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Pulmonary Rehabilitation

Pulmonary Rehabilitation. What? How? Why? When?. The Dyspnea Spiral From Haas F, Axen K. Pulmonary Therapy & Rehabilitation: Principles & Practice Second Edition, 1991. Respiratory Impairment Dyspnea During Moderate Exercise Avoid Exercise Physical Deconditioning

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Pulmonary Rehabilitation

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  1. Pulmonary Rehabilitation What? How? Why? When?

  2. The Dyspnea SpiralFrom Haas F, Axen K. Pulmonary Therapy & Rehabilitation: Principles & PracticeSecond Edition, 1991 • Respiratory Impairment • Dyspnea During Moderate Exercise • Avoid Exercise • Physical Deconditioning • Dyspnea During Mild Exertion • Further Avoidance of Exercise • Further Deconditioning • Dyspnea During ADL’s

  3. Lung Disease Physical Inactivity • Fitness • Health Physical Function

  4. Where do I start?

  5. First thing’s first • What are your goals? • Talk with your doctor before starting any new exercise program. • Get started!

  6. Pieces of the Puzzle Aerobic Strength Flexibility

  7. Exercise for your heart and lungs At least 30 minutes Most days of the week Moderate intensity Target heart rate Exertion Scale “Talk test” Activities Walking Hiking Biking Swimming Water Aerobics Low Impact Aerobics Dancing What are “Aerobics”?

  8. Aerobic Exercise Tips • Choose an activity you like • Go for time, not speed • Start slow • Increase duration slowly • Keep a log

  9. Why do I need to be strong? • Optimize bone strength • Increase balance • Decrease risk of falls • Maintain independence

  10. Light weights Include arms, legs, and trunk Hand weights, weight equipment, exercise bands If you experience pain with any exercise: Stop! And talk with your doctor Strength Exercise Tips

  11. Stretch to the point of mild tension Hold 20-30 seconds No bouncing! If you feel pain, STOP! Beyond the basics: Yoga Pilates Tai Chi Ballet Stretching Tips

  12. The Last Piece of the Puzzle Breathe!

  13. Don’t fall off the (exercise) wagon

  14. What’s your excuse? • I’m too busy • I’m too tired • The weather’s bad • I don’t feel well • It’s boring!

  15. I’m too busy • Make yourself a priority • Schedule your exercise time • Break your exercise down by time or type of exercise

  16. I’m too tired • Exercise = Energy • If you don’t use it, you’ll lose it • Exercise is the “Fountain of Youth”

  17. The weather’s bad • Have a back-up plan • Alternatives to exercising outdoors: • Mall walking • Treadmill or stationary bicycle • Exercise classes • Exercise videos

  18. I don’t feel well • DON’T exercise if: • You have a fever • You have a chest cold or infection • You have chest pain • You have dizziness

  19. I don’t feel well, Part 2 • DO exercise if: • You have “the blues” • You have a head cold If in doubt, consult your doctor

  20. It’s boring! • Do something fun! • Keep your mind entertained • Watch TV, listen to music, read • Exercise outdoors or at a health club • Exercise with a friend • Vary your routine

  21. If it hurts • Stop the exercise • Consult your doctor

  22. More Tips • Celebrate your successes • Reward yourself • Try something new • Update your goals

  23. Just Do It! Make it easy Make it fun Make it a habit

  24. And, remember, exercise a little every day!

  25. Resources • For more information, contact: • National Heart, Lung, and Blood Institute Information CenterP.O. Box 30105Bethesda, MD 20824-0105(301) 251-1222 • National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse (NAMSIC)1 AMS CircleBethesda, MD 20892-3675(301) 495-4484 • American Association of Retired Persons (AARP)Health Promotion Services601 E. Street, N.W.Washington, D.C. 20049(202) 434-2277 • American Heart AssociationNational CenterPublic Information Department7272 Greenville AvenueDallas, TX 75231-4596(214) 373-6300 • American College of Sports MedicineP.O. Box 1440Indianapolis, IN 46206-1440(317) 637-9200 ext. 117

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