The Science Journal of the American Association for Respiratory Care

1997 OPEN FORUM Abstracts

PULMONARY REHABILITATION AND THE NON-OBSTRUCTIVE DISEASE PATIENT

JOHN E. HODGKIN, M.D., DECEMBER 7, 1997.

I. THE DEFINITION OF PULMONARY REHABILITATION

"Pulmonary rehabilitation is a multidimensional continuum of services directed to persons with pulmonary disease and their families, usually by an interdisciplinary team of specialists, with the goal of achieving and maintaining the individual's maximum level of independence and functioning in the community."

NIH Workshop on Pulmonary Rehabilitation Research. J. of Respir. and Crit. Care Medicine 149:507-518, 1994.

II. SIMILAR SEQUELAE OF COPD AND INTERSTITIAL LUNG DISEASE A. Dyspnea B. Generalized muscle weakness C. Reduced exercise capacity D. Malnutrition and weight loss E. Increased resting ventilation F. Resting or exercise-induced hypoxemia G. Inability to perform ADL H. Depression

III. THERAPEUTIC CONSIDERATIONS A. Lifestyle modification 1. Smoking cessation 2. Immunizations a. Influenza b. Pneumococcus 3. Nutritional support B. Respiratory therapy 1. Respiratory therapy 2. Oxygen therapy C. Energy Conservation 1. Activities of daily living evaluation D. Psychosocial support E. Relaxation techniques F. Exercise training G. Lung transplantation

AARC 50th Anniversary, December 6 - 9, 1997, New Orleans, Louisiana.

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