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PULMONARY REHAB

PULMONARY REHAB. What is pulmonary rehabilitation (PR). According to NICE (2010) PR is: An MDT programme of care for patients with chronic respiratory impairment Individually tailored Designed to optimise the individual’s physical and social performance and autonomy

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PULMONARY REHAB

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  1. PULMONARY REHAB

  2. What is pulmonary rehabilitation (PR) According to NICE (2010) PR is: • An MDT programme of care for patients with chronic respiratory impairment • Individually tailored • Designed to optimise the individual’s physical and social performance and autonomy • Physical training, disease education, nutritional, psychological and behavioural intervention.

  3. Who is appropriate for PR? • Confirmed diagnosis of a chronic respiratory disease • Functionally disabled by respiratory disease (MRC Dyspnoea Score > 3) • Cardiovascularly stable • Compliant with clinical management

  4. Aims of PR • Increase exercise tolerance & functional ability • Reduce/control dyspnoea & disability • Improve quality of life • Promote self management & independence • Promote long term commitment to exercise • Reduce hospital admissions & cost to the NHS

  5. Current PR Venues BODY COPY

  6. Core Principles of PR Exercise Self-Management Education

  7. Physical Deconditioning:The Negative Inactivity Spiral BODY COPY

  8. Exercise and Dyspnoea:The Positive Activity Spiral BODY COPY

  9. PR HEP Format • Endurance training for functional gains • Strength training for specific activities • Respiratory muscle training and chest clearance routine • Progressive exercise prescription

  10. Aims of Self-Management Education • Know and understand their condition • Understand what different medication are for • Know how and when to use different medication • Know what is “normal” for them in terms of symptoms • Can recognise when symptoms are worsening • Know what to do when symptoms are worsening • Know who to contact and how to contact them when symptoms are worsening • Know when to call for emergency help • Know what support is available

  11. How Do We Know PR Works • Patient testimonials • Outcome measures

  12. How do We Know LHCH PR Works?28.9% improvement in respiratory disability BODY COPY

  13. How do We Know LHCH PR Works? 29.9% improvement in distance walked BODY COPY

  14. How do We Know LHCH PR Works?20.0% improvement in managing breathlessness during daily tasks BODY COPY

  15. How do We Know LHCH PR Works? 13.3% and 15.4% improvement in anxiety and depression BODY COPY

  16. How do We Know LHCH PR Works?20.3% improvement in disease and self-management knowledge BODY COPY

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