Describe about the Physical Therapy for Exercise Tolerance and Quality of Life.
Pulmonary rehabilitation is also considered as the respiratory rehabilitation. This is considered as an important part of the health maintenance of people who are suffering from the chronic respiratory disease (Jenkins et al., 2010). The Pulmonary Rehabilitation program is found as a broad therapeutic concept. The procedure of pulmonary rehabilitation is approved by American Thoracic Society and European Respiratory Society as a comprehensive, evidence-based and multidisciplinary intervention for patients who are suffering from the chronic respiratory disease (Wong et al., 2010). In this research report the objective or the purpose of the pulmonary rehabilitation program and role of a therapist to enhance the quality service of Pulmonary Rehabilitation Program.
Objectives of the Pulmonary Rehabilitation Program
The Pulmonary Rehabilitation Program is proved as helpful to improve the quality life of individuals who are suffering from the chronic pulmonary disease (Ringbæk et al., 2010). However, there are different objectives, which are helpful to conduct the rehabilitation program successfully. The objectives are as follows-
Offering individual with a better understanding of the disease.
Helping individuals to develop a method to cope with their disease.
Maintaining as well as promoting improvement in “physical capabilities” of the patients.
Helping individual to lead a better lifestyle
Decrease the hospitalisation number in a particular community
It is recognized an organisation or a clinic can achieve their target, which is helping the patients who are suffering from the severe cardiac disease by fulfilling the objectives stated above (Janssens et al., 2011). However, any patient who is suffering from chest pain does not need to go through a pulmonary rehabilitation program. However, individual who are who are suffering from chronic pulmonary disease, which affected their quality life, as well as functional status, needs to go through a pulmonary rehabilitation program (Ghanem et al., 2010). Several patients can have benefited from the pulmonary rehabilitation program such as chronic obstructive pulmonary disease, cystic fibrosis, bronchiectasis, neuromuscular disease and pulmonary fibrosis.
Phases of Pulmonary Rehabilitation Program
The Pulmonary rehabilitation program of a clinic has several elements, which are listed as follows but are not limited-
Conducting education sessions with the patients who are suffering from chronic cardiac diseases about the breathing techniques, oxygen therapy, respiratory medications, and diseases process as well as exercise techniques (Spruitet al., 2013).
Performing exercise in the reconditioning season.
Conducting nutrition education session to help the patients to realise which kind of foods is good for their health and lead a quality life.
Take session to help the patients to conserve energy.
Take individual session with the patients and help them to sort out exercise prescription, program recommendations, and tests.
Conducting meeting with the patients to help them understand the test results.
Recommending the patients the changes in prescription or exercise routine are necessary, especially changes in overnight oximetry, oxygen therapy, medication changes and ABGs.
It is recognised that a pulmonary rehabilitation program may be stretched from six weeks to 10 weeks. The patients who need specialized care can be assisted further by the clinic professionals.
Role of a therapist in the Pulmonary Rehabilitation Program in clinical setting
In a rehabilitation program, different staffs play a critical role to perform the rehabilitation program successfully. The therapist plays a crucial role to help the patients, who are suffering from cardiac disease. The pulmonary rehabilitation therapist is responsible for the entire rehabilitation program. The person also plays a pivotal role to lead the rehabilitation team. The therapist needs to make coordination between the physiologists, nutritionist as well as the pharmacist (Mainguy et al., 2010). The therapist needs to prepare guideline not only for the patients but also for the nutritionist and exercise tutor. The therapist initially needs to check whether the patients are eligible for the pulmonary rehabilitation program. Then the therapist needs to check the patients’ present health condition so that he or she can take proper interventions. After that, the therapist should help the patients to learn their current condition. It is important because of the education of the patients. The patients need to be educated about their present health status so that they can lead a better life (Yoshimi et al., 2012). The therapist needs them to be educated about the medications, ABGs, overnight oximetry as well as oxygen therapy. It is found that the patients can lead a quality life or a better life with the proper help from their therapist. The therapist also helps the patients to decide, which kind of exercise is helpful for their health. In other words, a therapist takes all the responsibilities of a patient who attend a pulmonary rehabilitation program.
Recommendation for the program
Although, being a therapist in the clinic where pulmonary rehabilitation program is offered it is important to follow the guideline and help the patients, it is also important to improve the present condition of the clinic and enhance the quality of pulmonary rehabilitation program offered by this clinic. To improve the current state of the pulmonary rehabilitation program in the clinic, several steps can be taken.
The pulmonary rehabilitation program offered by this clinic is stretched from six to 10 weeks. However, if a patient seeks special attention, then the clinic can provide an individual appointment for him or her.
The clinic can help the patients to find out nearest health care facilities for the patients near their home so that they do not need to travel a longer distance to join in a pulmonary rehabilitation program.
The clinic can provide an individual specific guideline to lead their life.
The clinic can also check on their patients on a regular basis and summarize the health progress of the patients.
Offering pulmonary rehabilitation program is not an easy task for a clinic as a clinic does not possess same safety and facilities like a hospital. However, it is possible for them to offer a better life towards the patients who are suffering from chronic cardiac diseases. In this scenario, that key role is played by the therapist, who helps the patients to achieve a better life.
Ghanem, M., ELaal, E. A., Mehany, M., & Tolba, K. (2010). Home-based pulmonary rehabilitation program: Effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients. Annals of thoracic medicine, 5(1), 18.
Janssens, T., De Peuter, S., Stans, L., Verleden, G., Troosters, T., Decramer, M., & Van den Bergh, O. (2011). Dyspnea perception in COPD: association between anxiety, dyspnea-related fear, and dyspnea in a pulmonary rehabilitation program. CHEST Journal, 140(3), 618-625.
Jenkins, S., Hill, K., & Cecins, N. M. (2010). State of the art: how to set up a pulmonary rehabilitation program. Respirology, 15(8), 1157-1173.
Mainguy, V., Maltais, F., Saey, D., Gagnon, P., Martel, S., Simon, M., & Provencher, S. (2010). Effects of a rehabilitation program on skeletal muscle function in idiopathic pulmonary arterial hypertension. Journal of cardiopulmonary rehabilitation and prevention, 30(5), 319-323.
Ringbæk, T., Martinez, G., Brøndum, E., Thøgersen, J., Morgan, M., & Lange, P. (2010). Shuttle walking test as predictor of survival in chronic obstructive pulmonary disease patients enrolled in a rehabilitation program.Journal of cardiopulmonary rehabilitation and prevention, 30(6), 409-414.
Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C., ... & Pitta, F. (2013). An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. American journal of respiratory and critical care medicine,188(8), e13-e64.
Wong, C. J., Goodridge, D., Marciniuk, D. D., & Rennie, D. (2010). Fatigue in patients with COPD participating in a pulmonary rehabilitation program. Int J Chron Obstruct Pulmon Dis, 5, 319-326.
Yoshimi, K., Ueki, J., Seyama, K., Takizawa, M., Yamaguchi, S., Kitahara, E., ... & Fukuchi, Y. (2012). Pulmonary rehabilitation program including respiratory conditioning for chronic obstructive pulmonary disease (COPD): Improved hyperinflation and expiratory flow during tidal breathing. Journal of thoracic disease, 4(3), 259-264.