Pneumology. Allergology. Sleep Medicine. Medical Care

Quality of life for patients with diseases of the respiratory tract and lungs.

Rehabilitation that gives back quality of life.

Rehabilitation that gives back quality of life.

Our Specialist Centre for Pneumology cares for patients with severe diseases of the respiratory tract and lungs, in particular COPD (chronic obstructive bronchitis with or without pulmonary emphysema). The well-being of severely ill patients can also be improved with optimised drug therapy, information and training measures, and with motivating sport and exercise therapies in particular. The successful introduction to continual long-term oxygen therapy is made easier with our intensive support. 

Our Clinic is specialised in the rehabilitation and treatment of the entire spectrum of pneumological diseases. We particularly focus on the following speciality areas:

 

Our treatment concepts for pulmonary rehabilitation.

COPD / pulmonary emphysema.

Identifying the whole complexity of the illness.

Sport therapy according to individual fitness.

Sport therapy according to individual fitness.

Our concept for the treatment of COPD (chronic obstructive lung disease) and pulmonary emphysema is based on national and international medical recommendations and standards.

With the diagnosis, we place special value in not only identifying the measurable malfunctions but also observing the whole complexity of the illness and its consequences. For example, our doctors ask about the extent the health damage results in limitations for you as the patient in your work and everyday life and about your fitness, your state of mind and quality of life.

 

Therapy Concepts for the severe forms.

In particular, our specialist pneumological centre has developed new and highly specialised therapy concepts for the severe forms of progression of COPD. These have led to very intensive collaboration with different major lung and university clinics. Our main aim is to replace the resignation and hopelessness experienced by most patients with new prospects, which you as a patient develop yourself as part of physical activation you no longer considered possible.

 

Optimise COPD drug therapy.

Through a differentiate anamnesis and diagnostics of the COPD, our specialist registrars try to identify the proportions by which inflammation and amphysema determine the pulmonary disorder of the respective patient. This results in corresponding therapeutic consequences. The medication COPD therapy is initiated in accordance with the most recent scientific findings. Existing medication regimes are checked for effectiveness under closely knit progression control and if necessary are optimised. For example, an improved effect of the medication can be achieved solely by an improved inhalation technique.

 

Helping breathing and coughing techniques.

Respiratory therapy releases rigidity and teaches techniques.

Respiratory therapy releases rigidity and teaches techniques.

Above all for lung emphysema patients, the physiotherapeutical treatment plays a very decisive role, especially respiratory therapy. You are taught respiratory perception, how to avoid coughs, breathing and coughing techniques in individual therapy classes. The respiratory obstructing rigidity of the thorax is stopped through specific holds and heat applications. In addition, you find out the best way to use respiratory aids. The respiratory physiotherapists in our clinic not only have many years of experience with COPD patients of all degrees of severity but have also developed a range of innovative concepts with which they have acquired an outstanding reputation throughout Germany.

 

Training therapy tailor made for the individual.

Our training begins where the patient is, for example with motorised bicycles.

Our training begins where the patient is, for example with motorised bicycles.

The central element of the inpatient rehabilitation of COPD patients is sport and movement therapy. Many of the patients have increasingly limited physical effort, as it was associated with breathing difficulties, and have therefore suffered drastic loss of fitness. In addition, COPD, especially in advanced stages, also damages the cardio-vascular system and the muscles. Following careful checking of the patient's physical fitness, among other things using the 6-minute walking test or bicycle ergometer tests, you as a patient receive individual medical training therapy, which is exactly adapted to your capabilities. The training units are not only aimed at improving your physical stamina, but also aim to strengthen muscles and improve coordination. Scientific studies have shown that a competently implemented, effective training therapy can achieve similar efficacy to drug therapy.

 

Sport and physical exercise therapy increases exercise tolerance.

The physical training improves the exercise tolerance in everyday life and at work. Social isolation which accompanies increasing physical impairment is therefore avoided. The recovered physical activity also has an effect on the psyche – a very important point as most patients experience fears and depressions. Therefore, if necessary, specific psychological help can also be made use of during a patient's stay in the clinic.

 

Help with an smoking cessation.

