Pulmonary Rehabilitation for Chronic Lung Conditions

This video is aimed at people with chronic lung conditionss in order to help you manage your own lung condition better. It provides exercise and education that hopefully you will be able to do at home. We will start with a warm-up which will help to get your circulation moving and to stretch all your muscles Start while sitting in your seat, just get on any music you fancy and start by tapping your toes just get something you quite like doing. We are just to get the circulation moving in your legs …tap your toes…try see if you can tap the other toes put on some music you enjoy listening to see if you can go up on to your toes…give them a stretch and down stretch and down stretch and down see if you can just tap your toes tap along to some music you quite like dancing to. Pretend you are dancing give your ankles a stretch back and forward so the whole ankles had a good stretch and your getting all these muscles at the bottom of your legs working Let’s see if we can lift the knees up almost like your doing a march on the spot but in the chair if you can do it fast, do it faster. If you can only manage a little bit slowly it’s just good to move the legs and get them moving keep the circulation moving in our legs have a little rest we will just stretch our arms up and open up our chest and down and stretch and down and stretch and down and give them a good stretch. now see if you can stretch them out to the side and back and stretch and back stretch and stretch. Now we’re going to do a little twist of our upper body and back…twist twist and twist…see if you can twist the other way and we will give your elbows a little bend and stretch…just loosen off all the joints so that you are ready to do more exercises we are going to show you on the dvd just get everything and the circulation moving round your body…get all the muscles and joints loosened off ok now we are just going to go to our hips give the right leg a little stretch and back stretch and back stretch and back stretch back and then one last stretch and do the same with the left stretch stretch stretch stretch and stretch now see if you can take your leg and kick out your leg getting your muscles working as if you are kicking a football or something you don’t like maybe give it a good kick and let your muscles get working nice big kick and try the same with the left one give it a good kick you should feel that your legs have been moving everything’s got the muscles working, the joints working circulation moving ok and have a little rest as well as warming up you need to do some stretches so we’re going to do a few stretches to get everything nice and stretched before you do the rest of the exercises start with your shoulders and just up to your ears and down…nice slow stretch and down and stretch and down now with your arms just take them together and stretch right up and open up your chest and back down nice slow stretch and back down and a nice slow stretch and when your sitting in your chair take your leg out and pull your toes up and just gently pull your foot up and down so all all the muscles down the back of your leg get a really good stretch nice and slowly…you can even do this when you are watching television…just stretch all the muscles at the back of your leg and we will swap legs and give the other one a nice slow stretch and just before you do anything it’s better to have stretched so you don’t get any injury nice slow stretch and relax…take your right arm give it a little stretch across and give it a hug and just hold then take your left one and just hold nice stretch and relax now take the right arm behind and give it a gentle push give it a stretch and the same with the left nice slow stretch and relax…now have a stretch to one side and back up and a stretch to the other side and one to the right and one to the left should be ready to do your exercises Pulmonary rehab is education for people that have chronic chest conditions. It’s designed to improve your level of fitness and your quality of life and can help you learn to cope with your condition better often when we have chronic chest problems it’s easy to get into a cycle where we don’t do much because we think we’re going to be breathless we don’t do very much and our mucles get weak and we get more breathless it’s very hard to break that cycle and try to think about doing some exercise. Some of the benefits we would get by exercising are that we would feel better because we would release our endorphins our endorphins are hormones which make us feel good so when we start to exercise we feel better it improves our exercise tolerance…we get fitter it improves our strength in our muscles by doing exercises our muscles get stronger our joints get more mobile by exercising both of these together can help us decrease our risk of falling by improving our balance which is very important if you’ve been taking steroids and your bones are maybe quite osteoperotic it’s important we don’t fall circulation can be improved by doing exercise because blood can move around our body easier our breathlessness can get better in that we exercise more and improve our feeling of being less breathless when we exercise.. when we do our exercises we also can get u lot’s of phlegm…often when people start to exercise the phlegm starts to come up as well it’s recommended everybody should do at least about 30 minutes a day 30 minutes can be quite a lot though and this can be broken down to maybe 3 times 10 minutes a slots to get the benefits you should exercise every day the top tip would be to try and break it down to whatever size you can manage 10 minutes in the morning 10 minutes in the afternoon and maybe 10 minutes at night or even just 5 minutes more often throughout the day whatever is going to suit you when you stop smoking the benefits can take as little 20 minutes to kick in and that’s fast after 20 minutes your blood pressure will start to come down and the circulation in your heart will improve in the following days your pulse and heart rate drops carbon monoxide and oxygen levels in the blood return to normal and your sense of taste and smell will sharpen in the weeks and months that follow coughing and shortness of breath decrease your lunch function will increase and your risk of heart attach begins to reduce there’s reduction or risk of respiratory infection and your skin should look much healthier within a year your lunch function can increase by 5 and 10 percent and after 5 years your risk of a heart attach will almost be half beyond 5 years risk of strike cancer and death from chronic obstructive pulmonary disease is reduced considerably no we know stopping smoking can be hard but if you use treatments for example nicotine replacement therapy and get support from a trained advisor you are 4 times more likely to stop smoking and stay stopped you can get help to stop smoking from number of places and both treatment and support are free no matter what age you choose to help you stop and we would urge yo to consider attending a service for support…you can do it and we can help. Within NHS Forth Valley we have drop in clinics locality clinics…all local community pharmacists provide free help, free treatment support and there is even a service in the hospital Your diaphragm that sits down here at the bottom of our chest just below our lungs in normal breathing what should happen is that our diaphragm comes down as it comes down it pulls your lungs down and enables the air to come right down into the bottom of your lungs. That enables you to get more air in as you breathe out the diaphragm recoils and pushes all the air out this is the most efficient way of breathing if we use our diaphragm it means that we get more air in and we don’t get short of breath. A lot of people with chest problems start to use the top of their chest, starting to use all the little muscles in their neck all their accessory muscles as they do this they don’t tend to use their diaphragm and it’s the top of their chest and that’s a very inefficient way and these muscles tire really really quickly so we want you to start thinking about using your diaphragm becoming aware of where it is and starting to use the diaphragm this will enable us to improve our exercise tolerance so during things like climbing the stairs walking we can start to use our diaphragm rather than starting to use our shoulders and all the little muscles at the top of our neck if we’re doing breathing control we need to practice it it’s often we are into a bad habit and we do use all of the muscles at the top of our neck and it’s very hard for us sometimes to start using the lower part so we need to find time to practice it and to change the way we breathe we need to persevere…we need to then incorporate it into activities of daily living like when we’re out walking when we’re climbing the stairs. Important this is not to hold your breath when your doing activities as well so that your always in control of your breathing you need to learn to be able to work at your own breathing work out where your breathing in your chest whether it’s at the top of the bottom and being able to change that Symptoms that you might feel are feeling generally unwell increased breathlessness increased caught or increased sputum production and the change in colour and the thickness of your phlegm if you are having an exacerbation your looking for 2 of the 3 symptoms then you should be getting help if your more breathless and wheezy than you normally are if you’ve got increased amount or thickness in sputum or if your sputum has changed colour you should contact your GP or practice nurse or the community pharmacist as they will supply you with antibiotics or steroids if you keep antibiotics or steroids in the house then you should start them as soon as possible make sure you always complete the course of treatment if you feel your extremely short of breath at rest quite sleepy or a bit muddled you need to discuss with the GP practice or the practice nurse what your emergency procedure would be if you stay in a rural community then it might be contacting 999 if you need to call a GP between Monday and Friday it’s 8am to 5pm contact NHS24 on 111 The first medications that we tend to start patients on are inhalers and there’s 2 types of inhalers one that relieves symptoms and there’s inhalers that will prevent symptoms. With the reliever inhalers you can use them when you need them or anticipation of needing them the preventer inhalers they need to be taken regularly they won’t work if you just take them when you remember they need to be taken on a regular basis becasue they are working on the underlying condition that’s causing the chest complaint so taking them as prescribed is extremely important we ask that you inhaler technique is checked on an annual basis and that’s because we can get into bad habits of not breathing at the right time when you are taking in your inhaler not doing the right thing with your inhaler and it’s to make sure you are still managing that inhaler to the best of your ability and that most of the drug you can get is getting out of the inhaler into your lungs where it can work so checking that inhaler technique is an important thing that you can allow to happen we have other medications that we will use to manage your chest complaint we’ve got oral drugs that help open up airways but they are not always suitable for all patients and in particular we’ve got drugs which will help reduce down how thick your sputum will be if your particularly troubled by viscus thick secretions and thick phlegm then there are medications we can use that can help how difficult it is to caught hat up we ask you to attend an annual review with your practice nurse and that’s to really go over how your managing your medicines how your managing your inhalers and see if there is anything else we can add into your therapy to make things easier for you If we have to give you oral steroids and lots of courses of oral steroids to manage the background inflammation that’s going on then we need to look after your bones and we do that by putting you on some medication which helps support your bones and make them stronger so if your on lots of courses of steroids over a years period or if your on oral steroids every day then talk to your GP as to whether or not bone protection would be necessary for you and then we will ask you to have vaccinations the flu vaccination is an annual vaccination that protects you against flu. It can’t give you flu it can make you feel a bit flu-ish for a few days after you’ve had it but it can’t actually give you the flu becasue it’s not a live vaccine. It’s important to have becasue when you’ve got an underlying chest complaint and you take flu on top then you really are particularly unwell with it and there’s a one off vaccine that we suggest you have which is a pneumococcal vaccination Some of the tips are to find a quiet place get into a comfortable position with your arms and legs supported close your eyes…concentrate on your breathing and we’ve talked a lot about your breathing already take nice deep breaths through your nose and exhale slowly through your lips…recognise when your tense to make a fist squeeze your hands really really tightly and feel that tension then slowly open your fingers and feel the tension leaving your hands and that’ll make you lighter now we can learn to relieve tension all over body simply by contracting and relaxing all of the muscles Hope you enjoyed this video…hopefully its encouraged you to start exercising if you enjoyed it and want to continue exercising there are some links along with the video to enable you to go to some of the gyms or some exercise classes

