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  • Reflective Account 1

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    Mr. Z attended a 6-week pulmonary rehabilitation program and follow up appointments at 3, 6, and 12 months. At his 3-month appointment, he reported discontinuing his home exercises. The physical therapist stressed the importance of continued physical activity for COPD patients and informed Mr. Z about a maintenance exercise group. Though initially apprehensive, Mr. Z agreed to attend. With peer support and 6 months of regular exercise, Mr. Z showed improved fitness on walking tests and a greater sense of achievement. The therapist learned the importance of ongoing motivation and active listening.

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    Mr. Z attended a 6-week pulmonary rehabilitation program and follow up appointments at 3, 6, and 12 months. At his 3-month appointment, he reported discontinuing his home exercises. The physical therapist stressed the importance of continued physical activity for COPD patients and informed Mr. Z about a maintenance exercise group. Though initially apprehensive, Mr. Z agreed to attend. With peer support and 6 months of regular exercise, Mr. Z showed improved fitness on walking tests and a greater sense of achievement. The therapist learned the importance of ongoing motivation and active listening.

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    61 views2 pages

    Reflective Account 1

    Uploaded by

    anieczko
    Mr. Z attended a 6-week pulmonary rehabilitation program and follow up appointments at 3, 6, and 12 months. At his 3-month appointment, he reported discontinuing his home exercises. The physical therapist stressed the importance of continued physical activity for COPD patients and informed Mr. Z about a maintenance exercise group. Though initially apprehensive, Mr. Z agreed to attend. With peer support and 6 months of regular exercise, Mr. Z showed improved fitness on walking tests and a greater sense of achievement. The therapist learned the importance of ongoing motivation and active listening.

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    of 2

    Using

    As a part of the pulmonary rehabilitation programme is running exercise classes for


    people with chronic lung diseases. After patients finish the 6 week programme we
    following them up 3,6 and a year after their finish. That day i saw Mr. Z for his 3
    months follow up appointment. After few routine questions and taking some objective
    measurements (weight,BP, SpO2 and walking test)[ 1 why do PR] Mr. Z informed me
    that after he finish the exercise group with us he did managed to continue with the
    home exercise programme (HEP) as we advice to him but after a while his
    motivation level went down and at the moment he is not doing any exercises. I
    recognised those explanation from before. I explained Mr. Z again about importance
    of continuity of physical activities for people with COPD (chronic obstructive
    pulmonary disease).[2 continuity] Also remained Mr. Z about mine maintenance
    group. It’s an exercise group for patients who completed pulmonary rehab working in
    conjunction with Edinburgh leisure.[3 EL booklet] I remember when Mr. Z finish our
    programme earlier this year we did talk about it but he was feeling very apprehensive
    and declare then that ‘gym is for young and fit people’ unfortunately any explanation
    then didn’t make any difference. Luckily this time was a bit different. Mr Z was willing
    to try and come to the gym at least once to see how it is.

    When Mr Z came to the gym I introduced him to the few people from my group who
    been coming for a while now. I know that as much as patient might trust his therapist
    the pear support is very important especially with long term conditions [4 pear
    support]

    Now Mr. Z been coming to the gym for last 6 months and just recently completed his
    final follow up appointment i was happy to see he managed to improve his walking
    test which show that he improve his fitness level but mainly he had a very great sans
    of achievement and hopefully his motivation going to last this time

    What I learned was that I should always try to keep my patients motivated but the
    main thing is communication. Always listening carefully and let patient talk. [5
    communication]

    1 http://www.trdrp.org/research/PageGrant.asp?grant_id=2045
    2 http://ajrccm.atsjournals.org/cgi/content/abstract/200204-318OCv1

    http://www.thoracic.org/clinical/pulmonary-rehabilitation/professional-information/resources/ries-
    maintenance-after-pr-in-copd.pdf

    3 ref to mine bookled

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