upcoming seminars

Course Details

COURSE # 7: Therapeutic Management of Patients with Pulmonary Disease - DR. ETHEL FRESE


Dr. Ethel Frese PT, DPT, MHS, CCS

Course Description

This two-day course will provide a comprehensive overview of the therapeutic management of patients with obstructive and/or restrictive pulmonary diseases that are especially applicable to physical and occupational therapists.  This course will review normal pulmonary anatomy and physiology as well as pulmonary pathophysiology.  Instruction will focus on management of patients with chronic bronchitis, emphysema, asthma, exercise-induced bronchoconstriction, bronchiectasis, atelectasis, pneumonia, pulmonary fibrosis, pneumothorax and respiratory failure. The concepts and principles included in this course will enhance the participant’s knowledge and clinical skills through lecture, case discussions, and demonstration/practice. Emphasis will be placed on practical methods for examination, clinical decision making, and effective treatment strategies including exercise prescription.  Evidence-based information a variety of therapeutic approaches will be discussed that will provide a foundation from which appropriate decisions can be made regarding patient needs. This course is designed for participants with a basic to intermediate level of experience.

Contact Hours

Upon completion of this course, all participants will be given a certificate of completion for 15.0 contact hours (15.0 CE Hours). This course is approved by Illinois Physical Therapy Association (IPTA) for 15.0 CE hours (approval # 245-6144) and 15.0 contact hours by North Carolina Physical Therapy Association and 17.5 CEH by Florida Physical Therapy AssociationIn Florida, 50 min is equal to one CEH. The Learning and Training Center is an approved provider of continuing competence activities through North Carolina Physical Therapy Association (Provider Number 15-1216-031). Illinois IOTA recognizes IPTA's approved courses in Illinois and gives CEU credit of 15.0 contact hours. This course is also approved for 1.5 CEUs (15 contact hours) by AOTA. The Learning and Training Center is an AOTA approved provider of continuing education (AOTA provider number is 5184). Contact your state board for specific filing requirements.

Course Objectives

• Discuss normal pulmonary anatomy and physiology and the changes that occur with normal aging as well as changes that occur due to the pathologies that are included in the course.
• Discuss the effect of body position on ventilation and perfusion.
• Recognize and differentiate signs and symptoms of obstructive and restrictive diseases.
• Discuss common pulmonary surgical interventions and their post-op therapeutic management.
• Perform a pulmonary examination and formulate an appropriate intervention and plan of care based on the results of the examination.
• Identify abnormal breath sounds and adventitious sounds and their implication in the management of patients with pulmonary disease.
• Perform pulmonary interventions including airway clearance techniques, assisted cough techniques, breathing strategies and relaxation positions.
• Discuss the effects of the most commonly used medications used in the management of pulmonary disease and their possible impact on physical and occupational therapy interventions.
• Discuss the principles of pulmonary rehabilitation and formulate an appropriate exercise prescription for a patient with pulmonary disease.
• Assess the patient’s response to interventions and modify the program as needed.

Course Agenda




7:30 a.m.


8:00 a.m.

Pulmonary System: Anatomy and Clinical Implications

8:30 a.m

Pulmonary System: Functions, Ventilation, Mechanism of Respiration, Neural Control of Respiratory Functions. External and Internal Respiration, Ventilation/Perfusion Relationship, Mechanism of Gas Transport

9:30 a.m .


9:45 a.m

Continue Pulmonary System Functions

11: 00 a.m .

Pulmonary Function Tests, Aging Changes of the Pulmonary System

12:00 noon

Lunch(On your own)

1:00 p.m.

Acid-Base Balance; Arterial Blood Gases, normal and abnormal values; Analysis of ABG and Clinical Interpretations

1:45 p.m.

Pulmonary Examination and Lab: breathing patterns, breath sounds

2:45 p.m.


3:00 p.m.

Obstructive Lung Disease: COPD (Chronic Bronchitis, Emphysema), Asthma, Exercise-Induced Bronchoconstriction, Bronchiectasis, Cystic Fibrosis: incidence, etiology, pathophysiology, clinical manifestations, medical management, prognosis

5:30 p.m.





7:30 a.m.

Restrictive Lung Diseases: Atelectasis, Pneumonia, Pulmonary Fibrosis, Pneumothorax:  incidence, etiology, pathophysiology, clinical manifestations, medical management, prognosis

9:00 a.m.

Respiratory Failure, Ventilators: Implications for Physical and Occupational Therapy

9:45 a.m.

Pharmacological Management of Pulmonary Disease and Implications for    Physical and Occupational Therapy

10:15 a.m.


10:30 a.m

Thoracic Surgery: therapeutic management

11:00 p.m.

Pulmonary Intervention and Lab:  airway clearance techniques, breathing strategies; assisted cough techniques

12:00 p.m.

Lunch (On your own)

1:00 p.m.

Pulmonary Rehabilitation/Exercise Guidelines and Prescription

3:00 p.m.

Questions and Discussions

3:30 p.m.


Participants should bring a stethoscope for lab session

Upcoming Classes


Meet Our Faculty


I am excited that I will take back new ideas to the clinic and use right away with my patients.
- Samantha B. (PT from Illinois)
Instructor is very knowledgeable. Dr. Ghosh explained complicated topic with ease and simplicity.
- Oliver P. (OT from Kentucy)


The Learning and Training Center
c/o Sarbani Ghosh
16327 Champion Drive
Chesterfield, MO 63005
Email: :ltcenter@charter.net
Phone: :(636)536-0272