Pulmonary Rehab exam 1 Questions With Complete Solutions
Pulmonary rehabilitation: - Correct Answers ✅evidence
based, multidisciplinary & comprehensive intervention for pts w/ chronic resp diseases who are symptomatic & often have decreased daily life activities.COPD is ____ leading cause of death in U.S. - Correct Answers ✅3rd COPD costs U.S. economy? - Correct Answers ✅32.1 billion/year-18 direct & 14 indirect (*NHLBI) How many people have impaired lung function & are undiagnosed? - Correct Answers ✅24 million What % of COPD is caused by cigarette smoking? - Correct Answers ✅85% What % of COPD is caused by factors such as occupational & environmental exposures, previous lung infections, or genetic abnormalities? - Correct Answers ✅15% What % of smokers develop COPD? - Correct Answers ✅15- 20% COPD can lay dormant for how many yrs before pt becomes symptomatic? - Correct Answers ✅20 years 1 / 3
Pulmonary Rehab exam 1 Questions With Complete Solutions Around what % do pts die within 10 yrs of a diagnosis of COPD? - Correct Answers ✅50%
Essential components of pulmonary rehab: - Correct
Answers ✅-promotion of long-term adherence -education & training -assessment -psychosocial intervention -exercise PT goals & program goals - Correct Answers ✅=staff should be consistent in their understanding of goals -pt goals need to be established & reviewed w/ the pt/significant other at the beginning of program -goals should be realistic & readily achievable -goals may be altered as program progresses
Patient goals: - Correct Answers ✅breathe better, more
active, improve QOL, improve ADL, be able to travel w/ greater ease, increase strength & endurance
Program goals: - Correct Answers ✅increase exercise
tolerance & pt compliance, decrease psychological 2 / 3
Pulmonary Rehab exam 1 Questions With Complete Solutions symptoms, education, infection control, tx plan, return pt to gainful employment (active retirement)
Demonstrated outcomes of pulm rehab: - Correct Answers
✅-reduced resp symptoms -increased exercise tolerance & endurance -increased knowledge of pulm disease -enhanced ability to perform ADL -improved health-related QOL -improved psychosocial symptoms -reduced hospitalizations -return to work for some pts Traditional primary selection criterion is based on? - Correct Answers ✅physiologic impairment
Physiologic impairment: - Correct Answers ✅-abnormal
PFTs -FEV1/FVC < 70% of predicted -FEV1 < 80% of predicted -DLco ≤ 65% of predicted
-Resting hypoxemia: SpO2 < 90%
-Oxygen desaturation w/ exercise: SpO2 < 90%
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