PULMONARY REHABILITATION
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Transcript of PULMONARY REHABILITATION
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PULMONARY REHABILITATION
TRI DAMIATI .P, Dr.Sp RMPHYSICAL MEDICINE AND
REHABILITATIONFKUP/RSHS
2011
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DEFINITION
COMPREHENSIVE TEAM APPROACH THAT PROVIDE PATIENTS WITH THE ABILITY TO ADOPT TO THEIR CHRONIC LUNG DISEASE, IT INCLUDES MEDICAL MANAGEMENT, TRAINING AND COPING SKILLS AND EXERCISE RECONDITIONING
AGUSTA ALBA ;CONCEPT IN PULMONARY REHABILITATION, BRADDOM
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DEFINITION OF RESPIRATION
1. PROCESS OF MOVING OXYGEN FROM THE AIR TO ALVEOLI OF THE LUNGS BY A MASS MOVEMENT OF AIR AND REMOVING CARBON DIOXYDE FROM ALVEOLI BY THE SAME MOVEMENT
2. THE CIRCULATORY SYSTEM PROVIDE THE TRANSPORT OF OXYGEN BETWEEN LUNG AND THE TISSUE
H.FREDERIC HELMHOZ,JR, HENRY H.STONNINGTON
PULMONARY REHABILITATION, KRUSEN
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PHYSIOLOGICAL BASIC OF DISORDERS OF RESPIRATION
1. INADEQUATE TRANSPORT OF OXYGEN IN AND CARBON DIOXYDE OUT OF THE LUNG
2. RETENTION OF CARBON DIOXYDE
3. LACK OF OXYGEN
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THE CAUSE OF THE RESPIRATORY DISORDERS
1. MUSCLE WEAKNESS OR INEFFICIENCY OR INCREASING OF ELASTIC COMPONEN
2. INCREASE RESISTANCE TO AIRFLOW THROUGH THE TRACHEOBRONCHIAL TREE
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ELASTIC COMPONENTS ARE
LUNGS THORACIC CAGE DIAPHRAGM ABDOMINAL COMPLEX ACCESSORY MUSCLES
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THE RESPIRATORY DISORDERS ARE CLASSIFIED AS
1. RESTRICTIVE DISORDER
2. OBSTRUCTIVE DISORDER
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RESTRICTIVE DISORDERS ARE CHARACTERIZED BY
1. AN INCREASE IN ENERGY REQUIREMENT TO OVERCOME ELASTIC RECOIL OF LUNG OR CHEST STRUCTURES AT ANY GIVEN VENTILATION
2. REDUCED VITAL CAPACITY
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OBSTRUCTIVE DISORDER CHARACTERIZED BY
1. RESISTANCE TO AIRFLOW --- AIRFLOW STOP BEFORE EMPTYING IS COMPLETE --- AIR TRAPPING
2. FIXATION THE CHEST IN A POSITION LARGER THAN THE NORMAL END-EXPIRATION LEVEL
3. INCREASE IN THE FUNCTIONAL RESIDUAL CAPACITY AND RESIDUAL VOLUME
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OBSTRUCTIVE DISORDER CHARACTERIZED BY
4. FLATTENING OF THE DIAPHRAGM
5. LESSEN THE USE FULLNESS OF THIS MUSCLE IN INSPIRATION
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PULMONARY REHABILITATION GOALS
1. IMPROVEMENT IN CARDIOPULMONARY FUNCTION
2. PREVENTION AND TREATMENT OF COMPLICATION
3. RECOGNITION AND TREATMENT OF STRESS AND DEPRESSION, WHICH CAN INTERFERE WITH COPING MECHANISM AND INDEPENDANCE
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PULMONARY REHABILITATION GOALS
4. FACILITATION OF COPING MECHANISM TO OVERCOME ANY SENSE OF LOSS, LOSS OF CONTROL OF PERSONAL AND SOCIAL RELATIONSHIP, SELF ESTEEM, OR SENSE OF SELF WORTH
5. PROMOTION OF INCREASING PATIENT RESPONSIBILITY FOR HIS OR HER OWN CARE AND WELL-BEING
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6. DECREASE NUMBER OF EXACERBATION , EMERGENCY ROOM VISIT AND HOSPITALIZATION
7. TO UNDERSTANDING THE DISEASE SO THAT PATIENTS AND FAMILLY CAN CONFRONT IT REALISTICALLY
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PULMONARY REHABILITATION GOALS
8. RETURN TO WORK AND/OR A MORE ACTIVE , PRODUCTIVE, AND EMOTIONALLY SATISFYING LIFE FOR THE PATIENT AND HIS FAMILY
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COMPONENT OF PULMONARY REHABILITATION FOR OBSTRUCTIVE
DISORDERS
1. MEDICATION (MOST OF THEM ARE DONE BY PULMONOLOGIST)
2. EDUCATION3. CHEST PHYSICAL THERAPY4. UPPER EXTREMITY EXERCISES5. RECONDITIONING6. PSYCHOSOCIAL SUPPORT
