves a combination of physical exercise and discussion

More information

Aerobic Exercise After Stroke HOW AEROBIC ACTIVITY CAN HELP YOU AFTER A STROKE

Aerobic Exercise After Stroke HOW AEROBIC ACTIVITY CAN HELP YOU AFTER A STROKE Aerobic Exercise After Stroke HOW AEROBIC ACTIVITY CAN HELP YOU AFTER A STROKE This resource provides aerobic activity recommendations for people at any point in their recovery from stroke. It is designed

More information

Physical Fitness and Exercise for Adults with Cerebral Palsy

Physical Fitness and Exercise for Adults with Cerebral Palsy Physical fitness is a general state of health that results in your ability to carry out daily tasks without getting too tired. The areas of physical fitness that this fact sheet addresses are: Reduced

More information

Early Supported Discharge and Admission Avoidance Service for Chronic Obstructive Pulmonary Disease (COPD)

Early Supported Discharge and Admission Avoidance Service for Chronic Obstructive Pulmonary Disease (COPD) Early Supported Discharge and Admission Avoidance Service for Chronic Obstructive Exceptional healthcare, personally delivered 2 What is early supported discharge and admission avoidance and why do we

More information

Sandwell Community Respiratory Service

Sandwell Community Respiratory Service Contents Page Community Respiratory Service 2 Service times and locations 3 Oxygen Service 4 Pulmonary Rehabilitation 5 Maintenance Programme 6 Occupational Therapy 7 Dietary support and advice 7 Weatherwise

More information

Living with a lung condition:

Living with a lung condition: Living with a lung condition: how exercise and eating well can make a difference to your life This information is for people living with a lung condition in the UK and your family and carers. It will help

More information

Pulmonary Rehab Definitions Framework Self-Assessment Tool outpatient/ambulatory care Rehab Survey for Pulmonary Rehab

Pulmonary Rehab Definitions Framework Self-Assessment Tool outpatient/ambulatory care Rehab Survey for Pulmonary Rehab Pulmonary Rehab s Framework Self-Assessment Tool outpatient/ambulatory care Rehab Survey for Pulmonary Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in

More information

REHABILITATION SERVICES

REHABILITATION SERVICES REHABILITATION SERVICES S O U T H A M P T O N H O S P I T A L C o m m i t t e d to E xc e l l e n c e, to C o m m u n i t y, a n d to Yo u. A c ute C a r e R e h a b i l itati o n C a r d i o p u l m o

More information

Exercise Objectives. Lecture Objectives. Contrasting Approaches and Techniques of Exercise in Pulmonary Rehabilitation

Exercise Objectives. Lecture Objectives. Contrasting Approaches and Techniques of Exercise in Pulmonary Rehabilitation Contrasting Approaches and Techniques of Exercise in Pulmonary Rehabilitation Mark W. Mangus, Sr., BSRC, RRT, RPFT, FAARC Pulmonary Rehabilitation Coordinator Christus Santa Rosa Medical Center San Antonio,

More information

Your Most Commonly Asked Questions about Oxygen Answered by Expert Lung Professionals

Your Most Commonly Asked Questions about Oxygen Answered by Expert Lung Professionals Your Most Commonly Asked Questions about Oxygen Answered by Expert Lung Professionals Through web tracking, we can see how you search (anonymously, of course) for information about breathing, oxygen, and

More information

written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd

written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd What Is COPD? COPD stands for chronic obstructive pulmonary disease. There are two major diseases included in

More information

Exercise and activity for your heart

Exercise and activity for your heart Exercise and activity for your heart Why are exercise and activity important? Exercise and activity are an important part of your recovery. Exercise and activity will help you: strengthen your muscles,

More information

OXYGEN THERAPY AND OXYGEN SUPPLIES Corporate Medical Policy

OXYGEN THERAPY AND OXYGEN SUPPLIES Corporate Medical Policy OXYGEN THERAPY AND OXYGEN SUPPLIES Corporate Medical Policy File name: Oxygen Therapy and Oxygen Supplies File code: UM.DME.12 Origination: 3/2007 Last Review: 10/2011 Next Review: 9/2012 Effective Date:

