| Rehabilitation program |
Detail |
| Walking practice and leading home exercise |
Walking exercises were performed with attention to SPO₂ not falling below 90% and dyspnea not exceeding 15 on the Borg scale. Patients and family members were instructed to use an oximeter so that they could perform walking exercises on their own. 1-10 sets of walking exercises were performed depending on hypoxemia and dyspnea. 3 m was started and up to 140 m was performed at X + 300 days. |
| ADL practice |
ADL practice was conducted in stages. They were asked to wash their face and brush their teeth in a standing position, walk 3 m to a portable toilet, walk 5 m to the kitchen and eat, walk 7 m to the bathroom, walk 10 m to the toilet, and walk 20 m to the car outside the house. With improvement in walking ability, step climbing exercises were performed at the front door and in front of the house. Management of hypoxemia and dyspnea was similar to the walking exercises. |
| Go out practice |
They practiced walking, climbing up and down steps, and getting in and out of the back seat of a car. These practices alone did not allow him to go out in a car. She practiced with her daughter and husband administering oxygen cylinders; each 7.0L oxygen cylinder was durable for 50 minutes and needed to be replaced as needed. |
| Patients education |
We explained the risk of falls associated with walking exercises and the risk of exacerbation of respiratory and cardiac failure associated with hypoxemia. We instructed my daughter and her husband to take vital measurements on paper. She instructed them to perform activities at home, noting increased dyspnea at rest and no sympathetic hyperactivity (increased resting blood pressure and pulse rate). |
