Objectives
Given case scenarios, attendee will be able to
1. Assess acute vs chronic symptoms within the diagnosis of COPD.
2. Select effective treatment techniques that reflect the widely variable levels of
impairment due to COPD.
3. Individualize education information specific for symptoms of COPD, including
medications and exercise.
3. Utilize accurate documentation & communication regarding acute changes and
modifications to the plan of care to other team members and physicians.
Expanded Course Contents
PATHOPHYSIOLOGY
1. Air exchange in the Lungs: Mechanical considerations + Mucociliary activity
2. O2 Transport
3. O2-Muscular exchange
4. Training Effects
TESTS FOR LEVEL OF IMPAIRMENT: Right-size your program!
1. by Spirometry or PFT's
2. Functional Asthma Classification
3. by predicted mean PFT values
4. by Oxygen Uptake (MVO2)
5. by American Thoracic Society Dyspnea Scale
6. Blood pressure classifications
EFFECTIVE EVALUATION
O: 1. INSPECTION
a. General
b. Head/neck/posture appearance
c. Chest movement: static and dynamic
d. Cough clearance and sputum
2. PALPATION SKILLS
3. PERCUSSION SKILLS (mediate percussion)
4. AUSCULTATION SKILLS (heart and lung sounds)
5. VITAL SIGNS (Resting vs Dynamic, including recovery)
6. Continued general evaluation areas.........
A: PROBLEMS: (typical of the primary limiting factors)
OUTCOMES: (typical goals for patients in specific, functional terms
& time frames)
P: Combinations of treatment tools that individualize your program
EFFECTIVE TREATMENT TECHNIQUES
*Pulmonary hygiene and cough clearance techniques/devices
*Breathing retraining and effective verbal cueing tips
*Exercise progression: logical and safe
*Education: topics that help fine tune your patient!
INDICATIONS FOR HOME OXYGEN
*General indications under Medicare
*Nocturnal O2 Therapy
*Supplemental O2 with exercise &/or ADL's
AUSCULTATION OF BREATH SOUNDS: Terminology, Theory, and Uses in Rehab
1. Wheeze or rhonchi, rales
2. Bronchial breath sounds
3. Diminished breath sounds
4. E to A changes
5. Pleural rubs
MEDICATION DELIVERY TIPS (Techniques and Inhalers)
AIRFLOW / O2 MEASUREMENTS: Flow Meters, Oximeters, & Incentive Spirometers
CASE STUDIES AND DISCUSSION OF TREATMENT METHODS
