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Physical Therapy for a Patient With ...

Schendel, Stephanie,

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Physical Therapy for a Patient With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Physical Therapy for a Patient With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease // Stephanie Schendel.
Author:	Schendel, Stephanie,
Description:	1 electronic resource (38 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-07, Section: B.
Contained By:	Dissertations Abstracts International86-07B.
Subject:	Physical therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31762015
ISBN:	9798302830500

Physical Therapy for a Patient With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease /
Schendel, Stephanie,

Physical Therapy for a Patient With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease /Stephanie Schendel. - 1 electronic resource (38 pages)

Source: Dissertations Abstracts International, Volume: 86-07, Section: B.

A 68-year-old male with an acute exacerbation of chronic obstructive pulmonary disease (COPD) was seen by a student physical therapist for 5 sessions within 4 days at an acute care hospital under the supervision of a licensed physical therapist. The patient was diagnosed with pneumonia during his hospital stay which increased his hospital length of stay from 2 days to 4 days.The patient was evaluated at the initial encounter with the Six Minute Walk Test (6MWT), Checklist Individual Strength (CIS) questionnaire, and COPD Assessment Test (CAT), and a plan of care was established to address respiratory impairments, fatigue, limitations in exercise capacity, and decreased quality of life. Pulse oximetry and the Dyspnea Scale were used to monitor his exercise tolerance throughout the episode of care. Main goals were to improve ambulation capacity, prevent physical deconditioning during hospitalization, and decrease mortality risk. Main interventions used were functional training, resistance training, interprofessional coordination with members of the healthcare team regarding patient care, and patient education on self-management techniques including proper breathing and energy conservation to reduce hospital readmissions. The patient responded well to physical therapy interventions and showed improved oxygen saturation and decreased dyspnea during ambulation. While there were no clinically significant improvements noted in the patient's 6MWT, he maintained his exercise capacity and showed no evidence of hospital deconditioning following his bout of pneumonia. While his fatigue, as measured with the CIS, increased significantly during his pneumonia bout, he returned to baseline function by discharge. The patient was discharged to home with family and caregiver assistance and follow-up with home health physical therapy.

English

ISBN: 9798302830500Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Chronic obstructive pulmonary disease

Physical Therapy for a Patient With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease /
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520 $a A 68-year-old male with an acute exacerbation of chronic obstructive pulmonary disease (COPD) was seen by a student physical therapist for 5 sessions within 4 days at an acute care hospital under the supervision of a licensed physical therapist. The patient was diagnosed with pneumonia during his hospital stay which increased his hospital length of stay from 2 days to 4 days.The patient was evaluated at the initial encounter with the Six Minute Walk Test (6MWT), Checklist Individual Strength (CIS) questionnaire, and COPD Assessment Test (CAT), and a plan of care was established to address respiratory impairments, fatigue, limitations in exercise capacity, and decreased quality of life. Pulse oximetry and the Dyspnea Scale were used to monitor his exercise tolerance throughout the episode of care. Main goals were to improve ambulation capacity, prevent physical deconditioning during hospitalization, and decrease mortality risk. Main interventions used were functional training, resistance training, interprofessional coordination with members of the healthcare team regarding patient care, and patient education on self-management techniques including proper breathing and energy conservation to reduce hospital readmissions. The patient responded well to physical therapy interventions and showed improved oxygen saturation and decreased dyspnea during ambulation. While there were no clinically significant improvements noted in the patient's 6MWT, he maintained his exercise capacity and showed no evidence of hospital deconditioning following his bout of pneumonia. While his fatigue, as measured with the CIS, increased significantly during his pneumonia bout, he returned to baseline function by discharge. The patient was discharged to home with family and caregiver assistance and follow-up with home health physical therapy.
546 $a English
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650 4 $a Physical therapy. $3 588713
650 4 $a Kinesiology. $3 517627
650 4 $a Clinical psychology. $3 524863
653 $a Chronic obstructive pulmonary disease
653 $a Acute care
653 $a COPD Assessment Test
653 $a Exercise capacity
690 $a 0382
690 $a 0575
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710 2 $a California State University, Sacramento. $b Doctorate of Physical Therapy. $e degree granting institution. $3 3826550
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