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COMPONENT OF PULMONARY REHABILITATION FOR OBSTRUCTIVE
DISORDERS
2. EDUCATION- THE MOST IMPORTANT IS SMOKING
CESSATION- CHANGING IN LIFESTYLE TO ADAPT THE DISEASE- UNDERSTAND THE DISEASE- UNDERSTAND THE GOALS AND THE BENEFIT OF
THE REHABILITATION PROGRAM
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COMPONENT OF PULMONARY REHABILITATION FOR OBSTRUCTIVE
DISORDERS
3. CHEST PHYSICAL THERAPYA. APPLICATION OF PHYSICAL METHOD TO THE RESPIRATORY CARE OF PATIENS WITH
PULMONARY DISEASE
B. THE COMPONENTS ARE1. CONTROL BREATHING
- RELAX POSITION- BREATHING EXERCISE
PURSEDLIPS BREATHINGSLOW DEEP BREATHINGDIAPHRAGMATIC BREATHINGSEGMENTAL BREATHING
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The Aim of Control Breathing:A. HELP THE PATIENTS RELIEVE AND
CON- TROL BREATHLESSNESSB. IMPROVE VENTILATORY PATTERNC. PREVENT DYNAMIC AIRWAY
COMPRESSIOND. IMPROVE GAS EXCHANGE
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The aim of Pursed-lips and Diaphragmatic Breathing:
A. SLOW EXPIRATORY PHASEB. MAINTAIN THE AIRWAY PRESSUREC. DECREASE THE RRD. INCREASE TIDAL VOL
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COMPONENT OF PULMONARY REHABILITATION FOR OBSTRUCTIVE
DISORDERS
2. CLEARENCE OF SECRETION- POSTURAL DRAINAGE- CHEST PERCUSION AND VIBRATION- CONTROL COUGHING
3. TRUNK FLEXIBILITY- NECK- COMPONENT SHOULDER GIRDLE- TRUNK
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COMPONENT OF PULMONARY REHABILITATION FOR OBSTRUCTIVE
DISORDERS
4. UPPER EXTRIMITY EXERCISES
A. STRENGTHENING OF THE UPPER BACK MUSCLES
B. STRENGTHENING OF THE UPPER EXTRIMITY MUSCLES
C. RANGE OF MOTION EXERCISE OF THE SHOULDER-GIRDLE COMPLEX
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COMPONENT OF PULMONARY REHABILITATION FOR OBSTRUCTIVE
DISORDERS
5. RECONDITIONING AEROBIC EXERCISES
1. INTENSITY DEPENDS ON THE EXERCISE TESTING
2. DURATION 20 – 30 MINUTES3. FREQUENCY 3 – 4 TIMES AWEEK
WALKING, JOGGING, CYCLING, ERGOCYCLE,TREADMEAL,SWIMMING, ETC
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6. PSYCHOSOCIAL SUPPORT
1. IS PROVIDED BY WARM AND ENTHUSIASTIC STAFF WHO CAN COMMUNICATE EFFECTIVELY WITH PATIENTS AND DEVOTE THE TIME AND EFFORT NECESSARY TO UNDERSTAND AND MOTIVATED THEM
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FAMILY MEMBER SHOULD ALSO BE INCLUDE SO THAT THEY CAN UNDERSTAND THE DISEASE AND HELP THE PATIENT TO COPE
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PATIENT SELECTION1. SYMPTOMATIC LUNG DISEASE2. STABLE ON STANDARD THERAPY3. FUNCTION LIMITATION BECAUSE OF
DISEASE4. MOTIVATED TO BE ACTIVELY
INVOLVED IN AND TAKE RESPONSIBILITY FOR OWN HEALTH CARE
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1. NO OTHER INTERFERING ON UNSTABLE MEDICAL CONDITION
2. NO ARBITRARY LUNG FUNCTION OR AGE CRITERIA
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WHEN ARE THE PATIENTS REFERED TO THE PULMONARY REHABILITATION?
MOSTLY:1. PATIENTS WITH DIFFICULTY IN CLEARING
SECRETION2. PATIENTS WITH DYSPNEA AND HYPOXIC PANNIC3. PATIENT WITH PULMONARY CHRONIC DISEASE4. PRE AND POST THORACIC SURGERY
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DON’T PANIC : CONTROL YOUR BREATHING
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DON’T PANIC :RELAX YOURSELF
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CONTROLED BREATHING ACTIVITY
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ACCESSORIES MUSCLES RELAXATION
1. Neck muscles2. Shoulder
muscles3. Chest flexibility
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Abdominal Muscles Exercises
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Upper Extremity Exercises
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Postural Drainage