More information

ACL Reconstruction Rehabilitation Program

ACL Reconstruction Rehabilitation Program ACL Reconstruction Rehabilitation Program 1. Introduction to Rehabilitation 2. The Keys to Successful Rehabilitation 3. Stage 1 (to the end of week 1) 4. Stage 2 (to the end of week 2) 5. Stage 3 (to the

More information

INFORMED CONSENT INFORMED CONSENT FOR PARTICIPATION IN A HEALTH AND FITNESS TRAINING PROGRAM

INFORMED CONSENT INFORMED CONSENT FOR PARTICIPATION IN A HEALTH AND FITNESS TRAINING PROGRAM INFORMED CONSENT INFORMED CONSENT FOR PARTICIPATION IN A HEALTH AND FITNESS TRAINING PROGRAM NAME: DATE: 1. PURPOSE AND EXPLANATION OF PROCEDURE I hereby consent to voluntarily engage in an acceptable

More information

Pulmonary Rehabilitation in Newark and Sherwood

Pulmonary Rehabilitation in Newark and Sherwood Pulmonary Rehabilitation in Newark and Sherwood With exception of smoking cessation pulmonary rehabilitation is the single most effective intervention for any patient with COPD. A Cochrane review published

More information

HEART FAILURE AND EXERCISE

HEART FAILURE AND EXERCISE JOHN MUIR HEALTH Why Exercise? How Often Should I Exercise? What Should My Home Exercise Program Include? Home Exercise Daily Log Taking Your Pulse Rate of Perceived Exertion Scale Exercise Session Review

More information

CHRONIC D ISEASES AND EXERCISE

CHRONIC D ISEASES AND EXERCISE Chapter 8 CHRONIC D ISEASES AND EXERCISE You will remember from Chapter 4 that having a chronic disease usually doesn t mean that a person can t exercise. If you have a client with a chronic disease, both

More information

COPD Anxiety 48 A AR C Ti m e s M a r c h 2 0 0 8

COPD Anxiety 48 A AR C Ti m e s M a r c h 2 0 0 8 48 AARC Times March 2008 Coping with Anxiety in COPD: A Therapist s Perspective A major complaint of patients with COPD is shortness of breath, or dyspnea. Even in the face of adequate saturation levels,

More information

Cardiac rehabilitation

Cardiac rehabilitation NHS Choices Provides online information and guidance on all aspects of health and healthcare, to help you make choices about your health. w: www.nhs.uk Become a member of your local hospitals, and help

More information

Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL

Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT

More information

Welcome to the Physiotherapy Treadmill Room

Welcome to the Physiotherapy Treadmill Room Welcome to the Physiotherapy Treadmill Room Information for patients and families TGH Read this information to learn: why it s important to exercise before and after your transplant what to expect answers

More information

To provide standardized Supervised Exercise Programs across the province.

To provide standardized Supervised Exercise Programs across the province. TITLE ALBERTA HEALTHY LIVING PROGRAM SUPERVISED EXERCISE PROGRAM DOCUMENT # HCS-67-01 APPROVAL LEVEL Executive Director Primary Health Care SPONSOR Senior Consultant Central Zone, Primary Health Care CATEGORY

More information

Coding Guidelines for Certain Respiratory Care Services July 2014

Coding Guidelines for Certain Respiratory Care Services July 2014 Coding Guidelines for Certain Respiratory Care Services Overview From time to time the AARC receives inquiries about respiratory-related coding and coverage issues through its Help Line or Coding Listserv.

More information

GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT AND PREVENTION OF COPD

GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT AND PREVENTION OF COPD Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT

More information

Assessment of breathlessness

Assessment of breathlessness CAMPUS GROSSHADERN CAMPUS INNENSTADT Assessment of breathlessness Claudia Bausewein Breathlessness A subjective experience of breathing discomfort that consists of qualitatively distinct sensations that

More information

Rural Pulmonary Rehab Program-

Rural Pulmonary Rehab Program- Rural Pulmonary Rehab Program- Saskatchewan s s First Presented by: Sandra Pieterse, Nurse Practitioner and Lia Boxall, Nurse Practitioner Kelsey Trail Health Region Kelsey Trail RHA 41,500 population

More information

PFF DISEASE EDUCATION WEBINAR SERIES. Welcome!

