The Pulse

Ventilatory Strategies for Cardiopulmonary Conditions

Posted by ACP - Accelerated Care Plus on Apr 20, 2022 12:43:08 PM

Individuals with cardiopulmonary conditions often present with dyspnea, severe weakness, poor endurance, limited mobility, and decreased activity tolerance. As their disease state progresses, their ability to perform activities of daily living (ADLs) declines, ultimately leading to a loss of independence. A therapy plan of care that includes breathing exercises, energy conservation techniques (e.g., paced activity, assistive device, task planning), and ventilatory strategies may improve the individual’s breathing and functional performance as well as help maintain independence.

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Topics: Clinical Tip, Cardiopulmonary

Improving Functional Mobility and Cardiovascular Endurance with Electrical Stimulation and Exercise

Posted by ACP - Accelerated Care Plus on Feb 25, 2022 12:51:26 PM

Patient Information: Male, Age 73

Diagnosis: Chronic Obstructive Pulmonary Disease (COPD) exacerbation.

History: This gentleman was referred to a skilled nursing facility for rehabilitation services to address significant weakness and functional decline after an exacerbation of COPD.

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Topics: Patient Success Story, Cardiopulmonary

Ventilatory Strategies for Cardiopulmonary Conditions

Posted by ACP - Accelerated Care Plus on Dec 15, 2021 12:27:03 PM

Individuals with cardiopulmonary conditions often present with dyspnea, severe weakness, poor endurance, limited mobility, and decreased activity tolerance. As their disease state progresses, their ability to perform activities of daily living (ADLs) declines, ultimately leading to a loss of independence. A therapy plan of care that includes breathing exercises, energy conservation techniques (e.g., paced activity, assistive device, task planning), and ventilatory strategies may improve the individual’s breathing and functional performance as well as help maintain independence.

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Topics: Clinical Tip, Cardiopulmonary

Improving Activity Tolerance and Functional Mobility Using Breathing Therapy and Exercise

Posted by ACP - Accelerated Care Plus on Oct 27, 2021 9:45:52 AM

Patient Information: Female, Age 64

Diagnosis: Acute Respiratory Failure / COVID-19 / Chronic Obstructive Pulmonary Disease (COPD)

History:
This woman was referred to a skilled nursing facility due to severe debility following a seven week hospitalization due to COVID-19. Her condition was complicated by diabetes, COPD, and pulmonary fibrosis. At the time of hospital discharge, she required 8 liters per minute of supplemental oxygen to maintain oxygen saturation level. Prior to hospitalization she lived with her family in a 2-story home, was independent with walking and all self-care, and worked as a construction supervisor.

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Topics: Patient Success Story, Cardiopulmonary

Improving Activity Tolerance and Functional Mobility Using Breathing Therapy and Exercise

Posted by ACP - Accelerated Care Plus on Sep 13, 2021 12:06:54 PM

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Patient Information: Female, Age 64

Diagnosis: Acute Respiratory Failure / COVID-19 / Chronic Obstructive Pulmonary Disease (COPD)

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Topics: Patient Success Story, Cardiopulmonary

Rehabilitation in Individuals with Long COVID

Posted by ACP - Accelerated Care Plus on Jul 27, 2021 4:55:11 PM

According to the CDC, in the U.S. there have been more than 33.9 million cases since January 2020. As many as 1 in 10 of those who develop COVID-19 exhibit new and prolonged symptoms lasting 12 weeks or longer. This is known as long COVID and occurs regardless of the severity of the acute illness. These individuals may have multisystem involvement with the most common symptoms after 6 months being fatigue, post-exertional symptom exacerbation (PESE), and problems with memory and concentration (brain fog). Therapists should screen for PESE, a worsening of symptoms typically 12 to 48 hours following even minimal cognitive, physical, emotional, or social activity that may last for days or weeks. (World Physiotherapy, 2021)

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Topics: Clinical Tip, Cardiopulmonary

Improving ADL Performance and Independence in Chronic Conditions

Posted by ACP - Accelerated Care Plus on Apr 28, 2021 5:08:51 PM

According to the CDC, 78% of adults over 55 in the U.S. have one or more chronic conditions. The ability to perform activities of daily living (ADLs) such as transfers, dressing, and bathing along with instrumental activities of daily living (IADLs) such as shopping, cooking, and cleaning informs healthcare professionals regarding the individual’s level of independence. With chronic conditions such as COPD, chronic heart failure, stroke, and diabetes, individuals may have dyspnea, weakness, and poor aerobic capacity which in turn may lead to impaired ability to perform ADLs and IADLs.

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Topics: Clinical Tip, Cardiopulmonary

Rehabilitation for Individuals with Pulmonary Conditions

Posted by ACP - Accelerated Care Plus on Mar 23, 2021 4:08:34 PM

Respiratory diseases are among the leading causes of death and disability in the United States. In 2019, chronic lower respiratory disease including asthma, but predominately chronic obstructive pulmonary disease (COPD), was the 4th leading cause of death and influenza and pneumonia the 9th leading cause of death (Kochanek et al., 2020). The ranking for 2020 will likely change due to COVID-19-related deaths at greater than 500,000.

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Topics: Clinical Tip, Cardiopulmonary

Improving Functional Mobility Using Exercise

Posted by ACP - Accelerated Care Plus on Mar 15, 2021 11:26:56 AM

Patient Information: Female, Age 85

Diagnosis: Chronic Heart Failure (CHF) / Chronic Obstructive Pulmonary Disease (COPD) / Muscle Weakness

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Topics: Patient Success Story, Cardiopulmonary

Biophysical Agents and Advanced Technologies in the Rehabilitation of Patients with Heart Failure

Posted by ACP on Feb 19, 2021 2:29:28 PM

Heart disease is the leading cause of death for both men and women in the United States with greater than 600,000 deaths attributed each year. Along with other conditions such as diabetes and obesity, heart disease may lead to heart failure which affects 6.2 million Americans per year (CDC, 2020).

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Topics: Clinical Tip, Cardiopulmonary

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