Why Exercise Intervention Is Beneficial

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

A degree of evidence related to protocol usage and outcomes was collected to determine if a researchable problem was obtainable and valuable. According to Davies (2011), research questions should concentrate on "real-world problems" (p. 75). Patients in the intensive care unit who are mechanically ventilated receive intravenous sedation on a regular basis. According to findings by Wøien, Vaerøy, Aamodt, and Bjørk (2012), as much as "30-60% of intensive

Through the convenience sampling, 90 clients were recruited as research participants were in the waiting room of the respiratory clinic. 60 subjects agreed to attend a support group for socialization with each other. 30 of 60 clients were assigned to participate in the presentation and therapeutic exercises by the instructor. The instructor group divided into halves: 15 clients received instructions with family caregiver and the other clients without a caregiver. The second 30 clients received written materials and allowed to access the website for video presentation and exercises. Half of website group assigned to the family caregiver and the other half without a caregiver. The last 30 subjects were assigned as a control group, and half of these clients received usual care with family caregiver and other 15 clients without a family caregiver. The data was collected by the pulmonary functional status survey, 30 items, five points, Likert-type scale.

While most physical therapists will not solely work in a cardiopulmonary rehabilitation position, all settings of physical therapy frequently treat patients suffering from co-morbidities in addition to the condition that they are prescribed for our care.1 Recognizing and understanding these co-morbidities is important to provide the most effective care to the patient while also decreasing the risk of predisposition to other health conditions.2,3 This is especially important when physical therapists are in a position of providing primary care by seeing patients under a direct access model.4 There are also times when multiple co-morbidities occur simultaneously which must be considered in a plan of care.5 It is important that the physical therapist always screens for co-morbidities, but essentially important when there is the presence of one co-morbidity that is commonly associated with another co-morbidity.3 The recognition of multiple conditions is critical because of the potential interaction that can occur between the different conditions. The presence of one or more conditions can also have a profound impact on treatment that they receive both through surgical and rehabilitative interventions. Co-morbidities can fall under multiple areas and body systems that each affect the patient in different ways. Respiratory and cardiovascular systems are particularly interrelated and can play a vital role in guiding the future

During mechanical ventilation, patients are at risk of injuries to their lungs caused by improper settings on ventilators. Mechanical ventilator induced lung injury (VILI) can affect the lung in several ways. Some of the ways the lung become affected is by excessive pressure, excessive volume, and not enough volume. When the lungs are affected by excessive pressure its termed pulmonary barotrauma. On the other hand, if the lungs receive too much volume it’s called volutrauma. However, when the lungs don’t receive enough volume its termed atelectrauma. This paper describes how pulmonary barotrauma, pulmonary volutrauma, and pulmonary atelectrauma affects the lungs during mechanical ventilation and ways to prevent them from happening.

I have attached a recent research report published in the Cardiopulmonary Physical Therapy Journal. With our busy schedules at work and home we often have limited time to review journal articles. I proffer this information hoping to stimulate awareness, thought, and discussion among us. I hope to follow up with monthly articles throughout the year.

In this study, researchers sought to use known and effective intervention components to design a common practice intervention program that is designed to improve the physical fitness and reduce the weight of obese children. The participants to the program were elementary school students who were either referred by their parents or by a physician or school nurse with parental approval. The intervention was planned and developed by an interdisciplinary team that included physical therapists, medical, nutritionists, and exercise and fitness specialists. They setup a facility that had a fully equipped (adult and children) exercise room, fitness center, educational/meeting room, and restroom/changing room. After a 2-week pre-intervention assessment,

The American Journal of Critical Care is a bi-monthly, peer-reviewed journal focused on improving the care of critically ill patients and their families. The authors provide resources in the form of research studies, case reports, reports on new techniques, clinical/basic science reviews, guest editorials and clinical studies. The editors strongly encourage works focused on collaborative practice and research targeted at health professionals caring for critical care populations.