PFF DISEASE EDUCATION WEBINAR SERIES. Welcome! PFF DISEASE EDUCATION WEBINAR SERIES Welcome! PFF DISEASE EDUCATION WEBINAR SERIES Presentation: Coping with Pulmonary Fibrosis: What About My Mental Health? Deborah A. Gillman PhD University of Pittsburgh

More information

Better Living with Obstructive Pulmonary Disease A Patient Guide

Better Living with Obstructive Pulmonary Disease A Patient Guide Better Living with Obstructive Pulmonary Disease A Patient Guide Second Edition November 2012 Queensland Health The State of Queensland (Queensland Health) and The Australian Lung Foundation 2012 a Better

More information

SUMMARY OF RECOMMENDATIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

SUMMARY OF RECOMMENDATIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) SUMMARY OF RECOMMENDATIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) Diagnosis and diagnostic tools Recommendation 1 Diagnosis of COPD (IV) It is recommended that spirometry should be performed

More information

Respiratory Care. A Life and Breath Career for You!

Respiratory Care. A Life and Breath Career for You! Respiratory Care A Life and Breath Career for You! Respiratory Care Makes a Difference At 9:32 am, Lori Moreno brought a newborn baby struggling to breathe back to life What have you accomplished today?

More information

Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care

Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care Charley P. Starnes, RRT, RCP Clinical Respiratory Specialist- COPD Education Important Milestones July 2011-

More information

J of Evolution of Med and Dent Sci/ eissn- 2278-4802, pissn- 2278-4748/ Vol. 3/ Issue 65/Nov 27, 2014 Page 13575

J of Evolution of Med and Dent Sci/ eissn- 2278-4802, pissn- 2278-4748/ Vol. 3/ Issue 65/Nov 27, 2014 Page 13575 EFFECT OF BREATHING EXERCISES ON BIOPHYSIOLOGICAL PARAMETERS AND QUALITY OF LIFE OF PATIENTS WITH COPD AT A TERTIARY CARE CENTRE Sudin Koshy 1, Rugma Pillai S 2 HOW TO CITE THIS ARTICLE: Sudin Koshy, Rugma

More information

Section 8: Clinical Exercise Testing. a maximal GXT?

Section 8: Clinical Exercise Testing. a maximal GXT? Section 8: Clinical Exercise Testing Maximal GXT ACSM Guidelines: Chapter 5 ACSM Manual: Chapter 8 HPHE 4450 Dr. Cheatham Outline What is the purpose of a maximal GXT? Who should have a maximal GXT (and

More information

Pulmonary Rehabilitation: more than just an exercise prescription

Pulmonary Rehabilitation: more than just an exercise prescription Pulmonary Rehabilitation: more than just an exercise prescription Robert Stalbow, RRT, RCP Pulmonary Rehabilitation Therapist Oregon Heart & Vascular Institute Objectives To describe the role of pulmonary

More information

Arterial Blood Gases, Digital Pulse Oximetry, and Routine Blood Work. By John R. Goodman BS RRT

Arterial Blood Gases, Digital Pulse Oximetry, and Routine Blood Work. By John R. Goodman BS RRT Arterial Blood Gases, Digital Pulse Oximetry, and Routine Blood Work By John R. Goodman BS RRT Patients with chronic lung disease frequently are tested to determine their lung function. The lungs basically

More information

Pathway for Diagnosing COPD

Pathway for Diagnosing COPD Pathway for Diagnosing Visit 1 Registry Clients at Risk Patient presents with symptoms suggestive of Exertional breathlessness Chronic cough Regular sputum production Frequent bronchitis ; wheeze Occupational

More information

Cardiovascular Prevention and Rehabilitation Program

Cardiovascular Prevention and Rehabilitation Program Cardiovascular Prevention and Rehabilitation Program Leading the way to a healthier heart For people who have had a heart attack, heart surgery or other cardiac event, or for those who have two or more

More information

Idiopathic Pulmonary Fibrosis

Idiopathic Pulmonary Fibrosis Idiopathic Pulmonary Fibrosis What is Idiopathic Pulmonary Fibrosis? Idiopathic pulmonary fibrosis (IPF) is a condition that causes persistent and progressive scarring of the tiny air sacs (alveoli) in

