Overcoming Challenges of Respiratory Care in Patients with Respiratory Muscle Weakness
Physiological mechanisms in respiratory muscle weakness can complicate patient management. Learn assessment tools, interventions, & transitions to community care in this informative virtual workshop by Allied Health Integrative Network (AHINET).
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ALLIED HEALTH INTEGRATIVE NETWORK (AHINET) Virtual Workshop Overcoming Challenges of Respiratory Care in Patients with Respiratory Muscle Weakness across the Care Continuum 1 s t S e p 2 0 2 2 | T H U R S D A Y | 8 . 0 0 A M 5 . 0 0 P M Synopsis Faculty Dr Chan Yeow [Senior Consultant] Physiological mechanisms involved in the development of respiratory muscle weakness are varied and complex. This can pose a challenge in the management of patients with respiratory muscle weakness and their integration into the community. Clinical approach to these patients should encompass early assessment of respiratory muscle function and appropriate interventions to achieve the best possible patient care. Through enhancing healthcare staffs knowledge and skills, signs of respiratory failure can be identified early and addressed timely with a holistic respiratory care plan. This reduces hospital re-admissions and provides patients with support required to transit them from acute to community. With the aforesaid, healthcare professionals will also be empowered to deliver value-adding care and improve the patients quality of life. Therefore, this workshop aims to equip healthcare professionals with the knowledge to identify patients with respiratory muscle weakness and provide up-to-date evidence and recommendations in the management of these patients through the whole care continuum. Dr Tan Geak Poh [Senior Consultant] Mr Saboor Rahman Iqbal [Senior Physiotherapist] Ms Lim Si Min [Senior Physiotherapist] Ms Marilyn Chow Sue Han [Senior Physiotherapist] Ms Kwong Seh Ling [Principal Speech Therapist] Ms Sun Tao [Advanced Practiced Nurse] Learning Objectives Course Fee: SGD 350(Early bird closing 10th Aug) SGD 420 (Regular closing 24th Aug) At the end of the workshop, participants would be able to: Understand the fundamental knowledge of the physiology of respiratory muscle weakness and its reversibility. Increase awareness of the common clinical conditions associated with respiratory muscle weakness and its impact on pulmonary function, cough, speech and swallowing. Identify the assessment tools for evaluation of respiratory muscle weakness and interpret the associated results Select appropriate respiratory techniques and adjuncts for managing patients with respiratory muscle weakness. Appreciate the importance of respiratory rehabilitation and available resources in helping patients to transit from acute to community. Platform: This workshop will be conducted via Zoom Cloud Meetings app. Upon successful registration, you will receive a link for the virtual workshop closer to date. Enquiries: For enquiries please email: AHInet@ttsh.com.sg Target Audience Registration: Please register with QR code provided. Nurses and Physiotherapists who work with patients with respiratory muscle weakness in acute settings, community hospitals and nursing homes.
ALLIED HEALTH INTEGRATIVE NETWORK (AHINET) PROGRAMME 1st September 2022 (Thursday) 08:00 08:15 Registration Assessment of Respiratory Muscle Understanding the Physiology of Respiration and Mechanism of Cough (Ms Marilyn Chow Sue Han) Common Neurological Causes of Respiratory Muscle Weakness, Clinical Presentations and Disease Trajectory (Dr Chan Yeow) Common Medical Causes of Respiratory Muscle Weakness and Related Assessments (Dr Tan Geak Poh) 08:15 09:00 09:00 - 09:45 09:45 10:30 10:30 - 10:45 Tea Break Respiratory Care: Acute and Community Respiratory Muscle Weakness: Reversible or Not (Ms Marilyn Chow Sue Han) 10:45 11:15 11:15 - 12:00 Respiratory Muscle Strengthening (Ms Lim Si Min) Airway Clearance Techniques (Mr Saboor Rahman Iqbal) Included Videos on Inspiratory muscle trainer, cough assist, lung volume recruitment 12:00 - 13:00 13:00 - 14.00 Lunch Impact of Respiratory Muscle Weakness on Speech and Swallowing (Ms Kwong Seh Ling) 14:00 - 14:45 14.45 - 15:15 Transition of Care from Hospital to Community (Ms Sun Tao) 15:15 - 15:30 Tea Break 15:30 - 16:45 Case Discussion 16:45 - 17:00 Conclusion
ALLIED HEALTH INTEGRATIVE NETWORK (AHINET) SPEAKERS Dr Chan Yeow Senior Consultant, Dept of Anaesthesiology, Intensive Care and Pain Medicine Director, Home Ventilation and Respiratory Support Service Dr Chan Yeow is an anaesthesiologist, intensivist and Director of Home Ventilator and Respiratory Support Service (HVRSS) in Tan Tock Seng Hospital. He is an advocate and champion for home ventilation support service for ventilator-dependent and ventilator-assisted patients in Singapore. His vision has brought hope to these patients and their families. He gets a great kick when ventilated, tracheostomised patients can speak audibly, return home and do things they enjoy. His other interests are in philosophy, medieval history, Karate and Erhu. Dr Tan Geak Poh Senior Consultant, Dept of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital Dr Tan obtained his primary medical degree from the University of Dundee, Scotland. He worked in various public hospitals in Scotland as a junior medical doctor before relocating to Singapore in 2009. Dr Tan later obtained his specialist accreditation in both respiratory and intensive care medicine. In 2016, he was awarded the Health Manpower Development Programme (HMDP) fellowship and was posted to the Department of Pulmonary Physiology and Sleep Medicine at the Sir Charles Gairdner Hospital in Western Australia. Since returning to Singapore, he assumes the clinical lead position for the Respiratory Function Laboratory at Tan Tock Seng Hospital and started various services such as cardiopulmonary exercise testing and impulse oscillometry. He also actively participates in the Home Ventilation and Respiratory Support Service (HVRSS). In addition, Dr Tan has research interest in the area of pulmonary physiology, pulmonary function testing, non-invasive ventilation, respiratory failure and complex sleep disorders.
