PATOLOGIE INTERNISTICHE E RIABILITAZIONE

Module METODOLOGIE E TECNICHE DI RIABILITAZIONE CARDIO-RESPIRATORIA

D1 – Knowledge and Understanding

The student acquires skills in the observation, assessment, and treatment of cardiorespiratory diseases in adult and pediatric patients.

D2 – Ability to Apply Knowledge and Understanding

The student is able to distinguish the various types of respiratory failure and apply this knowledge to specific rehabilitation treatments. The student is able to assess the patient's functional limitation and cardiorespiratory problems.

D3 – Independent Judgment

The student expresses his or her opinions on the topics covered and interacts critically with the instructor on issues where he or she expresses doubts.

D4 – Communication Skills

The student uses terminology related to physiopathological processes and rehabilitation interventions correctly and appropriately, communicating clearly with instructors, colleagues, and other healthcare professionals.

D5 – Learning Ability

The candidate is capable of independently deepening their study of cardiopulmonary rehabilitation methodologies and techniques, maintaining professional development on emerging advances in the field and the use of new devices used in intensive care.

Lectures with the aid of Power Point presentations.

The student must possess general notions of physiology and pathophysiology of the main cardio-respiratory pathologies of rehabilitation interest.

mandatory.

1. Definition, indications, and objectives of cardiopulmonary rehabilitation.

2. Assessment of patients with cardiopulmonary problems:

a) Functional assessment based on Problem-Oriented Medical Records (POMR);

b) Dyspnea assessment scales.

3. Cardiopulmonary Rehabilitation: Assessment of exercise capacity.

a) Exercise training programs and methods (Exercise reconditioning: Definition of MET and Calisthenics);

b) Endurance training and peripheral muscle training;

c) Respiratory muscle training.

4. Respiratory Rehabilitation Techniques: BC, TEE, FET, E.L.T.G.O.L., ACBT.

5. Cough Mechanism and Cough Assistance.

6. Respiratory Devices: Volume Incentives (Coach/Voldyne), Flow Incentives (Triflo), PEP Devices (PEP Bottle, Acapella).

7. Contraindications to the use of Respiratory Physiotherapy techniques and devices.

8. Respiratory Physiotherapy Treatment:

a) Lung Re-expansion: 1) Increased Pleural Negativity; 2) Application of Positive Airway Pressure;

b) Bronchial Drainage (Bronchial Clearing).

9. Evaluation of the Surgical Patient.

10. Respiratory Rehabilitation in Major Surgery (Thoracic, Cardiac, and Abdominal).

11. Evaluation of the Neuromuscular Patient.

12. Oxygen Therapy

1) A. Brivio, M. Lazzeri, G. Oliva, E. Zampogna - Bronchial Unblocking - Masson Publishing

2) M. Lazzeri, E. Clini, E. Respossini, A. Corrado - Clinical Examination and Evaluation in

Respiratory Rehabilitation - Edra Publishing

3) S. Scardi, G. Ignone - Functional Assessment and Rehabilitation of Heart Patients - UTET Publishing

4) A. Galati - Updates in Cardiac Rehabilitation - A.L.E. Publishing

5) M. Lazzeri, A. Brivio, A. Carlucci, A. G. Piaggi - Exercise Reconditioning of Patients with Respiratory Diseases - Edra Publishing

Face-to-face exam during the final session of the integrated course.

1) Assessment of the patient with cardiopulmonary problems

2) Assessment of exercise capacity.

3) Respiratory aids: Volume (Coach/Voldyne), flow (Triflo), PEP aids (PEP bottle, Acapella).