Pulmonary
rehabilitation

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Pulmonary rehabilitation is a multidisciplinary intervention offered to clients diagnosed with chronic respiratory disease.

Components of Pulmonary Rehabilitation

  • Diagnosis

  • Education

  • Supervised exercise

  • Stress management

  • Diet modification

  • Behavioral modification

Indications

  • Chronic Respiratory Disease

  • Decreased exercise tolerance

  • Exertional Dyspnea

  • Impairments of Activities of Daily living

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Process Flow

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Referral by Doctor

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Assessment (Clinical & Diagnostic tests)

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Team discussion and Protocol formulation

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Protocol implementation

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Reassessment to check whether the target is achieved

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Protocol Modification

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Clinical assessment to check the eligibility

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Assessment of - Exercise capacity, Psychological status, Nutritional status & Quality of life

Assessment

  • Clinical History

  • Spirometry

  • Respiratory Muscle Strength

  • X-ray

  • Stress test (6 Minute Walk test)

  • Overnight sleep study

  • Cardio-Pulmonary Exercise testing

  • Lifestyle modification 

  • Counseling

  • Monitoring activities through applications and mobile phones 

  • Peer counseling

  • Cognitive Behavioural therapy (If required)

  • Exercise prescription:
    Supervised exercises (Under monitoring)
    Group activities

  • Nutritional counseling

  • Behavioral Changes

  • Family counseling

  • Education

Goal Settings

  • Alleviate Symptoms

  • Increase Exercise Capacity

  • Increase Activities of Daily Living

  • Improve Quality of Life

  • Behavioral Change

Components of Pulmo Rehabilitation

  • Dyspnea Management

  • Strength & Endurance

  • Ventillatory Muscle Training

  • Nutrition & Body Composition

  • Patient Education

  • Cognitive Behavioral Therapy

Exercise Prescription

  • Frequency 3-4 times/week

  • Time 25-30 minutes

  • Type 20 sessions within 6-8 weeks

  • Follow up every month initially and slowly tapering down

There Are Positive Evidences In Support Of Pulmonary Rehabilitation

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Reduces mortality and morbidity caused by Respiratory diseases

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Decreased hospital admissions

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Improved healthy lifestyle behaviour

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Increased functional capacity

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Better health related quality of life

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