More information

Smoking Cessation Program

Smoking Cessation Program Smoking Cessation Program UHN Information for people who are ready to quit smoking Read this information to learn: why you should quit smoking how the Smoking Cessation Program works treatments to help

More information

Patient Instructions for Home Medical Equipment

Patient Instructions for Home Medical Equipment Patient Name: ABC Patient ID #: Patient Instructions for Home Medical Equipment In order for ABC Health Care to complete the request for your prescribed home medical equipment, we will need the following

More information

UW MEDICINE PATIENT EDUCATION. Your Care Team. Helpful information

UW MEDICINE PATIENT EDUCATION. Your Care Team. Helpful information UW MEDICINE PATIENT EDUCATION Your Care Team Helpful information In this section: You: The Patient Medical Staff Nursing Staff Allied Health Professionals Support Staff Peer Mentors for People with Spinal

More information

IEHP UM Subcommittee Approved Authorization Guidelines Home Use of Oxygen

IEHP UM Subcommittee Approved Authorization Guidelines Home Use of Oxygen Introduction: IEHP UM Subcommittee Approved Authorization Guidelines Home Use of Oxygen Home oxygen therapy provides oxygen at concentrations greater than the ambient air with the intention of treating

More information

Fitness for Sport and Exercise

Fitness for Sport and Exercise Unit 1 Fitness for Sport and Exercise In order for a person to perform to the best of their ability, they must have high levels of the appropriate components of fitness. Different sports also have differing

More information

Department of Surgery

Department of Surgery What is emphysema? 2004 Regents of the University of Michigan Emphysema is a chronic disease of the lungs characterized by thinning and overexpansion of the lung-like blisters (bullae) in the lung tissue.

More information

Help Yourself Breathe. Tender Loving Care for Your Lungs. Department of Physiotherapy. PD 1359 (Rev 06-2009) File: peyles

Help Yourself Breathe. Tender Loving Care for Your Lungs. Department of Physiotherapy. PD 1359 (Rev 06-2009) File: peyles Help Yourself Breathe Tender Loving Care for Your Lungs PD 1359 (Rev 06-2009) File: peyles Department of Physiotherapy Why are you breathless? Chronic Airflow Limitation or Obstruction is a decrease in

More information

Navigation and Cancer Rehabilitation

Navigation and Cancer Rehabilitation Navigation and Cancer Rehabilitation Messina Corder, RN, BSN, MBA Manager, MWHC Regional Cancer Center Regina Kenner, RN Cancer Navigator, MWHC Regional Cancer Center Cancer Action Coalition of Virginia

More information

Seniors Health Services

Seniors Health Services Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services

More information

Chronic Obstructive Pulmonary Disease Patient Guidebook

Chronic Obstructive Pulmonary Disease Patient Guidebook Chronic Obstructive Pulmonary Disease Patient Guidebook The Respiratory System The respiratory system consists of the lungs and air passages. The lungs are the part of the body where gases are exchanged

More information

Objective of This Lecture

Objective of This Lecture Component 2: The Culture of Health Care Unit 3: Health Care Settings The Places Where Care Is Delivered Lecture 5 This material was developed by Oregon Health & Science University, funded by the Department

More information

The Benefits of Exercise for People with Heart Disease

The Benefits of Exercise for People with Heart Disease The Benefits of Exercise for People with Heart Disease Your heart is a muscle that needs regular exercise. When you exercise, your heart has to pump blood faster to get it to your muscles and lungs, and

More information

Sports Performance 15. Basic Training Principles

Sports Performance 15. Basic Training Principles Sports Performance 15 Basic Training Principles What is Physical Fitness? Being physically fit means to be able to perform everyday activities with ease. 5 Components of Physical Fitness: 1. Muscular Strength

More information

Pulderbos Rehabilitation centre. Patricia van de Wijdeven Pediatrician respiratory disease

Pulderbos Rehabilitation centre. Patricia van de Wijdeven Pediatrician respiratory disease Pulderbos Rehabilitation centre Patricia van de Wijdeven Pediatrician respiratory disease PHYSICAL REHABILITATION Restore Health well-being functional abilities PHYSICAL REHABILITATION Restore Health well-being