The concept of long term mechanical ventilation has two clinical aspects: Mandatory; which is use during true life support and elective; which is use to manage patients with chronic ventilator failure and sleep apnea. In mandatory base, invasive approach is the most common (Tobin, 2006). However, home mechanical ventilation (HMV) can be delivered by either invasive or noninvasive route of ventilation. In some centers, if the need for HMV use exceeds 16-20 hours per day, the change to invasive mechanical ventilation will be considered. In general, the use of non-invasive ventilation (NIV) is more preferred than the use of invasive route of ventilation (M. Laub, Berg, & Midgren, 2006). Noninvasive technology is easy to be learned and to be used by the patients and the family and it needs less professional presence on the care site, these problems could be solved now a day with the implementation of telehealth care system which supports and monitors patients and families at home (Goldberg, 2002).

For the past 50 years acute respiratory distress syndrome or better known as ARDS, has been an issue in hospital intensive care units all around the world. The first “documented published scientific description dates back to 1821 when Laennec described the gross pathology of the heart and lungs and described idiopathic anasarca of the lungs; pulmonary edema without heart failure in a treatise on diseases of the chest.”1 Cardiac and non-cardiac issues were not taken into consideration as part of the cause at that time. The first definition dates back to Ashbaugh and colleagues in 1967.2 Though modern medicine has been around for hundreds of years, it wasn’t until hospitals designed intensive care units and began using mechanical ventilation

Exclusion criteria included patients with BMI less than 30kg/m2 , younger than 18 year, hade ASA physical status IV or V, required a nasal intubation, , or were at risk of regurgitation and aspiration (hiatus hernia, not fasted, or esophageal reflux). Also, patients with anticipated impossible intubation will be excluded [as patients with a history of impossible intubation, mouth opening (interincisor distance) less than 20 mm, or cervical spine fixed in flexionwere excluded due to susceptibility of impossible intubation.

The objective of this study was to assess the outcomes of weaning and extubate patients suffering from traumatic injuries, in terms of mechanical ventilation support day, Intensive Care Unit length of stay using nurse and physiotherapist

Lung protective ventilation strategies are interventions to decrease potentials of lung injuries that could be acquired from the ventilator. The ventilator setting should be checked once an hour to make sure the patient is still on the correct mode and the correct settings selected; frequent checks will minimize any errors and way of assessing the patient’s tolerance to the current settings. Maintaining a low tidal volume is one strategy to reduce barotrauma. The ideal tidal volume should be 6ml/kg; Mary’s current weight is 81 kg thus the ideal tidal volume is 486 or lower and she is currently on 450 which is good. A second intervention to minimize lung injury is decreasing FiO2, the current ventilator setting is FiO2 1.0 which can cause

Exercise is one of the most important factors in a persons’ life. Physical activity, or the lack of it, can result in a person having a healthy life or cause them to have diabetes. The benefits of exercise are countless. The positive health results, the improvement in attitude, even better academic performance are all factors which make not exercising inexcusable.

The philosopher Plato (427-347 BC) said: “Lack of activity destroys the good condition of every human being, while movement and methodical physical exercise save it and preserve it” (Vina, Sanchis‐Gomar, Martinez‐Bello, & Gomez‐Cabrera, 2012, p. 2). Exercise has several benefits; it enhances the overall health of a person. It is important for strengthening the muscles, building bones, and maintaining a healthy weight. Besides, humans are not becoming any younger each day. Moreover, scientists and researchers discover new diseases, illnesses and disorders that could potentially be fatal for a human’s body, which can lead to death. Thus, the purpose of this essay is to analyze the effects of exercise and focus on three factors: pain, ability to learn, and chronic medical condition. People need to maintain a healthy body because as time goes by the body starts to deteriorate, and it loses its original form. However, age should not be a hindrance if a person wants to change his/her lifestyle to stay healthy. Evidence has shown that exercise is beneficial for improving pain, enhances the ability to learn, and has a long-term benefit in preventing chronic medical conditions. This paper will discuss the impact of exercise on improving pain, the effects of exercise in relation to the ability to learn, and exploring the interrelationship of exercise and chronic medical conditions.