In many patients with chronic respiratory diseases, the medical therapy only partially mitigates the symptoms and complications of the disease. A comprehensive program of pulmonary rehabilitation can lead to significant clinical improvement by reducing shortness of breath, increased exercise capacity and, to a lesser extent, reducing the number of hospital admissions. Nevertheless, this program do not improve the survival rates. There are no complications in pulmonary rehabilitation other than that can be expected from physical exertion and exercise

From pulmonary rehabilitation is defined as the use of movement, education and behavioral therapy to improve the functional capacity and thus the quality of life. It is indicated for each state in the respiratory symptoms restrict the activity (for. Example, COPD, interstitial lung disease, neuromuscular disorders that cause a weakness in the chest wall) and at a re-establishment of the respiratory system after a longer ventilator dependency. In many patients with chronic respiratory diseases, the medical therapy only partially mitigates the symptoms and complications of the disease. A comprehensive program of pulmonary rehabilitation can lead to significant clinical improvement by reducing shortness of breath, increased exercise capacity and, to a lesser extent, reducing the number of hospital admissions. Nevertheless, this program do not improve the survival rates. There are no complications in pulmonary rehabilitation other than that can be expected from physical exertion and exercise contraindications contraindications are relative and close co-morbidities with one that can make it harder to increase the physical activity of the patient. (Z. B. untreated angina pectoris, left ventricular dysfunction). However, these comorbidities not preclude the use of other components of pulmonary rehabilitation. Procedure Pulmonary rehabilitation is best guided as part of an integrated program of physical training, education and psychosocial and behavioral therapy by a team of physicians, nurses, respiratory therapists, physiotherapists, occupational therapists and psychologists or social workers. Physical training includes aerobic and strength training Atemmuskulatur- and extremities. The strength training of the lower extremities may be particularly important for patients with COPD. Enlightenment has many components. Advice on the need for smoking cessation is important. The teachings of respiratory strategies (like breathing with pursed lip, while the exhalation is started against the closed lips, to reduce the breathing rate and so did the hyperinflation is reduced) and the principles of conservation of physical energy are helpful. meeting explaining the therapy, including the use of drugs, maintaining oxygen saturation above 90% and choices for the last phase of life, are necessary. Psychosocial interventions include counseling and support for depression, anxiety and fear that prevent the patient from complete participation in activities.

Health Life Media Team

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