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PULMONARY REHAB

PULMONARY REHAB. Incidence of Lung Disease. America’s number three killer. Incidence in Bibb county as of 1995: 15,390 out of a population of 154,320. Two Major Groups of Lung Disease. Obstructive Restrictive. Alpha I Antitrypsin Deficiency Emphysema Chronic Bronchitis

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PULMONARY REHAB

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  1. PULMONARY REHAB

  2. Incidence of Lung Disease • America’s number three killer. • Incidence in Bibb county as of 1995: • 15,390 out of a population of 154,320

  3. Two Major Groups of Lung Disease • Obstructive • Restrictive

  4. Alpha I Antitrypsin Deficiency Emphysema Chronic Bronchitis Interstitial Lung Disease Bronchiectasis ARDS Lung Transplantation Lung Resection Cystic Fibrosis Asthma Thoracic Cage Abnormalities Participant Diagnosis

  5. Goals of Treatment • Halt Progression of Disease • Prevent Exacerbations • Improve Exercise Capacity

  6. Breathing Techniques • Diaphragmatic Breathing • Pursed Lip Breathing

  7. PFT ABG CBC Chem 7 Chest X-Ray GXT Oxygen Saturation Test Recommendations or Requirements

  8. Pulmonary Rehab Criteria • Physician Referral • FEV1 less than 60%

  9. What is Pulmonary Rehab? A well designed & widely accepted therapeutic tool that improves the quality of life and functional capacity of chronic lung disease patients.

  10. Rehab Components • Aerobic Exercise • Light Weight Training • Breathing Retraining • Education

  11. Six Minute Walk Schwin Airdyne Bicycle Arm Ergometer Nu-Step Treadmill Dumbbells Benefits of Exercise Improves dyspnea Promotes a higher level of functioning Decreases BP Counteracts depression Improves HDL’s Helps with blood sugar regulation Improves ADL’s & QOL Facilitates Sleep Exercise Training

  12. Education Components • Time and Energy Conservation • Stress Management • Nutrition • Sexuality • Medications • Aerobic Exercise & Weight Training • Coping and Panic Control • Anatomy & Physiology

  13. Pulmonary Rehab Goals • Become more independent in ADL’s • Become actively involved in your healthcare • Break the fear/dyspnea cycle

  14. Pulmonary Rehab Staff • Registered Nurse • Dietician • Respiratory Therapist • Exercise Physiologist • Pharmacist • PT/OT • Counselor

  15. Outcomes • Exercise Endurance • RPD • LOS • QOL

  16. Class # 1 Outcomes • Exercise Time: 43% increase • Pre 27:00 • Post 47:00 • MET Level: 16% increase • Pre 2.19 • Post 2.61 • 6 Minute Walk: 26% increase • Pre 820’ • Post 1107’

  17. What Would You Like To Do Again? • All patients that finished Pulmonary Rehab have reported ability to do something they couldn’t do before due to their pulmonary condition.

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