ALLIED HEALTH INTEGRATIVE NETWORK (AHINET) SPEAKERS Mr. Saboor Rahman Iqbal Senior Physiotherapist, Tan Tock Seng hospital Mr. Saboor Rahman is a senior physiotherapist in the Cardio-Pulmonary unit at Tan Tock Seng Hospital, Singapore. Mr. Saboor Rahman has 15 years of working experience and has more than 11 years of experience in Intensive care units and high dependency settings. His special interests are in Critical care physiotherapy, Early rehabilitation in Neurological ICU, Acute respiratory care for patients with neuromuscular diseases, Tracheostomy care and decannulation. He has presented in various international platforms such as International Forum on Quality and Safety in Healthcare (London 2015, Taiwan 2019) and The Asia pacific conference on Early Mobilization & Rehabilitation in the ICU (Seoul 2016 and Kuching 2019). He has delivered numerous talks/workshops on advanced respiratory care of patients with neuromuscular disease . Ms. Lim Si Min Senior Physiotherapist, Tan Tock Seng Hospital Ms. Lim Si Min is a Senior Physiotherapist at Tan Tock Seng Hospital. She has a special interest and passion in the management of patients with complex cardiorespiratory conditions. She is knowledgeable and accomplished in the management of critically ill patients with respiratory needs in the cardiac and medical intensive care units and high dependency units. She is also at the forefront of pushing for early and enhanced multidisciplinary-driven mobilisation in the field of critical care. Her area of focus also includes tracheostomy care and weaning. She is a key member of the hospital s tracheostomy workgroup, and provides expertise on respiratory management and perspective on spigotting and decannulation. Ms. Marilyn Chow Sue Han Senior Physiotherapist, Tan Tock Seng Hospital Ms. Marilyn is a Senior Physiotherapist in the cardiopulmonary unit in Tan Tock Seng Hospital. She has 5 years of clinical experience as a physiotherapist and has been trained in various critical care units. She is currently the lead physiotherapist in the medical intensive care unit and has implemented and upkept several initiatives to improve patient care. This includes improving patient s compliance to airway clearance techniques, sustaining early mobilization in the Medical ICU and initiating telehealth for chest physiotherapy during the recent COVID-19 pandemic. Her clinical interest lies in managing patients with acute cardiorespiratory conditions.
ALLIED HEALTH INTEGRATIVE NETWORK (AHINET) SPEAKERS Ms. Kwong Seh Ling Principle Speech Therapist, Tan Tock Seng Hospital Ms. Kwong Seh Ling joined Tan Tock Seng Hospital since graduating as a speech therapist and has practised across acute, subacute and community settings. Her clinical interests are in swallowing rehabilitation through biofeedback and assessment through pharyngeal high-resolution manometry. She also has special interests in communication and swallowing management of patients with neuromuscular diseases and patients on tracheostomy. A patient whom she followed through from hospital to hospice prompted her to embark on a PhD to further her knowledge in swallowing management. Interactions with fellow researchers during her PhD allowed Seh Ling to gain insights into developments of expiratory muscle strength training and sensory cough rehabilitation. She is currently based at TTSH Rehabilitation Centre and continues to support the care of tracheostomy patients. Ms. Sun Tao Advanced Practice Nurse, Tan Tock Seng Hospital Ms. Sun Tao is the advanced practice nurse in the Home Ventilation and Respiratory Support Service (HVRSS) of Tan Tock Seng Hospital. With 9years of ICU experience and advanced diploma in Critical Care, she joined TTSH in 2012 and became the first nurse in the HVRSS. Over the years, she has led HVRSS nurses to venture and expand on services. One of the examples is tracheostomy tube change by 2 nurses without a doctor in patient s home. Along the way, she also obtained her master of nursing course and became a qualified advanced practice nurse. Ms. Sun Tao is specially interested in education and training in the community. She was one of the key trainers in home ventilation and secretion management training for Ang Mo Kio Community Hospital, Kwang Wai Shiu Hospital and Dover Park Hospice. She is committed to improve the knowledge and skills of professional and non-professional caregivers in long term ventilation.
