Pulmonary Disorders and the Rehab Therapist
Description
This is a home study course for physical and occupational therapy clinicians in acute or subacute care who are seeking to update their understanding of pulmonary disorders. This course addresses pulmonary disease that may be associated with or lead to cardiac disease and is composed of two units. Unit I is an overview of pulmonary conditions that Rehab professionals are likely to see in their practice. Unit II looks at issues related to PT and OT assessment, treatment, precautions and discharge planning for patients with these diagnoses.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 0.7 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Available Course Credits
| Alaska State PT & OT Board | 7.00 | ||
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AOTA | 7.00 | |
| Arizona State Board of Physical Therapy | 7.00 | ||
| Arkansas State Occupational Therapy Examining Committee | 7.00 | ||
| California Physical Therapy Board | 7.00 | ||
| Colorado Division of Professions and Occupations | 7.00 | ||
| Connecticut Department of Public Health | 7.00 | ||
| Delaware Examining Board of Physical Therapists and Athletic Trainers | 7.00 | ||
| District Of Columbia Department of Health | 7.00 | ||
| FPTA | 7.00 | ||
| Georgia State Board of Physical Therapy | 7.00 | ||
| Hawaii Board of Physical Therapy | 7.00 | ||
| Idaho Physical Therapy Licensure Board | 7.00 | ||
| Indiana Physical Therapy Board | 7.00 | ||
| Iowa Board of Physical Therapy and Occupational Therapy | 7.00 | ||
| Kansas State Board of Healing Arts | 7.00 | ||
| Kentucky Board of Physical Therapy | 7.00 | ||
| Louisiana Physical Therapy Board | 7.00 | ||
| Maine Board of Physical Therapy | 7.00 | ||
| Maryland Board of Physical Therapy | 0.70 | ||
| Massachusetts Board of Allied Health Professionals | 7.00 | ||
| Michigan Board of Physical Therapy | 7.00 | ||
| Mississippi State Board of Physical Therapy | 14.00 | ||
| Missouri Advisory Commission for Physical Therapists | 7.00 | ||
| Montana Board of Physical Therapy Examiners | 7.00 | ||
| Nebraska Department of Health and Human Services | 7.00 | ||
| New Mexico Physical Therapy Board | 7.00 | ||
| New York State Education Department | 7.00 | ||
| North Carolina Board of Physical Therapy Examiners | 7.00 | ||
| North Dakota Board of Physical Therapy | 7.00 | ||
| Office of Professional Regulation, Vermont Secretary of State | 7.00 | ||
| Oklahoma Physical Therapy Board | 7.00 | ||
| Oregon Board of Physical Therapy | 7.00 | ||
| Pennsylvania State Board of Physical Therapy | 7.00 | ||
| Physical Therapy Governing Board New Hampshire | 7.00 | ||
| South Carolina Board of Physical Therapy | 7.00 | ||
| South Dakota Physical Therapy License Board | 7.00 | ||
| State of Alabama Board of Physical Therapy | 7.00 | ||
| State of Rhode Island Department of Health | 7.00 | ||
| Tennessee Board of Physical Therapy | 7.00 | ||
| Texas Physical Therapy Association | 7.00 | ||
| Utah Physical Therapy Licensing Board | 7.00 | ||
| Virginia Board of Physical Therapy | 7.00 | ||
| Washington State Board of Physical Therapy | 7.00 | ||
| West Virginia Board of Physical Therapy | 7.00 | ||
| Wisconsin Physical Therapy License Board | 7.00 | ||
| Wyoming Board of Physical Therapy | 7.00 |
Course Content
| 922 Pulmonary Disorders and the Rehab Therapist | Module | ||
| Course Evaluation | Module |
Sara Folsom, MS, OTR/L
Sara Folsom received her MS in Occupational Therapy from the University of New Hampshire in 2006. She also has a BA in psychology with a minor in Rehabilitation Services from the University of Maine. Sara contributed a chapter to the AOTA publication, Living Life to Its Fullest; Stories of Occupational Therapy, Ashley M. Hofmann, Molly V. Strzelecki, eds., which was published in 2010. She is currently assigned to the therapy team at Oregon Heart and Vascular Institute and in the ICU at PeaceHealth Sacred Heart Medical Center at River Bend in Springfield, Oregon, and was instrumental in transitioning the inpatient therapies department to a new electronic health record system.
