Essay PHTY3020 – Pulmonary Rehabilitation Case Study – Cardiopulmonary Physiotherapy – Nursing Assignment Help

Assignment Task

QUESTION
For each case, using the objective assessment measures provided, describe the program of exercise training that you would prescribe for this person. Your response should incorporate a critique of relevant literature to support your exercise prescription in each case.

Consider:
– the goals and why you have chosen these specific goals
– all components of the program according to the FITT principles
– how and when you might progress the exercise
– how you might reassess the impact of this exercise program at the end of the program (including relevant minimally important differences)
– any comorbidities or specific issues that may impact adherence to the program

Case study – Pulmonary rehabilitation
Background
Vera is a 65 year old woman with COPD. She is a retired cleaner who lives alone and enjoys spending time with her 2 young grandchildren. She has difficulty walking on the flat and showering and is having trouble hanging clothes on the line. These activities produce breathlessness and low back pain as she has had a previous fusion of L4 and L5. As a result, her daughter assists her with most ADLs. She is keen to be able to return to gardening and be less breathless and fatigued with her grandchildren.

Comorbidites
Low back pain when standing for prolonged periods, Systolic heart failure – EF 50%, Osteoporosis

Meds
Seretide, Ventolin, Spiriva, Prednisolone daily, Esomeprazole, Hydrochlorothiazide, Risedronate, Propanolo