Resp Care 255 Pulmonary Rehab And Home Care

Front 1

List four problems associated with chronic respiratory disease.

Back 1

1- shortness of breath
2- poor bronchial hygiene
3- decreased chest wall mobility
4- poor excercise tolerance

Front 2

List the three benefits patients associate with pulmonary rehab.

Back 2

1- Less SOB
2- Increased physical work capacity
3- improved well being

Front 3

List two of the conditions mentioned that exclude a patient from participating in a pulmonary rehab program.

Back 3

1- severe pysch disorder- demential or organc brain disease
2- unstable medical condition: CHF, metatastic cancer, disabling stroke, acute Cor Pulmonale

Front 4

Describe the role of the RCP on the pulmonary rehab team.

Back 4

evaluator- using spirometry and obseration
educator - teaching triggers and smoking cessation

Front 5

Describe why RCP's were not listed as a reimbursable profession under Medicare's home health benefit,

Back 5

Because at the time: 1960's when the medicare practice act was signed into law there was no state that had any laws that defined what a RCP was.

Front 6

Name the aspect of home health care where most RCP's currently work.

Back 6

DME now called HME: home medical equipment and reimbursement is for equipment rather than services rendered

Front 7

Describe how Medicare defines Home Medical equipment (HME) and be able to select items that qualify

Back 7

1- has to serve a medical purpose.
2- it has to be designed for home use.

Front 8

List the stated reasons for conducting a patient interview

Back 8

1- Confirm DX
2- Ask for patient's symptoms
3- Determine the patient's reacton tot he disease.

Front 9

Describe the 3 methods in the syllabs that were used to assess a patients degree of respiratory distress

Back 9

1- auscultation
2- percussion
3- Other tests: spirometry, DLCO test, lung volume tests: where TLC and RV measured

Front 10

List the three areas in the syllabus where dust mites could be found and describe measures to control them.

Back 10

carpeting, stuffed animals, bedding. Wash bedding in hot water, encase mattresses in vinyl with tape. clean with a mitacidal agent; Tannic acid.

Front 11

Identify the part of an asthmatics home where they are most likely to have breathing problems

Back 11

bedroom, bathroom, kitchen, pet areas

Front 12

identify the items in a patient's home that are listed in the syllabus as triggers for asthma

Back 12

pets - dander
mold
cockroaches

Front 13

Select the statement that best describes the rationale for excercise testing of the rehab patient.

Back 13

It establishes that it is safe for the patient to participate in an excercise program. Cardiac or cardiovascular problems can be ruled out or Identified and treated. it establishes the intensity level and style of the program the patient can begin with.

Front 14

List four parameters usually measured during an excercise test:

Back 14

HR, respiratory rate, Ve, oxygen consumption VO2, BP, RQ resp quotient, a-v difference of O2

Front 15

list the physiological parameters that are most likely in the trained pulmonary rehab patient

Back 15

endurance increases, respiratory rate decreases, increased muscle strength, SOB descreases

Front 16

select the statement that best describes the reason for stopping an excercise test

Back 16

decreased heart rate
decreased blood pressure

that could be caused by arrythmias.

Front 17

List the three areas that are usually targeted for excercise training in the pulmonary rehab patient

Back 17

upper extremity
lower extremity
ventilatory