#1 - Applied Anatomy and Physiology of the Respiratory System

I. Anatomy & physiology of the respiratory system

II. Structure & function of the respiratory pump

III. Neural control of respiration

IV. Control of ventilation during exercise

V. Ventilation & lung mechanics

VI. Gas exchange

VII. Gas transport

VIII. Pathologies that arise throughout the respiratory system

Behavioral/Learning Objectives:

1. Describe the anatomy and physiology of the respiratory system in health.
2. Describe the anatomy and physiology of the respiratory system in chronic disease.
   

#2 - Exercise Testing & Rx for the Patient with Respiratory Disease

I. Limitations of exercise intolerance in people with respiratory disease

II. Rationale for exercise testing

III. Types of exercise tests appropriate for people with respiratory disease, and information gleaned from each type of test

IV. Choosing the most appropriate exercise test

V. Definition of overload and specificity as they relate to exercise training

VI. Prescribing frequency, intensity and duration of exercise for people with chronic respiratory disease

VII. Examples of exercise RXs derived from data obtained from an exercise test.

Behavioral/Learning Objectives:

1. Describe the importance of exercise testing as a pre-pulmonary rehabilitation screening tool for patients with lung disease.
2. Identify exercise limitations related to respiratory disease.
3. Explain the utility of graded exercise testing versus the Six Minute Walk Test.
4. Describe the principles of overload and specificity in exercise training.
5. List the essential components of exercise prescription.
6. Describe exercise prescription for the person with chronic lung disease.
   

#3 - Obstructive Lung Disease versus Restrictive Lung Disease

I. Pathophysiology of chronic obstructive lung disease and chronic restrictive lung disease

II. Education appropriate for the person with chronic obstructive lung disease and chronic restrictive lung disease

III. Exercise RX considerations for people with chronic obstructive lung disease versus restrictive lung disease.

Behavioral/Learning Objectives:

1. Describe the pathologies of chronic obstructive lung disease and restrictive lung disease.
2. Identify differences in the educational components of a pulmonary rehabilitation program for patients with chronic lung disease versus restrictive lung disease.
3. Describe exercise prescription considerations for patients with chronic obstructive lung disease and restrictive lung disease.
   

#4 - Obesity-Related Respiratory Disorders & Pulmonary Hypertension

I. Pathophysiology of pulmonary hypertension and obesity-related respiratory disorders, including obstructive sleep apnea and obesity hypoventilation syndrome

II. Treatment options for patients with pulmonary hypertension and/or obesity-related respiratory disorders

III. Education appropriate for this population

IV. Exercise RXs specific for this population, with specific focus on meeting the oxygen needs of this population

Behavioral/Learning Objectives:

1. Describe respiratory disorders related to obesity.
2. Define pulmonary hypertension and discuss the pathophysiology of the disorder.
3. Identify education appropriate for patients with obesity-related respiratory disorders and/or pulmonary hypertension.
4. Describe exercise prescription and its challenges for patients with obesity-related respiratory disorders and/or pulmonary hypertension.
   

#5 - Thoracic Cage Abnormalities and Surgeries

I. Thoracic cage abnormalities and their impact on lung function

II. Surgical procedures, including wedge resection, lobectomy, pneumonectomy, lung transplant, and placement of bronchial stents and valves

III. Education and exercise prescription appropriate for this population.

Behavioral/Learning Objectives:

1. Describe abnormalities of the thoracic cage that impact lung function.
2. Describe surgical procedures of the thorax.
3. Identify the educational components of a pulmonary rehabilitation program individualized to the patient with thoracic cage abnormalities and surgery.
4. Describe exercise prescription considerations for this patient population.

#6 - Meeting the Oxygen Needs of Your Patients

I. Use of supplemental oxygen during exercise.

II. Policy components that allow flexibility in administering supplemental oxygen and titrating flow as needed.

III. Oxygen delivery and the indications and precautions of a variety of devices.

IV. Case examples of pulmonary rehab participants with pathologies presented in the Webinar series and the challenges they create.

Behavioral/Learning Objectives:

1. Identify indicators of the need for supplemental oxygen.
2. Describe program policy that allows flexibility in administration of supplemental oxygen during exercise.
3. Explain how to use various delivery devices for the administration of oxygen, including high flow oxygen.
4. Describe the analysis of the case examples of pulmonary rehabilitation program participants presented in this webinar series.
   

Accreditation Information

Nurses – Academy Medical Systems is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Academy Medical Systems (AMS) is also a provider approved by the California Board of Registered Nursing, provider #CEP14413.

AMS is also a provider approved by the Florida Board of Nursing, provider #50-19.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.  This course is an intermediate education level.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Respiratory Therapists - This course meets the requirements for continuing education for Respiratory Care Professionals in AL, CA, CT, DE, FL, ID, IL, IN, IA, KS, LA, ME, MA, MN, MS, MT, NE, NV, NY, OH, OK, OR, RI, SC, TN, TX, WA, WV, WY.

Because each state’s continuing education requirements for respiratory therapists is subject to change, please verify this information with your state board. Thank you.

Physical Therapists - PTs and PTAs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, AL, AZ, CA, CO, CT, GA (Class 1), HI, IA, ID, IN, KS (Cat 2), KY,  MA, ME, MI, MN (Cat 2), MO, MS, MT, NE, NM, ND, OK (Cat 2), OR, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WI, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.  The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.  See The Federation of State Boards of Physical Therapy website for more information.

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