Welcome to Pulmonary Rehab Overview Bing Images Training

Welcome to Pulmonary Rehab Overview Bing Images

Training Module Overview for Pulmonary Rehab Candidates By: Celeste Ketels First Class: July 11, 2016

This training module is to give an overview of a pulmonary rehab (PR) program to candidates. Bing Images

PR Candidate Criteria (American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), 2011) PR candidate suffering with lung disease must have a goal to improve the following • Dyspnea (shortness of breath; SOB) • Exercise capacity • Restriction in activities • Impaired health status • As symptom burden increases

• Goals of a Pulmonary Rehabilitation Program: • To improve participants overall quality of life • To help the participant develop methods to cope with his/her disease • To promote and maintain the participants physical capabilities

• Following the education provided, the participants with chronic lung disease will successfully learn to cope with their disease by effectively communicating any exacerbations to their instructor by the end of the six t 0 12 week program. • Following demonstrations provided, the participants with chronic lung disease will effectively perform at least a two breathing techniques on their own at the end of the six to 12 week program. • Following monitored exercise routines, the participants with chronic lung disease will slowly increase their six minute walk by two feet per week for the duration of six to 12 week program.

Medically supervised program; What is pulmonary rehab? Presentation (Glaxo. Smith. Kline, 2015) uses exercises and breathing to increase activity level with less SOB Minimizes the impact of chronic lung disease

• Doctors, nurses, physical PR can therapists, respiratory therapists, exercise involve a specialists, and dieticians that whole team; all can play different roles. respiratory muscle function Reduce SOB during meals; adjust eating habits Cont.

When it comes to your health, the right team of people working together is essential Bing Images

What to expect at the start rehab team will take a look at your abilities and needs; make a plan right for you

three days per week 45 minutes per day 6 to 12 weeks After your plan is created incorporate routine at home, including exercises and lifestyle changes.

What to expect during PR. v. PR may include Øexercise Øeducation Øenergy-conserving techniques Øbreathing strategies

EXERCISE • Monitored exercise three times a week • Exercises for both your arms and legs Bing Images

NUTRITION A healthy eating plan based on your weight Keep an ideal body weight Bing Images

ENERGY-CONSERVING TECHNIQUES: Tips for relieving stress and accomplishing everyday activities Bing Images

BREATHING STRATEGIE S • Improved breathing • Ex. Pursed-lip breathing • Controlled breathing • Ex. Keep airways open longer

Pursed-Lip Breathing (National Jewish Health, 2014)

Diaphragmatic Breathing Technique (Sharma, 2014)

COUNSELING COPDers are prone to depression and anxiety Bing Images counseling or support groups

What to expect at the end of PR. q. Evaluation Phase: q. Testing to measure qeffects PR has on breathing qsymptoms qexercise level qquality of life

What to expect at the end of PR. q. Evaluation Phase: q. Measured using qquestionnaire qsix minute walk qexercise endurance

What to expect at the end of PR. q. Evaluation Phase: q. Depending on the results qcontinue on own qtalk to doctor if there has been little to no improvement. q. Workout modifications

Meeting others with COPD. Improving relaxation skills. Improving breathing techniques. What are the benefits of PR? Learning healthy eating habits. Learning to function with COPD. Increasing ability to exercise.

What are the potential risks of PR? Risks associated with the exercise portion of the program See healthcare provider before starting exercise Injuries to your muscles or bones Heart-related problem

Share health information with PR team Prevent risks associated with PR.

üBy now you should have an understanding of what pulmonary rehab is and what is to be expected at the beginning, during, and at the end of PR. üA basic understanding of the possible risks, as well as the benefits of attending PR should now also be established. üAn understanding of the goals and objectives of attending a Pulmonary Rehabilitation Program.

Questions and Comments Bing Images

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References • American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). (2011). Guidelines for Pulmonary Rehabilitation Programs. In A. A. (AACVPR). AARCVPR, Inc. • Glaxo. Smith. Kline. (2015). Learning More Together. Retrieved from COPD. com: http: //www. copd. com/ • National Jewish Health. (2014, May 27). Pursed-Lip Breathing. Retrieved from You Tube: https: //youtu. be/Aq. IPW 474 azk • Sharma, J. (2014, June 26). Diaphragmatic Breathing Technique. Retrieved from You Tube: https: //youtu. be/0 Ua 9 b. Os. ZTYg