922 Pulmonary Disorders and the Rehab Therapist—Course Objectives
At the completion of this course, the therapist will be able to:
- Recognize the prevalence of chronic pulmonary disease
- Identify terms associated with pulmonary disease
- Differentiate between obstructive and restrictive forms of pulmonary disease
- Identify risk factors for common types of pulmonary disease
- Identify common symptoms of pulmonary disease and of exacerbations
- Recognize the challenges in addressing hospital readmissions for pulmonary disease
- Identify the common classification systems for COPD
- Differentiate between management of stable vs acute exacerbation COPD
- Recall the staging system for idiopathic pulmonary fibrosis
- Recall the functional classification system for pulmonary hypertension
- Identify the different types of respiratory failure and recall which are potentially life threatening
- Recognize laboratory findings that could affect therapy treatments
- Identify medications that could affect therapy treatments
- Recall common tests of exercise capacity
- Identify common symptom management techniques for dyspnea, airway clearance and exercise intolerance
- Recognize oxygen saturation responses to activity and recall how and when to adjust supplemental oxygen rates
- Identify when to initiate mobilization for patients on ventilators
- Recall the importance of discharge education and follow up for pulmonary patients
922 Pulmonary Disorders and the Rehab Therapist—Contents
Page #
HOUR 1
Course Instructions 2
About the Authors 3
Course Description 4
Course Objectives 5
Table of Contents 6
Introduction 10
Unit I: Pulmonary Disease Overview 11
About Pulmonary Disease
Chapter 1: Chronic Obstructive Pulmonary Disease (COPD) 12
About COPD
Epidemiology
Economic Burden of COPD
Readmissions
Risk Factors 18
Signs and Symptoms
Classifications
Exacerbations
Symptom Severity
Prognosis
2017 GOLD Guidelines 21
Phenotypes
COPD Foundation Classification System
Comorbidities
Management of COPD 24
Medical Management
Pharmacology
Vaccinations
HOUR 2
Ventilatory Support 26
Oxygen Therapy
Noninvasive Ventilation (NIV)
Invasive Mechanical Ventilation 27
Exacerbations
Surgical Management
Chapter 2: Idiopathic Pulmonary Fibrosis 29
About IPF
Epidemiology and Economic Burden of IPF
Risk Factors
Signs and Symptoms
Classifications 33
Comorbidities
Management
Medical Management
Surgical Management
Chapter 3: Pulmonary Hypertension (PH) 37
About PH
Categories of Pulmonary Hypertension
Epidemiology and Economic Burden of Pulmonary Hypertension
Signs and Symptoms
Management 40
Surgical Management
Chapter 4: Respiratory Failure 42
About Respiratory Failure
Epidemiology and Economic Burden
Classifications
Risk Factors
HOUR 3
Signs and Symptoms 45
Acute Respiratory Distress Syndrome
Management
Medical Management
Surgical Management
Invasive Mechanical Ventilation
Chapter 5: Long-Term Management of Pulmonary Disease 51
Lifestyle Management
Lung Transplantation
Palliative and Hospice Care
Unit II: PT and OT Interventions 55
Introduction
Chapter 6: Chart Review 56
Laboratory Values
Other Lab Values of Interest
Medications
Imaging 61
X-ray
CT
ECG
TTE
Bronchoscopy
HOUR 4
Pulmonary Function Tests (PFT) 63
Lung volumes
Spirometry
Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)
Exercise Testing
Chapter 7: Rehab Assessments 66
Vital Signs
Oxygen Saturation
Factors Affecting Pulse Oximeter Readings
Perfusion
Motion Artifact
Other Factors
Oximetry Values
Types of Oximeters and Probes
Home Use
Observations 71
Thoracic Exam
Breathing Patterns
Breath Sounds
Auscultation
Normal Breath Sounds
Abnormal Breath Sounds
Adventitious Breath Sounds
Wheezes/Rhonchi
Crackles/Rales
Other
Functional Mobility Tests 77
SPPB
Exercise Capacity Tests
6MWT
Stair Climbing Test (SCT)
Shuttle Walk Test
Precautions for Exercise Capacity Testing
Cognitive Assessments 81
MMSE
MoCA
Quality of Life Questionnaires
HOUR 5
Chapter 8: Considerations when Planning Interventions 84
Introduction
Symptom Management for Breathing
Dyspnea
mMRC Dyspnea Scale
Baseline Dyspnea Scale
Modified Borg Scale of Dyspnea
Talk Test
Breathing Strategies 87
Pursed Lip Breathing
Diaphragmatic/Deep Breathing Exercises
Inspiratory Muscle Training
Airway Clearance Techniques 92
Forced Expiratory Technique
Active Cycle of Breathing Technique
Mechanical Devices
Chest PT
Incentive Spirometry
Inhalers/Bronchodilators
Exercise
Supplemental Oxygen 96
Long-Term Oxygen Therapy
Oxygen Delivery Devices
Positioning
HOUR 6
Exercise Intolerance 101
Fatigue
Rating of Perceived Exertion
Activities of Daily Living
Incontinence
Other Contributors to Exercise Intolerance
Chapter 9: Other Considerations for Mobilization 107
Post-Procedure Limitations
Mobilizing Patients in the Intensive Care Unit
Mobilizing Patients on Mechanical Ventilation
Noninvasive Ventilatory Support
Precautionary Notes
Prolonged Mechanical Ventilation
Weaning from Ventilator
Extracorporeal Membrane Oxygenation (ECMO)
Red Flags 112
Pulmonary Embolism
Work of Breathing
AECOPD
Acute Respiratory Failure
Pulmonary Rehabilitation and Exercise Training
Interval Training
Disease-Specific Considerations 115
COPD
IPF
Pulmonary Hypertension
Respiratory Failure
HOUR 7
Discharge Planning
Conclusion 120
Endnotes 121
Appendix 1: Glossary of Pulmonary Terms 122
Appendix 2: Resources for Therapists and Patients 124
References 128
Examination 145
Evaluation 150
Customer Cancellation:
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Refunds will be provided according to the following guidelines: i) For cancellation requests made within 5 days of the initial enrollment or subscription, a full refund will be issued. Refunds will be issued using the same method of payment used for the original transaction, unless otherwise agreed upon in writing.
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
This course is approved for 0.7 CEUS. 7 contact hours
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