Pulmonary Rehabilitation

Pulmonary Rehabilitation Program

The purpose of pulmonary rehabilitation is to provide progressive medically supervised exercise and education to individuals with Chronic Pulmonary Disease. The focus emphasizes the overall health continuum, thereby improving quality of life. The primary goal is to enable and equip the participant and family or significant other(s) to make informed decisions concerning the participant’s future health.

Program Objectives

  • Control and alleviate the symptoms and pathophysiological complications of respiratory impairment.
  • Train the participant to achieve optimal capacity, enabling them to carry out activities of daily living.
  • Decrease symptoms of anxiety or depression.
  • Improve quality of life.
  • Continue in or return participant to gainful employment when possible.
  • Promote independence and self-reliance.
  • Increase exercise tolerance promoting energy conservation, improving physical deconditioning and reducing ventilatory requirement.
  • Preoperative conditioning and education for people with lung disease, resulting in improved patient outcomes and shorter length of stays after surgery.  (Ask your physician).
  • Reduce exacerbations and hospitalizations.
  • Encourage participation in recreational pursuits.
  • Breathing retraining to improve ventilatory efficiency.

Exercise and Conditioning

Participants will enter a conditioning program that includes physical exercise and education.  The level of exercise will be based on individual response to an initial exercise test. All participants will be given information regarding the amount and type of regular exercise that should be performed.  Exercise sessions will be available on a regularly scheduled basis.  Sessions may be adjusted depending on individual progress.  Blood pressure, heart rate and oxygen saturation will be monitored pre- and post-exercise and during exercise, if necessary.

Education will include breathing exercises, proper use of MDI (metered dose inhaler) and aerosol therapy, relaxation techniques, importance of diet and proper hydration, gait training, therapeutic exercise, ADL (activities of daily living) training, coughing and clearance techniques, ways to conserve energy and other important topics of interest to the pulmonary rehabilitation participant.

Additional learning opportunities are available through providence “Air-Ways” Pulmonary Support Group, which meets on the last Tuesday of each month.

Program Availability and Registration

The Pulmonary Rehabilitation Program includes three sessions each week on Monday, Wednesday and Friday.  The length of rehabilitation, however, will depend upon each participant’s needs and measure of progress.

Registration into the rehabilitation program is through physician referral only.  Upon receipt of a physician’s written orders, an appointment will be made for enrollment and evaluation.  A summary will be sent to the referring physician and pulmonologist to keep them abreast of interventions and participant’s progress.

Program Staff

The Providence Pulmonary Rehabilitation team includes multidisciplinary professionals from:

  • Respiratory Care
  • Exercise Physiologist
  • Nutritional Services
  • Rehabilitative Services (PT/OT)
  • Social Services
  • Chaplain Services
  • Providence Home Care
  • Providence Medical Equipment

Goals and Expectations of Pulmonary Rehabilitation

  • Feeling Better
  • Reduced dyspnea
  • Greater confidence
  • Less depression, anxiety and panic
  • Less frequent insomnia

Greater Activity

  • At home
  • In the community
  • During leisure time

Increased Endurance and Strength

  • Muscles of ambulation
  • Upper extremities
  • Ventilatory muscles

Greater Range of Function

  • Self-care
  • Care of the home
  • Shopping
  • Sexual activity
  • Leisure activity
  • Work (if appropriate)

Self-Control and Self-Management

  • Dyspnea
  • Living situation
  • Clearance of secretions
  • Medications
  • Oxygen
  • Nutrition
  • Family matters

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