Social education workers and psychologists are there to help you if you want to stop smoking: Special tobacco cessation programmes help you to succeed in making the decisive step to COPD treatment. Because it is not possible to prevent progression of the disease unless you stop your nicotine intake. In addition, medicines have a very limited effect on smokers.

 

Lead patience to their own competence.

In our clinic we consider informing, training and motivating patients to be very important. The aim is for them to acquire the greatest possible self-competence in the therapy for their illness, to recognise their responsibility and to be armed for situations in which their condition acutely worsens. Such acute worsening (exacerbations) occur above all in the event of respiratory tract infections. As these exacerbations can drastically worsen the progression of the illness, for you as a patient the aim is to recognise the infections in good time and to have them treated at an early stage. In addition, as a person affected, you can also protect yourself by generally building up your body's resistance to infections and to have pneumococci injections every five years and a flue injection once a year.

 

Strengthen defence against infections through healthy nutrition.

Healthy nutrition also plays a major role in order to positively affect the progression of the illness and defend against infections. We therefore offer our patients nutrition advice and in particular support COPD patients who have in the meantime lost too much weight and muscular mass. A stop is put to poor nutrition through a well-balanced and high-calorie diet. Other patients on the other hand have to reduce their weight, for which our nutrition advisers also have tried and tested concepts to hand.

 

Oxygen therapy and non-invasive respiration as support.

In an advanced condition of COPD, despite optimum therapy, such an oxygen deficiency can develop that physical movement is virtually impossible. In the case of these patients, our doctors improve the oxygen supply with a continuous long-term oxygen therapy before they start the sport and exercise therapy. If the respiratory muscles also be too fatigues, so-called non-invasive respiration can be used to provide effective support for exhausted respiratory muscles, which in some cases is necessary before training can even begin.

 

An effective and very promising treatment approach.

With the help of this combination of treatment approaches, the in-patient rehabilitation in our clinic can break the pending never-ending cycle of COPD illness with lack of exercise due to the illness and physical impairment, depression and social isolation and give back to the patient some quality of life.

 

Highly-specialised clinic for vocal cord dysfunction (VCD).

Internationally-prominent experience in diagnostics and therapy.

Vocal cord examination unique in Germany.

Vocal cord examination unique in Germany.

Vocal Cord Dysfunction (VCD, shortness of breath due to functional problems in the vocal cords) is often wrongly diagnosed as an asthma-related shortness of breath and is treated without success. Vocal cord disorders can be clearly identified with thorough diagnostic testing. Our clinic is the only site where this testing is carried out in Germany. Methods to relieve the alarming shortness of breath can then be found using the breathing techniques specially developed at our centre.

 

Diagnosis following subtle questioning and examination.

In the case of patients with unclarified breathing difficulty problems and supposedly untreatable asthma, in many cases it is established that the actual diagnosis should be "vocal cord dysfunction (VCD)". Yet this vocal cord dysfunction can only be clearly determined following subtle questioning and examination.

 

The diagnostics. The decisive key.

Subtle questioning and examination.

Subtle questioning and examination.

Our specialised pneumologists speak to you, the affected patient, in a great deal of depth about your medical history and above all the type of breathing difficulty you suffer from: Do you perceive the breathing difficulty to be more as a restriction of the respiratory tract, or more as a need to breath more (shortness of breath)? Does it occur when you inhale or exhale? Where do you feel the breathing obstruction? Is it position or situation-dependent? What triggers it? What improves it? How fast does it occur and how long does it last? Questions whose answers already indicate the type and cause of the problem.

 

Lung function tests mostly without particular findings.

Following the careful, very individual anamnesis, lung function tests are performed, in which most VCD patients do not show any particular findings. Very clear and substantiating conclusions for the VCD diagnosis is only possible with so-called laryngoscopy, in which an endoscope is fed into the pharynx, so that it is possible to identify when the vocal cords open and close. If a VCD attack occurs during the investigation the diagnosis can be clearly secured.

 

VCD diagnosis method developed in-house.

Dr. Klaus Kenn taking a laryngoscopy.

Dr. Klaus Kenn taking a laryngoscopy.

