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Comprehensive Pulmonary Rehabilitation (PR) Program for Chronic Respiratory Patients

Learn about Pulmonary Rehabilitation (PR), a tailored, multidisciplinary care program for chronic respiratory patients, aimed at improving physical and social performance, managing dyspnoea, and enhancing quality of life. Discover who is eligible, the program aims, core principles, and effectiveness. Find out more about PR venues, exercise, self-management education, and success indicators.

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Comprehensive Pulmonary Rehabilitation (PR) Program for Chronic Respiratory Patients

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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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