As long as dyspnea at rest persists or supportive therapy (ventilation, hemodynamics - in intensive care) is necessary :

• Maintaining relative rest.
• Depending on possibilities and tolerance: mobilization in bed or at the bedside, breathing exercises.

As soon as clinical stabilization is achieved: mobilization phase in the care service

• Exercises for large muscle groups.
• Mobilization: walking and going up/down stairs.

  Breathing exercises:

  • Sitting upright, in bed or on a chair.
  • Slow but maximum inhalation (through the nose).
  • Hold the inhalation for a few seconds.
  • Relaxed exhalation through the mouth.

• Mobilization (depending on the patient's condition):
•  
  • Passive mobilization in lying/sitting position.
  • Active mobilization in lying/sitting/standing position.
  • Practice transfers.
  • Steps (with or without help).
  • Muscle strengthening exercises.
  • Upright bike or exercise bike.
  • Go up/down stairs.

The physiotherapist monitors clinical symptoms during activity: angina, excessive shortness of breath or fatigue, cardiac arrhythmias, abnormal fluctuations in blood pressure, dizziness or syncope, profuse sweating or pallor. If clinical problems arise during activity, these will be reported to the nursing staff and/or doctors.

Prior to discharge, the physiotherapist consults with the nursing staff and/or physicians to confirm the physical feasibility of the patient's discharge under the anticipated discharge conditions.