More information

Physical and Occupational Therapy Exercises

Physical and Occupational Therapy Exercises UW MEDICINE PATIENT EDUCATION Physical and Occupational Therapy Exercises For weight loss surgery patients This section of the Guide to Your Weight Loss Surgery explains exercises that are recommended

More information

Physiotherapy for COPD. Chronic Obstructive Pulmonary Disease (COPD) Healthcare you can Trust. Pulmonary Rehabilitation

Physiotherapy for COPD. Chronic Obstructive Pulmonary Disease (COPD) Healthcare you can Trust. Pulmonary Rehabilitation Pulmonary Rehabilitation Pulmonary rehabilitation is a course of exercise and education designed to help people with COPD get fitter, cope with their symptoms and understand their condition better. Evidence

More information

James F. Kravec, M.D., F.A.C.P

James F. Kravec, M.D., F.A.C.P James F. Kravec, M.D., F.A.C.P Chairman, Department of Internal Medicine, St. Elizabeth Health Center Chair, General Internal Medicine, Northeast Ohio Medical University Associate Medical Director, Hospice

More information

PLAN OF ACTION FOR. Physician Name Signature License Date

PLAN OF ACTION FOR. Physician Name Signature License Date PLAN OF ACTION FOR Patient s copy (patient s name) I Feel Well Lignes I feel short directrices of breath: I cough up sputum daily. No Yes, colour: I cough regularly. No Yes I Feel Worse I have changes

More information

Your Guide to. Cardiac Rehabilitation Programme

Your Guide to. Cardiac Rehabilitation Programme Your Guide to Cardiac Rehabilitation Programme 1 1 What is Cardiac Rehabilitation? Cardiac rehabilitation programme (CRP) is designed to help individuals with heart diseases, and those recuperating from

More information

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease By John W. Walsh, Co-Founder and President of the COPD Foundation Breathing Easier In

More information

Patient Information. and Physical Activity Diary. Wythenshawe Hospital Cardiac Rehabilitation. Name:... The ticker club Registered Charity No.

Patient Information. and Physical Activity Diary. Wythenshawe Hospital Cardiac Rehabilitation. Name:... The ticker club Registered Charity No. Wythenshawe Hospital Cardiac Rehabilitation Patient Information Remember : Lifelong regular physical activity - 0 minutes, five times per week is important for your general health. I feel so much better

More information

Fitter, Faster, Stronger, Longer: Precor Cardio Development Program

Fitter, Faster, Stronger, Longer: Precor Cardio Development Program Fitter, Faster, Stronger, Longer: Precor Cardio Development Program The Precor Cardio Development Program is a 3 phase training program that progressively guides your clients towards aerobic fitness and

More information

Medicare Part A. Pulmonary Rehab Program Services Web-Based Training February 25, 2010 - Q & As

Medicare Part A. Pulmonary Rehab Program Services Web-Based Training February 25, 2010 - Q & As Pulmonary Rehab Program Services Web-Based Training February 25, 2010 - Q & As The following are the question and answers from the Pulmonary Rehabilitation Program Services web-based training which was

More information

SAMPLE QUESTIONNAIRE

SAMPLE QUESTIONNAIRE Stanford Patient Education Research Center Stanford University School of Medicine SAMPLE QUESTIONNAIRE CHRONIC DISEASE August 2007 You may use all or parts of the questionnaire at no charge without permission

More information

Once the immune system is triggered, cells migrate from the blood into the joints and produce substances that cause inflammation.

Once the immune system is triggered, cells migrate from the blood into the joints and produce substances that cause inflammation. HealthExchange Points For Your Joints An Arthritis Talk Howard Epstein, MD Orthopaedic & Rheumatologic Institute Rheumatic & Immunologic Disease Cleveland Clinic Beachwood Family Health & Surgery Center

More information

COPD PATIENT SUPPORT. What is COPD? This piece has been reviewed by COPD Support Ireland.

