16.05B · MFE 5 — Cas de liaison

MFE 5 — Liaison case

MFE - Médecine de la Famille et de l'Enfance · 39 pages

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Liaison Case: Home O₂ & Physiotherapy

1Title Slide 2Course Pathway Overview 3Learning Objectives 4SpeakUp Room (Admin)5Pre-Quiz: COPD as Systemic Disease 6COPD Therapeutic Strategies Overview

Alveolar Gas Exchange

7Distal Airway & Alveolar Anatomy 8Gas-Exchange Surface (0.2 µm Barrier)9O₂/CO₂ Diffusion (Fick's Law)

V/Q Mismatch in COPD

10Shunt vs Dead Space Effects 11V̇A/Q̇ Ratio Diagram 12Summary: Hypoxemia & Hypercapnia

13Survival Benefit (NOTT Trial)14Other Benefits of O₂ Therapy 15Prescription: 4-Step Protocol 16Exclusion: Smoking & Fire Risk

Delivery Devices

17Gaseous Oxygen Cylinder 18Oxygen Concentrator 19Liquid Oxygen

COPD as Systemic Disease

20Cardiovascular Risk & Sarcopenia 21Muscle Fiber Type Shift (I→II)22Metabolic Syndrome, Malnutrition & Osteoporosis 23Sexual Dysfunction, Depression & Lung Cancer 24COPD as Major Disability (WHO Model)25Deconditioning Spiral

Interprofessional Care

26Breaking the Spiral 27Professional Roles (1/2)28Professional Roles (2/2)

Pulmonary Rehabilitation

29Inpatient (Hospital, ~3 Weeks)30Outpatient (Clinic, 3 Months)31Home-Based: Equally Effective 32Home System: Key Principles 33Home Exercise in Practice (Photo)34Home Physiotherapy Session (Photo)35Home Rehabilitation Examples (Photo)36Patient at Home (Photo)

37Post-Quiz: COPD as Systemic Disease 38Conclusions 39References

16.05BPage 1Liaison Case: Home O₂ & PhysiotherapyTitle Slide

MFE 5 — Cas de liaison page 1

16.05BPage 2Liaison Case: Home O₂ & PhysiotherapyCourse Pathway Overview

MFE 5 — Cas de liaison page 2

16.05BPage 3Liaison Case: Home O₂ & PhysiotherapyLearning Objectives

MFE 5 — Cas de liaison page 3

16.05BPage 4Liaison Case: Home O₂ & PhysiotherapySpeakUp Room (Admin)

MFE 5 — Cas de liaison page 4

16.05BPage 5Liaison Case: Home O₂ & PhysiotherapyPre-Quiz: COPD as Systemic Disease

MFE 5 — Cas de liaison page 5

16.05BPage 6Liaison Case: Home O₂ & PhysiotherapyCOPD Therapeutic Strategies Overview

MFE 5 — Cas de liaison page 6

16.05BPage 7Liaison Case: Home O₂ & PhysiotherapyAlveolar Gas ExchangeDistal Airway & Alveolar Anatomy

MFE 5 — Cas de liaison page 7

16.05BPage 8Liaison Case: Home O₂ & PhysiotherapyAlveolar Gas ExchangeGas-Exchange Surface (0.2 µm Barrier)

MFE 5 — Cas de liaison page 8

16.05BPage 9Liaison Case: Home O₂ & PhysiotherapyAlveolar Gas ExchangeO₂/CO₂ Diffusion (Fick's Law)

MFE 5 — Cas de liaison page 9

16.05BPage 10Liaison Case: Home O₂ & PhysiotherapyV/Q Mismatch in COPDShunt vs Dead Space Effects

MFE 5 — Cas de liaison page 10

16.05BPage 11Liaison Case: Home O₂ & PhysiotherapyV/Q Mismatch in COPDV̇A/Q̇ Ratio Diagram

MFE 5 — Cas de liaison page 11

16.05BPage 12Liaison Case: Home O₂ & PhysiotherapyV/Q Mismatch in COPDSummary: Hypoxemia & Hypercapnia

MFE 5 — Cas de liaison page 12

16.05BPage 13Liaison Case: Home O₂ & PhysiotherapyOxygen TherapySurvival Benefit (NOTT Trial)

