psychosocial support for COPD pt
- pt w copd have anxiety, stress and loss of motivation
- provides support groups, counseling, and stress management techniques
what is the pt target hr
20 beats/min above resting rate
parameters measured during exercise evaluation
- BP
- HR
3.EKG
4.RR
5.abg/o2
6.O2 concumption
7.CO2 production
what is the modified borg scale
assessment of pt chronic lung disease
0 none
1 very slight
2 slight
3 mod
4 somewhat severe
5/ 6 Severe
7/ 8 very severe
9 very very severe
10 maximal
what should a pulmonary rehab center have access to
- easy to reach, accessible to public transportation and avilable parking
- rooms should be spacious and comfortable with adequate lighting and ventilation
when scheduling for pulmonary rehab what needs to be considered
1.class schedule at a time most convient for pt
2.traffic patterns, bus schedules and availability of rides
equipment for pulmonary rehab
- black board or flip chart
- 33mm projector or powerpoint
- formal learning packages
physical reconditioning equipment needed
- stationary bicycles, treadmills row machines
- pulse oximeters
3.inspiratory resistance device - emergency O2 should be in room
qualifications for rehab program
- pt with chronic respiratory issue are referred by physician and must make their appointment and be seen within 90 days of referral
open ended designs
allow pt to enter program and progress through it until certain goals are achieved
close ended design of rehabilitation program
1.use a set time period to cover the program content
2. meet 1-3 times per wk for 6-16 wks
6 minute walk
1.measures the distance an individual is able to walk over a total of 6 minutes
2.used to check aerobic capacity and endurance
3. check vitals before: HR,.BP,SPO2
4. tells pt initial exercise capacity and gives baseline
who recommended reconditioning programs
(1952)alvan barach
who published data confirming the value of reconditioning programs
(1962)pierce and associates