Therefore, special methods were developed in our clinic in order to provoke such attacks for the purposes of preparing diagnoses. To this end, patients are confronted with their problem stimuli during the laryngoscopy. This can be cigarette smoke, the smell of paint or diesel. Or perfume is held under their nose or they ride the bicycle ergometer - depending on whether odours or physical effort can trigger their difficulty in breathing.

This sounds more threatening than it is, because at best the patiently finally develops a breathing difficulty attack under medical monitoring, whose cause can then be precisely examined and above all filmed. In this way our pneumologists can then use the video to show you what acutely occurred, i.e. what causes your difficulty in breathing. This makes it easier to subsequently motivate patients to an adequate therapy. If the patient understands the mechanisms which lead to the breathing problem, they generally lose their fear of breathing difficulty attacks, a very important step towards solving the problem.

You as a patient are carefully informed that the VCD induced breathing difficulty is a threatening experience for you, but cannot be life-threatening because the vocal cord occlusion removes itself.

 

Therapy without medication.

Learn to perceive breathing better in respiratory therapy.

Learn to perceive breathing better in respiratory therapy.

As VCD is a mechanical respiratory obstruction, the treatment begins with respiratory and speech therapy. Medicines do not help and are unnecessary. This especially applies to the mostly highly systemic cortisone quantities, which can be rapidly reduced under medical control following the "VCD" diagnosis.

However, a patient who believes that the described VCD symptoms apply to them must never independently stop taking their medication, especially cortisone. Because in several cases the vocal cord dysfunctions are accompanied by an asthma complaint, which has to continue to be treated according to the relevant therapy guidelines. Uncontrolled cessation of medication can lead to negative bronchial consequences in the case of asthma requiring treatment. In the cases in which paranasal sinus secretions or acid acid back-flow from the stomach triggers the VCD, these accompanying symptoms are consistently treated. In most cases this leads to fast improvement.

 

Respiratory and speech therapy. The most important building blocks.

The respiratory and speech therapy allows you the patient to experience that, by using special breathing techniques, you yourself can do something decisive against your VCD-induced breathing difficulty. You learn to be more aware of and to better perceive your breathing and practice special breathing techniques, through which the vocal cords open and the constricting muscle relaxes. In addition, you find out how to suppress tickling in your throat. The therapy is supplemented by knowledge of respiratory facilitating positions and relaxation techniques. The decisive moment of success in the treatment often occurs when our patients understand that they can and must do something themselves.

 

Special VCD group. Exchanging information with other patients.

Our patients with vocal cord dysfunction (VCD) regularly meet in a so-called VCD group. There they receive sound information about their illness and exchange information and experiences with their problems with each other - under professional instruction.

 

Help to get back to normal life.

If necessary, our psychological service can provide you support as a VCD patient. It helps you to accept your new diagnosis and to find the right attitude to the therapy. As many VCD patients also suffer from stress symptoms or feelings of panic, psychological accompaniment can be very helpful. Even if the path to correct diagnosis of the VCD illness is often very long: As soon as it has become clear, the knowledge about your illness and the respiratory therapeutic treatment approaches very quickly help you back to a normal life.

 

Bronchial asthma with all levels of severity.

Differential diagnostics for asthma.

We have many years of experience in the treatment of bronchial asthma. Polished therapy concepts and effective treatment methods are used here. Our pneumologists also have the specialist know-how needed for differential diagnoses in severe and therapy-resistant asthma. We consider therapy-resistant asthma from a differentiated point of view and help our patients to get their asthma under control. 

 

Consistent asthma therapy: A normal, active life.

Helpful information and intensive training: Achieving asthma control in the long term.

Helpful information and intensive training: Achieving asthma control in the long term.

Bronchial asthma is a chronic inflammatory disease of the airways which necessitates long-term and consistent therapy following detailed diagnostic examination. Today there are modern and highly-effective drugs available to treat asthma effectively, which in most cases with the correct application and good monitoring of treatment means that asthmatics should be able to control their everyday routine and lead an active and normal life without serious disruption.

 

Therapeutic objective: Controlled asthma.

