Presentation on theme: "Exercise and Pulmonary Rehabilitation"— Presentation transcript:
1 Exercise and Pulmonary Rehabilitation Mary Lester, RRT, RCPPulmonary Rehabilitation ProgramMedical University of South Carolina
2 capacity and increased shortness of breath People with lung conditions are often caught in a vicious circle of deconditioning.Inactivity(avoiding activity)Decreased workcapacity and increased shortness of breathMuscle weaknessIncreased effort todo work
3 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.
4 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.
5 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.
6 Pulmonary Rehabilitation Components Medical ManagementEducationBreathing RetrainingAnxiety ControlEmotional SupportExercise
7 Medical Management Team approach with the Physician Medications Oxygen Requirements and BenefitsExercise Prescription
8 Education Disease Process Medications Stress Management What, Why, HowStress ManagementRelaxation TechniquesEnergy ConservationBenefits of Exercise
10 Emotional Support Grieving the Loss Relationships Group Support Recognizing & Accepting your limitationsAdapting life style changesRelationshipsGroup Support
11 Benefits of Exercise Improve Independence Reduce Isolation Consistent exercise reduces sensitivity to breathlessnessImproves efficiency of breathingImproves confidence
12 How do I start? What are your goals? Types of Exercise Talk to your doctor before starting any new exercise program.Types of ExerciseAerobic ExerciseStrength TrainingFlexibility / Stretching
13 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.
14 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 IntensityTarget Heart RateExertion ScaleTalk Test
16 Borg Scale of Breathlessness Scale and Severity0 - No Breathlessness1 - Very Slight2 - Slight Breathlessness3 - Moderate4 - Somewhat Severe5 - Severe Breathlessness67 - Very Severe Breathlessness89 - Very Very Severe10 - Maximum ScaleTo exercise comfortably you should:Keep your shortness of breath rating between 3 and 4.Keep oxygen level above 90%.Talk TestAble to speak in short phrases during exercise.
17 Stretching Stretching Tips If you feel pain STOP! Stretch to the point of mild tensionHold 20 to 30 secondsNo bouncingBreatheIf you feel pain STOP!
18 Exercise TipsIf 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
19 Other Important TipsTo 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.
20 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!