“Breathe” Program for Pulmonary Rehabilitation
What is COPD?
Chronic Obstructive Pulmonary Disease, or COPD is often a mix of two diseases:
- Chronic Bronchitis: In this condition, the airways that carry to the lungs (bronchial tubes) get swollen (inflamed) and make lots of mucus. This can narrow or block the airways, making it hard to breathe.
- Emphysema: The air sacs in the lungs, which act like tiny balloons, lose their stretch (elasticity). Less air gets in and out, thus making a person short of breath.
COPD gets worse over time. COPD is a condition in which the ribs (thoracic cage) remains in a state of hyperinflation. Main symptoms:
- A long lasting cough
- Mucus with cough
- Shortness of breath
COPD is the third leading cause of death in America, claiming the lives of 134,676 Americans in 2010
- Physical Exam and auscultation (listening to lungs)
- History which includes smoking or chemical fumes history
- Breathing tests such as spirometry
- Chest x-ray to rule out other problems
Inspiratory muscle weakness can lead to dyspnea, exercise intolerance and COPD. In COPD, the chest is constantly in hyperinflation. Cystic Fibrosis is also an example of inspiratory muscle weakness. Expiratory muscle weakness leads to problems with speech and mucus retention due to decreased cough efficacy. Multiple Sclerosis is an example in which due to abdominal (expiatory) muscle weakness, leads to mucus retention.
Care at Home
- Complete and comprehensive evaluation
- Education: This will include education about the disease, expectations and goals and role of different medications will be explained. Usage of corticosteroid and colchicine will be reviewed and discussed with the physician.
- Oxygen therapy & nebulizer care: Evaluations for any prescribed medicine
- Energy Conservation: This involves potential re-arranging of furniture or home modification. This will also involve teaching patient how to slow down and complete tasks experiencing dyspnea.
- Functional exercises to improve gait, balance, transfers and muscle power. Energy conservation will play an important role in increasing the functional outcomes.
- Nutritional guidance
- Psychosocial support from social worker if needed
- Body positioning: Leaning forward position relieves the symptoms of shortness of breath
- Pursed lip breathing exercise
- Practicing and training relaxation and diaphragmatic breathing
- Inspiratory muscle exercise using pressure meter as a biofeedback device (increased numbers signify progress)
In 2011, an estimated 10.1 million Americans reported a physician diagnosis of chronic bronchitis. Chronic bronchitis affects people of all ages, although people aged 65 years or more have the highest rate at 64.2 per 1,000 persons.
Of the estimated 4.7 million Americans ever diagnosed with emphysema, 92 percent are 45 or older.
Hometown’s Breathe Program focuses on Pulmonary Health. This includes COPD, emphysema, pneumonia, and more. Our skilled team provides you with education on respiratory disease and prevention, as well as symptom management. We can provide pulse oximetry, and assist you in obtaining supplemental oxygen and in home chest X-Rays as directed by your Physician. Our therapy team will coordinate with your physician to formulate a patient-specific treatment plan that will allow you to increase your stamina, energy levels, and lung functioning. Our goal is for you to breathe easier!
Contact us to discuss your needs!