presented by Rebecca Crouch
Financial: Rebecca Crouch is a partner at PT Cardiopulmonary Educators and CEO of Cardiopulmonary Therapy Research. Rebecca Crouch receives compensation from MedBridge for this course.
Non-Financial: Rebecca Crouch has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Rebecca Crouch, PT, DPT, MS, CCS, FAACVPR
Dr. Rebecca Crouch has practiced cardiovascular and pulmonary physical therapy in the acute care and outpatient rehabilitation settings, and was a founding member and director of the Duke University pulmonary rehabilitation outpatient program for 30 years. She is now an assistant professor in the Doctor of Physical Therapy program at Campbell University, and her clinical…Read full bio
1. Overview of the Problem: Incidence and Prevalence of Chronic Lung Disease
Chronic lung disease is the third leading cause of death in the United States. Risk factors are associated with lung diseases. Therapists should be familiar with these risk factors so that targeted educational topics can be incorporated into the treatment process.
2. Lung Disease Rehabilitation: What and How?
Who are the patients that will benefit from pulmonary physical therapy? This section will note the diagnoses that are appropriate for pulmonary rehabilitation and the physical impairments that are common.
3. How Do I Evaluate Lung Disease Patients?
The physical therapist must have an evaluation template for lung disease patients. This section will highlight the important components of a comprehensive pulmonary therapy evaluation and explain why they are different from a typical PT evaluation.
4. Best Pulmonary Impairment-Based Outcome Measures
The therapist will have a choice of outcome measures that are relevant to the pulmonary rehabilitation population. The recommended outcomes reviewed will be impairment based and outpatient focused.
5. Role of Oxygen in Pulmonary Rehabilitation Therapy
It is important to have a thorough understanding of the guidelines for oxygen therapy, equipment options, and titration with rest and activity. The physical therapist must evaluate the patient’s need for oxygen, current oxygen equipment if already on oxygen therapy, and the equipment's ability to adequately meet the saturation guidelines.
6. Treatment Components and Goals for Chronic Lung Disease
Based on evaluative findings, targeted treatment programs and goals can be designed for various pulmonary rehabilitation patients. These treatment components will highlight basic physiological principles and those unique to the pulmonary population. Recommended goals will be realistic and emphasize a change in lifestyle.
7. Documentation and Billing for Pulmonary Rehabilitation Therapy
Documentation components and billing codes will be discussed to meet reimbursement requirements of pulmonary rehabilitation therapy by Medicare and private insurance. It is crucial for the physical therapist to have a thorough understanding of specific billing codes accepted by all third-party payers, and the specific codes to use with differing pulmonary diagnoses.