10 thoughts on “Pulmonary Rehabilitation for Chronic Lung Conditions

  1. EVERY video I go to for COPD, not one patient is on oxygen as I am…..i was diagnosed at age 48 and put on 3 liters oxygen at that time…now I am 66 and the same….on oxygen….

  2. I have had ASTHMA my whole life but about 7 years ago my asthma got so bad and was diagnosed of EMPHYSEMA/COPD which was most likely due to the asthma. I was on double antibiotics and steroids, still didn't feel any better. My lungs were constantly wheezing in all four chambers, i already used Advair, Spiriva, and Albuterol in my nebulizer, they just didn’t do much. April 2016 my sister in-law told us about Rich Herbs Foundation where she ordered herbs that effectively treated her arthritis. We ordered their COPD herbal treatment after reading alot of positive reviews, i am happy to report this COPD herbal treatment reversed my lungs condition. My quality of life has greatly improved and every one of my symptoms including difficulty breathing and wheezing are gone. Their official web page is ww w. richherbsfoundation. c om. I will be 52 soon and have never been healthier!

  3. If you have breathing problems, check out Buteyko breathing. If this helps one person it’s done it’s job 😊 hope it helps

  4. I don't understand how people still don't know or to think to turn the captions on, instead of complaining her accent! She is a native speaker

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