The Science Journal of the American Association for Respiratory Care

1997 OPEN FORUM Abstracts

CHANGES IN OXYGEN SATURATION AND OXYGEN USE FOLLOWING PROGRESSIVE STEP PULMONARY REHABILITATION.

William Shearouse, R.R.T., Monticello Daniels, R.R.T. and Allan Miller, M.D., The Institute for Health and Healing, Florida.

A retrospective study was performed on the first six patients post completion of The Progressive Step Pulmonary Program at The Institute For Health and Healing in Jacksonville Florida. The patients ranged in age from 44 to 76 with a mean age of 65. All six patients were female and suffered from a variety of breathing disorders. Chronic Obstructive Pulmonary Disease (4) Emphysema (1) and Bronchiectasis (1). Four of the six patients used oxygen therapy on a continuous basis 24 hours a day. One of the patients used oxygen on an intermittent basis and at night. Each patient's oxygen saturation (SpO2) was measured via an Ohmeda 3760 pulseoximeter before, during and after therapy. Each patient attended the program three times a week for no more than eight weeks. The patients were seen on an individual basis and not in a group. A multi-team approach was used and included Respiratory Therapy, Occupational Therapy, Social Services and Physical Therapy. Patients were rotated through each therapy based on their Respiratory Score (R.S.) The R.S. is determined by the results of the patient's forced vital capacity at one second FEV1%, perceived dyspnea score (PDS) and the distance the patient is able to walk before becoming short of breath. Oxygen saturation (SpO2) increased in all six patients ranging from (3.1) % to (16.0) % with a mean increase of (9.25) % S.D. (2.9) Range (12.9)%. As a result of oxygen saturation (SpO2) improvement, four of the five patients who were on a regimen of oxygen therapy were taken off. One patient remained on oxygen therapy on an as-needed basis only. Dyspnea is caused by a multitude of factors including hypoxemia and the inappropriate use of breathing muscles. The Progressive Step Pulmonary Rehabilitation Program applies an individualized treatment program for each patient which concentrates on the mechanisms of dyspnea for that patient. This approach allows for aggressive treatment for the individual and allows the patient to regain physical strength and decrease the work of breathing. Further studies are warranted.

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