Presentation # 24
Title:
Pulmonary Function in OT
Presenter(s):
Nancy Broadway, MBA, OTR
Description of the Presentation:
Patients receiving chronic ventilation are weak and deconditioned but respond to aggressive whole body and respiratory muscle training with an improvement in strength, weaning outcome and functional status.
It is accepted that chronically ventilated patients are weak from immobility, effects of medications (neuromuscular blocking agents and steroids), poor nutritional status, and underlying medical conditions. Combination of these adversely affects the functional status and result in substantial weakness of limbs, respiratory and swallowing musculature. Rehabilitation of the COPD patient is well documented, but little data documents the effects of rehabilitation of the chronic mechanical ventilation. This is a result of the acuity of illness in ventilated patients, frequent transfers to different institutions, and the complexity and level of specialty trained personnel to provide rehabilitation to this population.
Initial stages, rehabilitation focus on improving trunk balance and patients maintenance of body posture. Pushing against resistance, using resistance bands of low weights followed by passive and active training of upper and lower extremities, all have a positive impact on critically ill patients. This one and one half hour talk will focus on the anatomy, work of breathing and therapy approaches for working with critically ill ventilated patients.
Day and Time: Monday, 2:30-4:00
Category: PHYS
Level: All
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