In order to achieve what is called controlled asthma, effective medicinal treatments must be preceded by subtle diagnostic investigations. In this connection it is important to provide you, as the asthmatic, with intensive training and motivation in order that you are appropriately equipped. Since bronchial asthma can, as a rule, vary greatly throughout the year, it is important for trained asthmatics to be able to adapt their therapies to the ever-changing conditions of their asthma. You, as the patient, should thus be able to achieve the necessary asthma control in the long term or at least for most of the time.

 

Diagnostics. A specific history is important.

The most important means of diagnosis is to target the history, i.e. to hold a consultation with the patient. The doctors at our clinic will therefore take plenty of time to do this. Diagnostic tools and specific laboratory tests which are subsequently used will normally simply confirm the diagnosis.

 

Medicamentous therapy for bronchial asthma.

Asthma therapy is always medication-based in the first instance. Two different groups of medication come into consideration here: Anti-inflammatory medications (so-called controllers) are central to asthma therapy, cortisone being the leading one. Without this type of medication it is impossible to achieve any control over asthma. Secondly there are substances used which widen the airways - these are called relievers. This type of medication acts quickly to relieve bronchial spasms. Our experienced physicians have worked for many years towards optimising medicinal treatments for asthma.

 

Smoking worsens the prognosis of asthma.

Unfortunately, 30 percent of all asthmatics still smoke, despite being fully informed about their illness. Studies have shown however that continued smoking considerably reduces or even impedes the chances of successfully treating asthma with medication. Smoking most definitely worsens the prognosis of asthma!

 

Breathing therapy as an important component of asthma therapy.

Breathing therapy for asthma: Practise breathing techniques in the event of respiratory distress.

Breathing therapy for asthma: Practise breathing techniques in the event of respiratory distress.

Besides treatment with medication, appropriate behaviour patterns and breathing techniques are also of great importance. During breathing therapy, which you can learn during a rehabilitation stay at our clinic, you can learn to curb the magnitude of the attacks of breathlessness by adopting breathing techniques and physical positions, which make breathing easier. But it is important to remain level-headed in critical situations. You will find this easier if you have learnt the right procedures during training sessions.

 

Good treatment for asthma-related respiratory distress.

In spite of being short of breath in the event of an attack you should try not to panic, become anxious or agitated. If the right therapeutic measures are taken early enough, then breathlessness can be easily treated. Because of the efficacy of the basic therapy for asthmatics, what is known as a 'status asthmaticus' – a potentially dangerous situation which must be dealt with as a hospital emergency – only rarely occurs today. In such cases cortisone preparations are usually given intravenously. In isolated cases oxygen therapy may become necessary.

 

Treatment of an acute deterioration in asthma.

If the illness deteriorates on account of an infection, then as an asthmatic you are faced with a feared situation. The course of some asthmas is almost exclusively characterised by infections, which can turn slight asthma into severe asthma within a short period of time. In order to prevent symptoms getting worse, you should recognise in good time when asthmatic inflammation is increasing. Then respond immediately with more intense anti-inflammatory therapy using cortisone preparations. This usually leads to rapid improvement. For your doctor and for you as a patient, an infectious deterioration, also known as exacerbation, poses a huge therapeutic challenge, in which not just medical expertise but above all your own competence as a patient is put to the test. You should learn all about this early on – such as during a rehabilitation stay at a recognised specialist clinic – so that you can respond as quickly and as appropriately as possible if there is any exacerbation. With careful monitoring you can detect in good time the symptoms which point to an exacerbation.

 

Peak flow measurement in order to be able to recognise deteriorations in good time.

Breathing therapy for asthma: Practise breathing techniques in the event of respiratory distress.

Breathing therapy for asthma: Practise breathing techniques in the event of respiratory distress.

In addition to early clinical symptoms (such as colds, coughing with yellow sputum, intensified respiratory distress), an exact analysis of peak flow (PF) can often identify changes early on. Peak flow measurement is a method used to examine breathing obstruction mainly in the large airways.

 

From peak flow analysis to tailored infection strategies.