MFE 5 — Cas de liaison page 13

16.05BPage 14Liaison Case: Home O₂ & PhysiotherapyOxygen TherapyOther Benefits of O₂ Therapy

MFE 5 — Cas de liaison page 14

16.05BPage 15Liaison Case: Home O₂ & PhysiotherapyOxygen TherapyPrescription: 4-Step Protocol

MFE 5 — Cas de liaison page 15

16.05BPage 16Liaison Case: Home O₂ & PhysiotherapyOxygen TherapyExclusion: Smoking & Fire Risk

MFE 5 — Cas de liaison page 16

16.05BPage 17Liaison Case: Home O₂ & PhysiotherapyOxygen TherapyDelivery DevicesGaseous Oxygen Cylinder

MFE 5 — Cas de liaison page 17

16.05BPage 18Liaison Case: Home O₂ & PhysiotherapyOxygen TherapyDelivery DevicesOxygen Concentrator

MFE 5 — Cas de liaison page 18

16.05BPage 19Liaison Case: Home O₂ & PhysiotherapyOxygen TherapyDelivery DevicesLiquid Oxygen

MFE 5 — Cas de liaison page 19

16.05BPage 20Liaison Case: Home O₂ & PhysiotherapyCOPD as Systemic DiseaseCardiovascular Risk & Sarcopenia

MFE 5 — Cas de liaison page 20

16.05BPage 21Liaison Case: Home O₂ & PhysiotherapyCOPD as Systemic DiseaseMuscle Fiber Type Shift (I→II)

MFE 5 — Cas de liaison page 21

16.05BPage 22Liaison Case: Home O₂ & PhysiotherapyCOPD as Systemic DiseaseMetabolic Syndrome, Malnutrition & Osteoporosis

MFE 5 — Cas de liaison page 22

16.05BPage 23Liaison Case: Home O₂ & PhysiotherapyCOPD as Systemic DiseaseSexual Dysfunction, Depression & Lung Cancer

MFE 5 — Cas de liaison page 23

16.05BPage 24Liaison Case: Home O₂ & PhysiotherapyCOPD as Systemic DiseaseCOPD as Major Disability (WHO Model)

MFE 5 — Cas de liaison page 24

16.05BPage 25Liaison Case: Home O₂ & PhysiotherapyCOPD as Systemic DiseaseDeconditioning Spiral

MFE 5 — Cas de liaison page 25

16.05BPage 26Liaison Case: Home O₂ & PhysiotherapyInterprofessional CareBreaking the Spiral

MFE 5 — Cas de liaison page 26

16.05BPage 27Liaison Case: Home O₂ & PhysiotherapyInterprofessional CareProfessional Roles (1/2)

MFE 5 — Cas de liaison page 27

16.05BPage 28Liaison Case: Home O₂ & PhysiotherapyInterprofessional CareProfessional Roles (2/2)

MFE 5 — Cas de liaison page 28

16.05BPage 29Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationInpatient (Hospital, ~3 Weeks)

MFE 5 — Cas de liaison page 29

16.05BPage 30Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationOutpatient (Clinic, 3 Months)

MFE 5 — Cas de liaison page 30

16.05BPage 31Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationHome-Based: Equally Effective

MFE 5 — Cas de liaison page 31

16.05BPage 32Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationHome System: Key Principles

MFE 5 — Cas de liaison page 32

16.05BPage 33Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationHome Exercise in Practice (Photo)

MFE 5 — Cas de liaison page 33

16.05BPage 34Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationHome Physiotherapy Session (Photo)

MFE 5 — Cas de liaison page 34

16.05BPage 35Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationHome Rehabilitation Examples (Photo)

MFE 5 — Cas de liaison page 35

16.05BPage 36Liaison Case: Home O₂ & PhysiotherapyPulmonary RehabilitationPatient at Home (Photo)

MFE 5 — Cas de liaison page 36

16.05BPage 37Liaison Case: Home O₂ & PhysiotherapyPost-Quiz: COPD as Systemic Disease

MFE 5 — Cas de liaison page 37

16.05BPage 38Liaison Case: Home O₂ & PhysiotherapyConclusions

MFE 5 — Cas de liaison page 38

16.05BPage 39Liaison Case: Home O₂ & PhysiotherapyReferences

MFE 5 — Cas de liaison page 39