Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 590 views

    Physiotherapy Management For Copd: T.Sunilkumar

    Uploaded by

    Yamini Chowdary
    This document discusses the principles of physiotherapy management for chronic obstructive pulmonary disease (COPD). The goals are to maximize quality of life by educating patients about COPD self-management and optimizing lung function through exercises and techniques to improve ventilation, gas exchange, aerobic capacity and reduce the work of breathing. Physiotherapy interventions include education, aerobic and strength exercises, breathing techniques and positioning to improve cardiopulmonary function and oxygen transport for patients with COPD.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Physiotherapy Management For Copd: T.Sunilkumar

    Uploaded by

    Yamini Chowdary
    590 views10 pages
    This document discusses the principles of physiotherapy management for chronic obstructive pulmonary disease (COPD). The goals are to maximize quality of life by educating patients about COPD self-management and optimizing lung function through exercises and techniques to improve ventilation, gas exchange, aerobic capacity and reduce the work of breathing. Physiotherapy interventions include education, aerobic and strength exercises, breathing techniques and positioning to improve cardiopulmonary function and oxygen transport for patients with COPD.

    Original Description:

    Cardio ppt

    Original Title

    copd pt

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses the principles of physiotherapy management for chronic obstructive pulmonary disease (COPD). The goals are to maximize quality of life by educating patients about COPD self-management and optimizing lung function through exercises and techniques to improve ventilation, gas exchange, aerobic capacity and reduce the work of breathing. Physiotherapy interventions include education, aerobic and strength exercises, breathing techniques and positioning to improve cardiopulmonary function and oxygen transport for patients with COPD.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    590 views10 pages

    Physiotherapy Management For Copd: T.Sunilkumar

    Uploaded by

    Yamini Chowdary
    This document discusses the principles of physiotherapy management for chronic obstructive pulmonary disease (COPD). The goals are to maximize quality of life by educating patients about COPD self-management and optimizing lung function through exercises and techniques to improve ventilation, gas exchange, aerobic capacity and reduce the work of breathing. Physiotherapy interventions include education, aerobic and strength exercises, breathing techniques and positioning to improve cardiopulmonary function and oxygen transport for patients with COPD.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 10

    PHYSIOTHERAPY

    MANAGEMENT
    FOR COPD
    T.SUNILKUMAR
    • The common disease entity of chronic bronchitis
    and emphysema is known as
    COPD (chronic obstructive pulmonary disease),
    COAD (chronic obstructive airways disease),
    COLD (chronic obstructive lung disease),
    CAO (chronic airflow obstruction) or
    CAL (chronic airflow limitation).
    Principles of physical therapy management
    for COPD
    The goals for long-term management of the patient
    with COPD include the following:
    • Maximize the patient's quality of life, general
    health, and well-being and hence physiological
    reserve capacity
    • Educate about COPD, self-management, smoking
    reduction and cessation, medications, nutrition,
    weight control, other lifestyle factors, infection
    control, and the role of a rehabilitation program
    • Facilitate mucociliary transport
    • Optimize secretion clearance
    • Optimize alveolar ventilation
    • Optimize lung volumes and capacities and
    flow rates
    • Optimize ventilation and perfusion
    matching and gas exchange
    • Reduce the work of breathing
    • Reduce the work of the heart
    • Maximize aerobic capacity and efficiency
    of oxygen transport
    • Optimize physical endurance and exercise
    capacity
    • Optimize general muscle strength and
    thereby peripheral oxygen extraction
    • Optimize respiratory muscle strength and
    endurance and overall respiratory muscle
    efficiency
    • Patient monitoring includes dyspnea, respiratory
    distress, breathing pattern (depth and frequency),
    arterial saturation, cyanosis (delayed sign of
    desaturation), heart rate and blood pressure.
    • Patients with cardiac dysfunction or low arterial
    oxygen tensions require ECG monitoring,
    particularly during exercise.
    • If supplemental oxygen is used, the FIo2
    administered is recorded. Subjectively,
    breathlessness is assessed using a modified version
    of the Borg scale of perceived exertion.
    • Patient education focuses on teaching about
    the severity of COPD, self-management of the
    disease, the effect of smoking and smoking
    cessation. nutrition, weight control, hydration,
    relaxation, sleep and rest, stress management,
    activity pacing, energy conservation, and
    prevention (e.g., cold and flu prevention, flu
    shots, aerobic exercise, diet, sleep, and stress
    management).
    • The primary interventions for maximizing
    cardiopulmonary function and oxygen transport in
    patients with COPD include some combination of
    education, aerobic exercise, strengthening exercise,
    ventilatory muscle training (strength and endurance) or
    ventilatory muscle rest, low flow oxygen, mechanical
    ventilatory support for home use, chest wall mobility
    exercises, range of motion exercises, body positioning,
    breathing control and coughing maneuvers, airway-
    clearance techniques, relaxation, activity pacing, and
    energy conservation.
    • An ergonomic assessment of work and home
    environments may be indicated to minimize oxygen
    demands in these settings.
    • The benefits of aerobic and strengthening
    exercise in the long-term management of airflow
    limitation to optimize oxygen transport in
    patients with compromised oxygen delivery is
    well established
    • Exercise intensity is prescribed based on rating
    of breathlessness (modified Borg scale), in
    conjunction with objective and other subjective
    responses from the exercise test.
    • Patients with chronic airflow limitation alter their
    breathing patterns so that they tend to breathe
    with prolonged expiratory phases to maximize
    gas transfer and mixing in the lungs to minimize
    the effects of altered ventilatory time constants.
    • To facilitate such a breathing pattern, the patient
    tends to breathe through pursed lips, which may
    create back pressure to maintain the patency of
    the airways

    You might also like