The peak flow progression can be used to develop a tailor-made infection strategy. Whoever subsequently looks back and analyses the course of their peak flow and the individual points in time where measures had to be taken, can learn from this "postmortem" as to how to handle the next infection better. In this way you can become more and more your own "Infection Manager" and in future can independently introduce in good time any necessary measures. It is important that after the infection-induced deterioration has ended, you withdraw again from the intensified treatment and go back to the basic treatment.

 

If asthma remains out of control.

There are also forms of asthma, however, that can be controlled only partially or inadequately despite following guidelines. These types of uncontrolled asthma are a serious diagnostic and therapeutic challenge. Hence in such cases it is important to investigate the underlying problems very closely, by identifying disruptive factors and destabilising aspects, in order to clearly establish the essence and individual characteristics of the given asthmatic illness.

To this aim, proven medical experience is required in order to identify, together with the patient, the causes which are making the asthma difficult to treat and/or control. A certain amount of meticulous "detective work" is involved in the search for these causes. Cooperation is therefore required between the doctor and patient in order to attain the best possible therapeutic outcome. In such cases it is necessary to inform and train the patients thoroughly so that they are able to virtually predict a change in the condition of their asthma and thus take prompt action in order to regain a level of stabilisation. As an asthmatic, the goal is not to react to a change, but to act at least on the same level as the change in your asthma or, ideally, to be one step ahead.

 

Often mistaken as asthma: Vocal cord dysfunction (VCD).

It should not be forgotten that various developments with asthma on an everyday basis can also appear to be untreatable or uncontrollable because asthma is not the only cause for attacks of shortness of breath. Our specialist centre for pneumology is approached, both on a national and international level, when conditions of respiratory distress are inexplicable and apparently untreatable. In such cases it is important to investigate the extent to which, for example, a disorder which at first glance is very similar to bronchial asthma, i.e. vocal cord dysfunction (VCD), is causing the inability to treat the apparent asthma.

VCD similarly results in sudden attacks of breathlessness, but when inspected closely they can be clearly distinguished from asthma. Yet very precise knowledge of the differences between the two conditions is required. Together with the person affected, our doctors establish the reasons for the problems with respiratory distress. Step by step the patients learn to distinguish one form of breathlessness from the other and, depending on which disorder is involved, select the appropriate treatment. Once the patient has understood how to assign the different types of respiratory distress to each of the illnesses, the asthma itself will return to being a controllable disease. After learning the necessary breathing strategies, the symptoms caused by VCD can likewise be treated.

 

An individual concept for controlling asthmatic problems.

We see bronchial asthma as a very diverse, interesting illness which often varies tremendously between individuals and is very demanding of our diagnostic and therapeutic expertise. We believe our main objective is to provide you, as the affected asthmatic, with an individual concept for controlling your difficulties with asthma, permitting you to lead a satisfactory, active and fulfilled life with, and in spite of, your bronchial asthma.

 

Unseen perspectives for pulmonary fibrosis patients.

Rehabilitation for the improvement of patients with pulmonary fibrosis, scientifically-proven by us.

In many places it is believed that patients with diseases of the lung tissue, the so-called pulmonary fibrosis, cannot be truly rehabilitated. Our scientific results disagree with these still widely-spread pessimistic views. It has been shown that a significant increase in performance and quality of life can be achieved using intensive and well-monitored respiratory therapy and, in particular, sport therapy, with these diseases.

 

Often an unexpected success.

Rehabilitation for pulmonary fibrosis: regaining your quality of life by increasing your physical strength.

Rehabilitation for pulmonary fibrosis: regaining your quality of life by increasing your physical strength.

Many doctors, cost-bearers, and also pulmonary fibrosis patients themselves, assume that rehabilitation makes little sense in this disease. Our experience with pulmonary fibrosis patients contradicts such an assumption, as do the latest scientific publications in medical literature. There are increasing numbers of studies which confirm our experience, namely that pulmonary fibrosis patients can certainly benefit from targeted rehabilitation programmes if the therapeutic concepts have been designed by experienced specialists.

 

Improve everyday mobility, not pulmonary function values.

Taking time to talk through the individual situation.

Taking time to talk through the individual situation.

