THIS PRESENTATION INCLUDES DEFINITION, INDICATIONS, CONTRAINDICATIONS, AIMS, GOALS, PR TEAM, AND COMPONENTS OF THE PULMONARY REHABILITATION. THIS PRESENTATION IS MADE ONLY FOR LEARNING AND GUIDANCE PURPOSE.
2. DEFINITION
• Pulmonary rehabilitation is a multidisciplinary
services to persons with pulmonary disease and their
families usually by achieving and maintain the
individual’s maximum level of independence and
functioning in the community.
5. AIMS OF P.R.
1. Reduce dyspnoea
2. Increase muscle endurance (peripheral and respiratory)
3. Improve muscle strength (peripheral and respiratory)
4. Capacity to carry out their ADL
6. COMMON GOALS
• Control respiratory infection
• Airway management
• Improve ventilation and cardiac status
• Decrease medical cost
• Decrease hospitalization
• Pt. and family education/ counselling
• Occupational retraining
7. PR TEAM
• Medical team
• Physical therapist
• Nurse
• Dietician
• Occupational therapist
• Pharmacist
• Social worker
8. COMPONENTS OF PR
1. Education
2. General care
3. Pulmonary care
4. Psychosocial management
5. Exercise and functional training
9. 1) EDUCATION
To provide knowledge and instruction to their family
members in patient regarding disease, its effect, treatment,
etc.
2) PSYCHOSOCIAL MANAGEMENT
It’s important as chronic disease places stress on family
member as well as for patient.
So to provide stress reduction management technique and
behavioral strategies management.
10. 3) GENERAL CARE
Prescription of medicine and oxygen support
Preventive care (smoking cessation, adequate hydration,
proper nutrition, etc.
4)PULMONARY CARE
A)Airway clearance techniques
Forced expiration technique (FET)
ACBT (Active cycle of breathing technique)
12. Positioning
C) Respiratory therapy equipment
Humidifiers
Nebulizer
Suction
Oxygen supplement
CPAP (Continuous positive airway pressure)
D) Ventilatory muscle training
Focus on increased respiratory muscle strength and
endurance.
13. Strength :- High inspiratory resistance exercise
Endurance :- Low to moderate inspiratory resistance for 15-30
minutes.
5) Exercise and functional training
its depends on what exercise are to be prescribed for strength
and endurance.
It is based on four components : FITT principle
a) frequency of training
b) intensity of training
c) time/duration of training
d) type/mode of training
14. Instruction for energy conservation, activity pacing (regulation
of activity level and/or rate in the service of an adaptive goal or
goals) and use of adaptive equipment to optimize the pt. ability
for daily activities.
Exercise prescription :- FITT
Frequency : 3-4 times/week
Intensity : High intensity training
Mode : continuous/interval
Length : 40-60 minutes