COPD PATIENT SUPPORT. What is COPD? This piece has been reviewed by COPD Support Ireland. COPD PATIENT SUPPORT What is COPD? This piece has been reviewed by COPD Support Ireland. COPD & Me Chronic obstructive pulmonary disease (COPD) is a very common lung disease. If you have been diagnosed

More information

How to Connect Pulmonary Rehabilitation to the Home

How to Connect Pulmonary Rehabilitation to the Home Research and Reviews How to Connect Pulmonary Rehabilitation to the Home JMAJ 54(2): 92 98, 2011 Hideaki SENJYU,* 1 Masaharu ASAI* 2 Abstract The objectives of pulmonary rehabilitation are to alleviate

More information

LIVING WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)*: MANAGING YOUR DIET, FITNESS, AND MOODS

LIVING WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)*: MANAGING YOUR DIET, FITNESS, AND MOODS LIVING WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)*: MANAGING YOUR DIET, FITNESS, AND MOODS Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any other organization that advertises

More information

Cardiopulmonary Exercise Stress Test (CPET) Archived Medical Policy

Cardiopulmonary Exercise Stress Test (CPET) Archived Medical Policy Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided

More information

Tests. Pulmonary Functions

Tests. Pulmonary Functions Pulmonary Functions Tests Static lung functions volumes Dynamic lung functions volume and velocity Dynamic Tests Velocity dependent on Airway resistance Resistance of lung tissue to change in shape Dynamic

More information

POLICY FOR NON OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN

POLICY FOR NON OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN POLICY FOR N OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN Authors: LOUISA BANFIELD KAREN GARROD Version: Draft 2 Approved: 08.05.12 Review Date:01.02.13 Acknowledgements Miriam Johnson, Reader

More information

A Guide to Controlled Breathing (Pursed Lips Breathing)

A Guide to Controlled Breathing (Pursed Lips Breathing) A Guide to Controlled Breathing (Pursed Lips Breathing) Your doctor or nurse may suggest that you learn how to do controlled breathing. This can help to ease shortness of breath (breathlessness) caused

More information

Interdisciplinary Care in Pediatric Chronic Pain

Interdisciplinary Care in Pediatric Chronic Pain + Interdisciplinary Care in Pediatric Chronic Pain Emily Law, PhD Assistant Professor Department of Anesthesiology & Pain Medicine University of Washington & Seattle Children s Hospital + Efficacy: Psychological

More information

PSYCHOLOGICAL SERVICES TO RESPIRATORY MEDICINE 2011 ANNUAL REPORT EXECUTIVE SUMMARY

PSYCHOLOGICAL SERVICES TO RESPIRATORY MEDICINE 2011 ANNUAL REPORT EXECUTIVE SUMMARY Whittington Health PSYCHOLOGICAL SERVICES TO RESPIRATORY MEDICINE 2011 ANNUAL REPORT WHITTINGTON HEALTH INTEGRATED CARE ORGANIZATION EXECUTIVE SUMMARY This report describes the service initiatives, clinical

More information

Guidelines for Appropriate Referral to Nelson Tasman Hospice for Non Malignant Conditions

Guidelines for Appropriate Referral to Nelson Tasman Hospice for Non Malignant Conditions Guidelines for Appropriate Referral to Nelson Tasman Hospice for Non Malignant Conditions Admission to the hospice service is NOT diagnosis specific and may include: - Cancer - Heart disease - Kidney disease

More information

Three triggers for Supportive/ Palliative Care are suggested - to identify these patients we can use any combination of the following methods:

Three triggers for Supportive/ Palliative Care are suggested - to identify these patients we can use any combination of the following methods: Three triggers for Supportive/ Palliative Care are suggested - to identify these patients we can use any combination of the following methods: 1. The surprise question Would you be surprised if this patient

More information

Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD)

Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD) Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD) Harvard Vanguard Medical Associates Case Study Organization Profile Founded in the 1960s, Harvard Vanguard Medical

More information

Do You Have the Courage to Finally Unite Your Mind, Body and Spirit for a Health and Fitness Awakening?

Do You Have the Courage to Finally Unite Your Mind, Body and Spirit for a Health and Fitness Awakening? 1 P a g e Adult & Senior Personal Training, Health, Fitness, Martial Arts Training and Coaching Use Exercise as Your Fountain of Youth -- Combat the Effects of Aging with Exercise Do You Have the Courage

More information