Neurologic/Geriatric>>Pulmonary Rehabilitation - 1/5/2007
A. Reduce shortness of breath
B. Reduce Anxiety
C. Increase ability to perform normal daily activities
D. Master proper breathing techniques
E. Reduce hospitalization
F. Promote self-reliance and independence
II. How the program works
A. Diagnostic work-up/Pulmona
B. Review of Medications and clearance for entry level physical therapy pulmonary rehab program
C. Physician referral to physical therapy pulmonary rehab program
D. Program is runs three times a week for 8 weeks.
1. Therapists tailor safe exercise program to each participant’s needs based.
2. Initial focus on increasing muscular strength and flexibility.
3. Progress to exercise intermittently for 60 minutes
4. Aerobic protocols follow the American Association of Cardiovascular and Pulmonary Rehabilitation Guidelines and the standards from
b. Energy conversation
c. Pursed lip and diaphrammatic breathing
d. Modification of ADLs
e. Anxiety reduction
III. Appropriate Population/Refe
A. Recent Exacerbation and hospitalization
B. Oxygen desaturation or diminished PFTs
C. Use of supplemental oxygen
D. Diminish in functional mobility and physical activity
E. Complaints of dyspnea
A. Left heart failure
B. Uncontrolled angina
C. Hypertension or hypotension
D. Acute systematic illness or fever
E. Organic brain syndrome
F. Cancer (advanced)
*Persons with cardiac co-morbidity should be referred for a graded exercise test, supervised in a cardiac rehab program.