exercise and pulmonary rehabilitation mary lester, rrt, rcp pulmonary rehabilitation program
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Exercise and Pulmonary Rehabilitation Mary Lester, RRT, RCP Pulmonary Rehabilitation Program Medical University of South Carolina. People with lung conditions are often caught in a vicious circle of deconditioning. Inactivity (avoiding activity). Decreased work - PowerPoint PPT PresentationTRANSCRIPT
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Exercise and Pulmonary Rehabilitation
Mary Lester, RRT, RCPPulmonary Rehabilitation Program
Medical University of South Carolina
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Inactivity(avoiding activity)
Decreased work capacity and increased
shortness of breath
Muscle weakness
Increased effort to do work
People with lung conditions are often caught in a vicious circle of deconditioning.
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Physical Activity
“Lifestyle Exercise”
• The Surgeon General’s report recommends that we accumulate a minimum of 30 minutes of moderate intensity activity on most if not all days of the week.
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What is Pulmonary Rehabilitation?
• Pulmonary Rehabilitation is a program for people with Chronic Lung Diseases such as Emphysema, Chronic Bronchitis, Asthma, Bronchitis and Interstitial Lung Disease.
• Motivates people to regain a normal and active lifestyle.
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Pulmonary Rehabilitation Objectives
• Improve Quality of Life.
• Improve ability to cope with their illness and health status.
• Restore the patient to their highest possible Functional Capacity.
• To Lead and Full and Satisfying Life.
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Pulmonary Rehabilitation Components
• Medical Management
• Education
• Breathing Retraining
• Anxiety Control
• Emotional Support
• Exercise
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Medical Management
• Team approach with the Physician
• Medications– Oxygen Requirements and Benefits
• Exercise Prescription
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Education
• Disease Process
• Medications– What, Why, How
• Stress Management– Relaxation Techniques
• Energy Conservation
• Benefits of Exercise
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Breathing Retraining
• Pursed Lip Breathing – Respiratory Rate Control– Improve Oxygen Saturation
• Diaphragmatic Breathing
• Identification of Stress (symptoms)
• Relaxation Techniques
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Emotional Support
• Grieving the Loss– Recognizing & Accepting your limitations– Adapting life style changes
• Relationships
• Group Support
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Benefits of Exercise
• Improve Independence
• Reduce Isolation
• Consistent exercise reduces sensitivity to breathlessness
• Improves efficiency of breathing
• Improves confidence
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How do I start?
• What are your goals?– Talk to your doctor before starting any new
exercise program.
• Types of Exercise– Aerobic Exercise– Strength Training– Flexibility / Stretching
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Aerobic Exercise Facts
• Two to three weeks to begin improving your fitness level.
• 6 weeks to 3 months to achieve significant improvement.
• 2 days of inactivity to begin losing endurance.
• Most of the exercise benefits will be lost within 2 weeks of inactivity.
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What is Aerobic Exercise?
• It is Exercise for the Heart and Lungs. – Work up to at least 30 minutes five or more
days a week.
• Moderate Intensity– Target Heart Rate– Exertion Scale– Talk Test
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Aerobic Exercise Activities
• Walking
• Biking
• Swimming
• Water Aerobics
• Low Impact Aerobics
• Dancing
• Hiking
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Borg Scale of Breathlessness
• To exercise comfortably you should:– Keep your shortness of breath
rating between 3 and 4.– Keep oxygen level above 90%.
• Talk Test – Able to speak in short phrases
during exercise.
Scale and Severity0 - No Breathlessness
1 - Very Slight
2 - Slight Breathlessness
3 - Moderate
4 - Somewhat Severe
5 - Severe Breathlessness
6
7 - Very Severe Breathlessness
8
9 - Very Very Severe
10 - Maximum Scale
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Stretching
• Stretching Tips– Stretch to the point of mild tension– Hold 20 to 30 seconds– No bouncing– Breathe
• If you feel pain STOP!
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Exercise Tips
• If you use a fast acting inhaler be sure to take it before exercise.
• You may need to use oxygen during exercise. Oxygen will help your muscles work more efficiently.Biking
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Other Important Tips
• To help with anxiety and breathlessness use pursed lip breathing and diaphragmatic breathing.
• Your are encouraged to use a walker, shopping cart or wheel chair if it allows you to be more active.
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Staying on Track
• Look for ways to increase your activity.
• Set short and long term goals.
• Think of possible barriers and make a plan.
Change your lifestyle and make exercising a top priority!