Physical strength, and hence the quality of life, is severely impaired in patients with pulmonary fibrosis. There is no medication available for curing the disease. Hence, every possibility to reduce your symptoms, as a pulmonary fibrosis patient, e.g. shortness of breath, weakness, anxiety and depression, must be exhausted. The aim is not to improve your pulmonary function values, but to enhance your everyday mobility as well as physical strength. For these factors bring you greater mobility and thus prevent your social isolation. When designing your rehabilitation programme, we look at the way in which the limitations of your pulmonary fibrosis impacts your professional and family life. Together with your input, we want to find a medium-term solution which not only enhances your physical capabilities, but also accounts for mental and social factors. We believe that what has proven to be a successful therapeutic standard in the treatment of chronic obstructive pulmonary disease (COPD), can be applied in equal measure to pulmonary fibrosis patients. In 2008, the British Lung Foundation incorporated rehabilitation into its guidelines as a standard treatment concept.

 

Medication for pulmonary fibrosis.

Despite intensive research efforts in recent decades, there has been no real breakthrough with medications for the treatment of pulmonary fibrosis. Primarily, anti-inflammatory medications are used to suppress the body's own defences (immunosuppressants). During your rehabilitation stay, our experts will optimise your medication. The need for high-dose therapy with acetylcysteine (ACC) should be checked in the case of idiopathic pulmonary fibrosis, since this is one of the few medications with a proven effect in this disease and virtually non-existent side effects.

 

Physical therapy helps to relieve your respiratory load.

Practising respiratory and coughing techniques with experienced therapists.

Practising respiratory and coughing techniques with experienced therapists.

The clearly increased respiratory work required of you, as a pulmonary fibrosis patient, is a strain on your body. Our respiratory therapists – who have worked for many years with patients suffering from serious lung diseases – use targeted physiotherapeutic methods to provide you with relief. The debilitating rigidity in the chest, which develops due to over-exertion, can be improved by specific movements and heat treatments. In individual therapy sessions you will be trained by our respiratory therapy specialists in breathing awareness, cough avoidance and the practice of respiratory and coughing techniques. Because pulmonary fibrosis patients have a very high respiratory rate due to their disease, our therapists teach you how to better coordinate your breathing and physical exertion.

 

Medical Training Therapy. Individual, and in gentle doses.

Training within the limitations of the disease.

Training within the limitations of the disease.

The central element to hospitalised rehabilitation for pulmonary fibrosis patients is medical sport and movement therapy supervised by experience sports scientists. What is believed to be impossible by many patients and referring physicians, i.e. physical exertion, becomes possible if you train within the limitations of your illness. Before you commence with training, we carry out careful medical examinations. By performing entry-level tests with sport therapy we can identify precisely the right degree of physical exertion you can manage. Patients with advanced-stage fibrosis are astonished to discover increasing benefits from their movement and training capabilities. Improved physical endurance and muscle strength lead to increased mobilisation and renewed vitality.

 

Long-term oxygen therapy. A great benefit.

Exchanging information with other patients in the oxygen group.

Exchanging information with other patients in the oxygen group.

As pulmonary fibrosis advances, long-term oxygen therapy is often necessary. In spite of national and international therapeutic guidelines, fibrosis patients often lack both a proper diagnosis and treatment. By means of hospitalised rehabilitation, during which various measurements are taken in the daytime, at night and when exercising, we can establish the appropriate indication for long-term oxygen therapy and adjust the dosage to your own requirements. The patients at our clinic are trained by doctors, psychologists and social workers as part of a special oxygen therapy programme, and have the opportunity to exchange information with one another. Patients who have already been undergoing long-term oxygen therapy and are involved in self-help groups regularly give talks at our clinic and furnish first-hand information.

 

The 6-minute walking test – the measure of all things.

There is no doubt that routine pulmonary function values taken by a lung specialist reveal the extent of a patient's pulmonary fibrosis. They do not show, however, the extent to which a fibrosis patient is capable on an everyday basis of any physical activity. Factors such as muscle strength, motivation and pain, e.g. caused by osteoporosis, cannot be determined. They can be established by the 6-minute walking test, a simple diagnostic tool which we use in all pulmonary fibrosis patients. The 6-minute walking test is of great importance, both to you and to the outcome of your rehab programme.

 

Lung transplantation. A way out?

