Anatomy-Physiotherapy-logo

  • Italiano (Italia)
  • Français (France)
  • Portuguese (PT)
  • Deutsch (Deutschland)
  • Spanish (ES)
  • English (UK)
New english website, click here ->

           

  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
      • Lower extremity
      • Spine
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
Anatomy-Physiotherapy-logo
21 Jan2014

21 January 2014.

Written by Liesbeth Raymakers
Posted in Aging

Written by Liesbeth Raymakers21-01-2014 08:30:00. Posted in Aging

Smoking cessation is an important component in pulmonary rehabilitation (Image by: prweb.com)

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD).  Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD.  As physiotherapists are part of the multidisciplinary team and spend large amounts of time with their patients, they are central in facilitating chronic disease self-management.    

These include approaches designed to:  
1) facilitate smoking cessation (intensive counselling therapy and nicotine replacement therapy are most effective when embedded in pulmonary rehab) 
2) optimise pharmacotherapy (correct inhaler technique, review adherence, vaccination, proper oxygen therapy)  
3) assist with early identification and treatment of acute exacerbations (education, written action plan when first symptoms noticed) 
4) manage acute dyspnoea (pursed lip breathing, forward-lean position, use of rollator (facilitating accessory muscles of respiration, reducing metabolic cost). 
5) increase physical activity (frequent, short activities, goal setting, motivational interviewing)  
6) improve body composition (maintain FFM and healthy BMI, nutritional support) 
7) promote mental health (treat anxiety and depression, cognitive behaviour therapy)  
8) facilitate advance care planning (end-of-life care, discuss unwanted interventions)  
9) establish social support networks (peer support in rehab, patient support groups, involving caregivers).   

Consideration should be given to incorporating these approaches within the framework of a pulmonary rehab programme. A multidisciplinary team can provide a tailor-made intervention, with the patient having access to those healthcare professionals with expertise that is relevant for their specific situation. Regular  team meetings may help healthcare professionals to provide a coordinated approach to patient care. > From: Hill et al., Eur Respir Rev 22 (2013) 405-413. All rights reserved to the European Respiratory Society.

Visit the PubMed summary for more information or click here for the free full text version.

Image by: danaziz.com

Tags: pathology, respiratory, management, Chronic obstructive pulmonary diseases, Comprehensive approach

Please log in or create an account to place comments. It's free and takes only a minute.

About the Author
Liesbeth Raymakers
Liesbeth Raymakers
Liesbeth Raymakers has been working as a Physiotherapist since 1998, mainly in hospital based care, ICU and intensive rehab. Originally from the Nethe...

Latest articles from this auhtor

  • Efficacy of cardiorespiratory aerobic exercise in rheumatoid arthritis: meta-analysis of randomized controlled trials.
  • A framework for fibromyalgia management for primary care providers.
  • Effect of resistance training on physical performance and fear of falling in elderly with different levels of physical well-being
  • Age-related effects of exercise training on diastolic function in heart failure with reduced ejection fraction: the Leipzig Exercise Intervention in Chronic Heart Failure and Aging (LEICA) Diastolic Dysfunction Study.
  • Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis
 

 

Login

  • Forgot your password?
  • Forgot your username?
  • Create an account
AP banner Sono 1

Related

  • Thoracic outlet syndrome: A neurological and vascular disorder.
  • Test your knowledge: Modic changes in lumbar vertebrae
  • Degenerative joint disease of the acromioclavicular joint: a review
  • Test your knowledge: Side-effects of medication in COPD
  • Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012.

Sub Menu

  • Musculoskeletal
    • Upper extremity
      • Shoulder
      • Elbow
      • Wrist
      • Hand
    • Lower extremity
      • Hip
      • Knee
      • Ankle
      • Foot
    • Spine
      • Pelvis
      • Lumbar
      • Thoracic
      • Rib cage
      • Cervical
  • Other
    • Nervous
    • Circulatory
    • Nutrition
    • Aging
    • Pain
    • Various

Newsletter

Subscribe to our weekly newsletter to receive all articles of the week in your mailbox.

 

Partners

enraf nonius

apa

fontys

vpt

kiné care

ICMSU

  • Home
  • About
  • Team
  • Advertise
  • Contact
  • Terms of Service
  • Privacy Policy
  • Jobs
  • Newsletter archive
AP-SMALL-WHITECopyright 2010 - 2021 Anatomy & Physiotherapy. All Rights Reserved.

Privacy Policy

AdBlock detected

We want to keep offering top-notch content for free. In order to keep up with the additional costs that we incurr with scaling our website, we need your help! Please turn off your adblocker or consider donating a small amount.

http://www.anatomy-physiotherapy.com/donate

Close
You can also just close this popup. It shows only once.
isApp.it
  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
        • Shoulder
        • Elbow
        • Wrist
        • Hand
      • Lower extremity
        • Hip
        • Knee
        • Ankle
        • Foot
      • Spine
        • Pelvis
        • Lumbar
        • Thoracic
        • Rib cage
        • Cervical
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
You are now being logged in using your Facebook credentials