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Diag Pro Unit 9

SPC Diagnostic Procedures Exam 5 Unit 9

CA means? Cancer
ADL means? Activities of daily Living
What is ADL? Activities a patient must perform to care for themselves, such as bathing, dressing, preparing meals, etc.
PR means Pulmonary Rehab
P&P means? Policies & Procedures
Patients that benefit from PR can have the following? Asthma, Bronchiectasis, Cancer, COPD, Cystic Fibrosis, Chest wall or Neuromuscular disease, Interstitial lung disease, Post Vol. Reduction surgery, Pre & Post Transplant Surgery
Patients who do not benefit from PR suffer from? 1. Ischemic heart disease 2. Acute cor pulmonale 3. Severe Pulmonary Hypertension 4. Severe liver disfunction 5. Metastatic Cancer 6. Renal Failure 7. Severe Cognitive deficit 8. Psychiatric Disease 9. Active Substance abusers
Advantages of Inpatient PR? 1. Teach procedure to patient and family 2. Observe to ensure patient is doing it correctly 3. Works for patients getting long term devices: trachs, suctioning, vents.
Disadvantages of Inpatient PR? 1. Labor intensive and expensive 2. Family may not be available to receive proper training 3. PR staff cant observe home activities
Advantages of Outpatient PR? 1. Efficient use of staff 2. More patients can be seen 3. Receive the best insurance reimbursment
Disadvantages of Outpatient PR? 1. Requires patient to have ability to attend 2. Patient must have transport to and from facility 3. Family may not be available to receive training 4. PR staff cannot observe patient at home
Advantages of Home PR? 1. Staff observes patient at home and identify problems or barriers 2. Convenient setting for patient and family 3. Patient transportation is not an issue 4. Highest rate of compliance and attendance
Disadvantages of Home PR? 1. Limited availability of equipment for monitoring, testing, exercise 2. Difficult to bring bulky equipment to home 3. Most labor intensive staff travel 4. Offers smallest scope of professional skills 5. Home based PR has the poorest reimbursement
PR educates patients on what? 1. Pulmonary Anatomy 2. O2 Therapy 3. Infection control 4. Managing sleep 5. Benefits and side effects of meds 6. Nutrition 7. Managing RnR and stress 8. Managing intimacy & sex 9. Travel 10. When to call dr. 11. Community service
Exercise PR programs include? 1. Breathing retraining 2. Endurance, strength, & flexibility training 3. Ventilatory muscle training 4. Energy conservation to assist patient with ADL
During exercise PR staff monitors what? 1. Physical appearance and vitals 2. Cardiac Telemetry 3. SPO2 4. Perceived Dyspnea and exertion on one of several scales
# common scales for quantifying Dyspnea? 1. Borg scale or BORG 2. Visual Analog Scale or VAS 3. Baseline Dyspnea Indicator or BDI
VAS scale? Long line at either end from No SOB to Extreme SOB, patient indicates to the point that describes their dyspnea
BORG scale? 10 point sale with descriptive terms, patient uses to communicate their SOB
BDI scale? Scale completed by interviewer, and measures functional impairment, amount of effort, and amount of work completed
Generally PR programs are a total of what? 12hrs a week for 6 weeks, but can vary
PR programs are proven to what? 1. Reduce dyspnea 2. Increase ADL and exercise 3. Decrease cough/sputum/wheezing 4. Increase Pt knowledge of disease 5. Reduce need for medical tx 6. Increase vent free time 7. Help patients return to work
How are effects of PR on individual patients assessed? 1. Individual response to exercise 2. Improvements from initial tolerance to exercise 3. Rest and exercise SPO2 4. Patient questionnaire 5. Assessment of progress of patient set goals
A disciplines must have a what serving as what? A doctor serving a medical director
Each team member in a PR program must? 1. Have interest in PR 2. Be qualified within their discipline 3. Be able to teach this discipline to a patient 4. Know BLS or ACLS
Program Director is usually a what? RN, RT, or PT
What are the different disciplines within a PR program? Dietician, RN, RT, PT, OT, Clinical Social Worker, Psychiatrist/Psychologist and sometimes Exercise Physiologist, Pharmacist, and Clergyman/Chaplains
Created by: Langhout1418