Specific information and training for lung transplant candidates.

Specific information and training for lung transplant candidates.

Lung transplantation is an established therapeutic procedure for advanced pulmonary fibrosis. During a hospitalised period of rehabilitation, we will take sufficient time to discuss this option with you. Many years of experience in dealing with lung transplant patients, both before and after surgery, have laid the appropriate foundation for such discussions. A special training concept is also in place. As part of the "LTx group", patients can benefit from a mutual exchange in addition to receiving factual information from doctors, psychologists, social workers, physiotherapists and nutritional experts. Thus the opportunity, as a potential lung transplant candidate, to learn from those having already undergone transplantation, is practically unparalleled. Schön Klinik Berchtesgadener Land is Europe's largest rehabilitation clinic for lung transplant patients and cares for patients in collaboration with almost every lung transplant centre in Germany and Austria.

 

Exploring new paths. Respiratory therapy for pulmonary fibrosis.

Individual fitting of a breathing mask: finding relief with respiratory therapy.

Individual fitting of a breathing mask: finding relief with respiratory therapy.

With increasing exhaustion of the respiratory musculature – also known as the respiratory pump – an increase in the carbon dioxide level in the blood results, along with the attendant negative effects, in addition to physical exhaustion and fatigue. Experience of treating such a phenomenon in other pulmonary diseases led to the notion of also applying respiratory therapy – also known as non-invasive ventilation (NIV) – in fibrosis patients, though previously this had hardly seemed feasible. Our own experience revealed, however, that in selected cases the respiratory situation in pulmonary fibrosis patients can be alleviated by respiratory therapy. Thus, many pulmonary patients can gain time – particularly with a view to potential transplantation.

 

Further treatment concepts for lung diseases.

Long-term oxygen therapy for patients with considerable oxygen deficiency.

Severe oxygen deficiency can develop in advanced lung diseases. Sufferers are hardly able to undertake physical activity. Long Term Oxygen Therapy (LOTT) is the only option available for these patients to enable them to cope independently with everyday living over the long-term. Detailed information and training as well as the interaction with other sufferers in special groups helps patients to overcome their initial resistance to oxygen therapy. Enjoy your life again despite being on oxygen or simply because you are on oxygen.

 

Alpha-1 Centre - The first point of contact for Alpha Rehabilitation.

The lung function of patients with congenital alpha-1 antitrypsin deficiency is usually strongly affected early on. As drug therapy can only help to a certain extent, these patients require more non-pharmaceutical approaches to therapy and, in particular, training therapy. We possess year-long experience and the special know-how needed to treat this disease. Members of the the self-help group "Alpha 1 Deutschland" can tap into our knowledge at the Alpha-1 Centre. In addition to this, our telephone hotline (Alpha-Doc-Line) is available to answer medical and psychological questions. Training results are gathered for research purposes to find answers to the open questions regarding this rare disease.

 

When sleep makes you tired.

In patients with sleep-related breathing disorders, the so-called sleep apnoea, the quality of sleep is reduced to such an extent that it is not possible to regenerate overnight. If the cause of certain problems in our pneumological patients have not yet been diagnosed, we can identify these nightly breathing disorders in a modern, completely furnished sleep laboratory. Sleep can function normally again by gently introducing patients to ventilation therapy and is accompanied by intensive training and close supervision.

 

Follow-up care for tumour patients.

In addition to care and treatment from doctors, nurses and physical therapists, a protected atmosphere and, if necessary, psychological support can be of great assistance in the rehabilitation of patients with bronchial carcinomas (lung cancer). These patients greatly profit from respiratory therapy and training therapy and gain the strength and courage needed to return to everyday life during their stay with us.

 

Meeting point for lung transplant patients.

Patients who stay at the Schön Klinik Berchtesgadener Land to prepare for a lung transplant do not experience their stay as a passive period of waiting, but rather as active preparation for this vital step. They get to know other people who have already had a lung transplant in the transplantation group. The post-operative patients start carrying out everyday physical activity under guidance as soon as possible so that they can make the most of their new lungs. Tailored sport and exercise therapy plays an important role here. We furthermore inform every transplantation patient of everything that is important for their further life.