Pulmonary disease or chronic obstructive pulmonary disease (COPD) is a disease of the airways in the lungs. It is a chronic respiratory disorder that progressively worsens lung function and limits airflow. It encompasses emphysema, chronic bronchitis and chronic asthma. A primary symptom of the disease is difficulty breathing.

COPD is a major health problem. It is the fourth leading cause of death in the United States and a major cause of illness and disability. In the U.S., an estimated 10 million adults were diagnosed with COPD, but data from a national health survey suggests that as many as 24 million Americans are affected. COPD is the only major disease that is rising in prevalence and mortality while all other major causes of death are declining.

Chronic obstructive pulmonary disease is an irreversible process and there is no known cure. With treatment, however, symptoms of chronic obstructive pulmonary disease can be managed and sufferers can lead full and happy lives.

COPD impairs lung function resulting in chronic breathlessness. This leads to a profound, negative impact on patients' ability to work, support families and enjoy life. COPD is one of the main reasons for days lost from work and permanent disability. In addition to cutting working years short, it can also sap the strength and stamina for leisure activities such as travel, exercise, and even socializing with friends.

COPD gets worse over time. You can't undo the damage to your lungs. It therefore has a significant physical and emotional impact on those who suffer from the disease. As the disease progresses, lung function declines over time and physical activity becomes severely limited, disrupting the patient's ability to lead a full life, interfering with everyday tasks like participating in family routines and social interactions.

It is often not found until the disease is very advanced because people do not know the early warning signs. Lung damage occurs well before people with COPD are aware of symptoms. By the time they seek medical help, the destructive forces of chronic lung inflammation often have taken a heavy toll.

Chronic obstructive pulmonary disease, though not curable, is unique among the most disabling diseases in that it is almost completely preventable. Additionally, various forms of treatment can help control its symptoms and increase quality of life for people with the illness.

Patients with pulmonary disease benefit greatly from physical therapy. Muscular weakness occurs from illness-induced inactivity and certain medications which results in difficulty walking, transferring and negotiating steps and curbs.

Treatment consists of an individualized program of education and exercise. Patients learn about the heart and lungs and how to exercise with less shortening of breath. Strengthening exercises can be taught along with breathing strategies and energy conservation techniques, while monitoring vital signs including oxygen saturation levels, to help promote a return to full function.

The benefits of a pro-active program of therapy for pulmonary disease include:
     - Enhanced ability to perform daily living tasks
     - Reduced hospitalizations and the use of medical resources
     - Increased exercise tolerance and performance
     - Relief of the symptoms of respiratory disease
     - Improved emotional well-being of those who may be
       experiencing anxiety, depression, lack of self esteem and/or
       self confidence
     - Education about cardiopulmonary disease and its
        management
     - Increased awareness of medications used to treat
       cardiopulmonary disease

The physical therapists at Friendship Heights Rehabilitation Center are well versed in treating patients with cardiopulmonary disease with a multitude of problems ranging from mild to severe degrees of impairment. They encourage family and physician involvement.

Therapists take the time to create treatment plans that are meaningful to the patient and family. The therapists communicate regularly with the referring physician.

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