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Samenvatting _Ademhalingskine_Leemans
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CARDIORESPIRATOIRE KINESITHEREPIE (AHK) GLENN LEEMANSRESPIRATOIRE KINESITHERPIE : VANUIT COMPETENTIES TOT BEHANDELING
1. Doelstelling (examenvragen hierop gebaseerd)
De studenten kunnen:
- de rol van een respiratoire kinesitherapeut schetsen aan de hand van
compententies/skills
- de verschillende behandeldoelen opsommen waarop een respiratoire
kinesitherapeut zich kan focussen
- het begrip dyspneu kaderen aan de hand van een respiratoire casus (dyspneu blijft
het hoofdsymptoom voor respiratoire patiënten)
- de belangrijkste skills benoemen voor de behandeling van de pulmonale competent.
- de belangrijkste skills benoemen voor de behandeling van de pulmonale competent.
2. Respiratoire kinesitherapie
WHO ?
Physical therapist are qualified and professionally required to:
- undertaking and evaluating the findings of examinations and assessments;
• focussen op de onderzoeken
- formulating a diagnosis, prognosis and treatment plan within their field of expertise;
- providing consultation and determining when clients need to be referred to another
professional;
• advise geven aan de groep mensen
- implementing a physical therapy intervention;
- determining the outcomes for such an intervention
• als we geen uitkomsten zetten dan kunnen we ook niets gaan meten
- making recommendations for self-management.
WHAT ?
Respiratory physiotherapy aim to:
- maintain or improve exercise tolerance
• inspanningstolerantie verhogen
- improve functional abilities (i.e. carrying out daily tasks)
• om de kwaliteit van het leven te verbeteren
- maintain and improve physical activity, coaching patients toward improving healthy
behaviour
• dagdagelijks bewegen door te wandelen, … → patiënten in beweging krijgen
na de therapie
- reduce breathlessness and the work of breathing
- improve the efficiency of ventilation
• uitwisseling van O2,CO2,…
- support weaning from mechanical ventilation and set up noninvasive mechanical
ventilation
- mobilise and aid the expectoration of secretions (coughing up of mucus)
→ belangrijk voor 3e Ba
- improve knowledge and understanding
- reduce (thoracic) pain → als we gaan kijken naar palliatieve zorg
1
, CARDIORESPIRATOIRE KINESITHEREPIE (AHK) GLENN LEEMANS
All ages and at all stages of disease, from early diagnosis, chronic illness, to acute episodes
and care at the terminal stage.
→ patienten doen vaak (acute) opstoten, ook tijdens deze momenten moeten we ze
ondersteunen. Eveneens op het einde van de levensjaren.
OUTCOME?
COPD is een van de meest chronische longaadoening die voorkomt
Respiratoire kine interventies zijn gefocused op exercise training and enchancing physical
activity levels in people with chronic obstructive pulmonary disease are likely to be cost-
effective : systematic review.
→ Er is een grote kost, maar het wordt nu terugbetaalt
HOW?
ERS Core curriculum in respiratory physiotherapy (adult
patients):
- Module 1: assessment of adult patients with
respiratory condition
- Module 2: techniques for airway clearance in the
adult patient
- Module 3: respiratory muscle training, breathing
strategies and techniques for lung expansion
- Module 4: exercise training and physical activity
- Module 5: peri operative physiotherapy in a
spontaneously breathing patient
- Module 6: pharmacotherapy relevant to the physiotherapist
- Module 7: non-invasive ventilation for the respiratory physiotherapist
- Module 8: physiotherapy related to deconditioning and prevention of complications
in the intensive care units
- Module 9: mechanical Ventilation for the Respiratory Physiotherapist → niet bij ons
in België (=intubatie op IC)
2
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