Living with COPD & Other Chronic Lung Problems

1. Living with COPD & Other Chronic Lung Problems

2. http://www.nhlbi.nih.gov/health/health-topics/topics/hlw/whathappens.htmlhttp://www.nhlbi.nih.gov/health/health-topics/topics/hlw/whathappens.html

3. What is COPD? *Chronic Obstructive Pulmonary Disease • In COPD, less air flows in and out of the airways because of one or more of the following: • The airways and air sacs lose their elastic quality. • The walls between many of the air sacs are destroyed. • The walls of the airways become thick and inflamed. • The airways make more mucus than usual, which can clog them.

4. COPD Symptoms: • Chronic cough • Sputum production • Shortness of breath • Tiredness • Wheezing • Chest Tightness

5. Emphysema Chronic Bronchitis

6. Other Lung Diseases • Asthma • Bronchiectasis • Chronic bronchitis • Pulmonary Fibrosis • Pulmonary Hypertension • Partial lung removal

8. Health History • Smoking • Exposure to pollutants & chemicals • When your symptoms started

10. Spirometry or Pulmonary Function Testing

11. Treatments • Stop Smoking • Bronchodilators • Anti-inflammatory drugs • Antibiotics

13. Benefits of Quitting 20 minutes-heart rate drops 2wks-3m-heartr attack risk falls & lung function improves 1m-9m-coughing & SOB decrease 1yr-coronary heart disease is ½ that of a smokers 15yrs-CHD risk is back to that of a nonsmoker

14. Oxygen • Decreases shortness of breath. • Reduces strain on your heart. • Allows you to do regular activities and exercise more easily.

15. Oxygen Sources • Concentrator • Oxygen tanks • Liquid oxygen • Conserving device

17. Don’t Become a Hermit!!

18. Traveling with Oxygen You can arrange to have oxygen when you travel, whether you go around the corner or around the world!

20. Pulmonary Rehabilitation • Exercise training • Education sessions • Emotions

21. Exercise: Improve the function of lungs and heart and strengthen the muscles used for breathing

22. Education: • Medications • Treatments • Self management at home • Breathing techniques • Coughing • Infection control • Conserving energy • Nutrition • Weather factors

23. Education Cont. • Smoking cessation • Stress management • Indications for calling your health care provider • Relaxation techniques & stress management • Coping with COPD

24. Emotions: Anxiety Depression Frustration Isolation Support

26. Outpatient Setting • Tuesday’s & Thursday’s • Approximately 4 to 12 weeks • Covered by Medicare & most insurance plans • Individualized to meet goals and improve symptoms • Communicate with HCP

28. Vitals and oxygen usage • Oximeter • Blood pressure • Blood sugar • Weight • Lungs sounds • Assessment • Medication usage

29. Devices used for strengthening breathing muscles • Inspiratory muscle trainer • Flutter valve/acapella • Harmonica/bubbles • Incentive spirometer • Controlled breathing-PLB, diaphramatic breathing

30. Exercise Training • Lower extremity exercises • Arm exercises • Ventilatory muscle training Types of Exercises: • Endurance or aerobic • Strength or resistance

31. Lower Extremity Exercise • Walking • Treadmill • Stationary bicycle • Sit & stand

32. Arm Exercises • Arm ergometer • Unsupported arm lifting • Lifting weights • Bands