PULMONARY REHAB What is pulmonary rehabilitation PR According

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 • Physical training, disease education, nutritional, psychological and behavioural intervention.

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

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

Current PR Venues Location Monday The Breckfield Gym, Mere Lane, Liverpool, L 5 0 QW BODY COPY Tuesday Ellergreen Community and Early Years Centre Ellergreen Road, Liverpool, L 11 2 RY Anfield Norris Green Wednesday Oakvale United Reformed Church Edge Lane Drive, Liverpool, L 13 4 AD Broadgreen Thursday Liverpool Heart and Chest Hospital Thomas Drive, Liverpool, L 13 4 PE Broadgreen Thursday Kuumba Imani Millennium Centre Princes Road, Liverpool, L 8 1 TH Toxteth Friday Bridge Chapel Centre Heath Road, Liverpool, L 19 4 XR Allerton

Core Principles of PR 1. Exercise 2. Self-Management Education

Physical Deconditioning: The Negative Inactivity Spiral BODY COPY Normal Activity Increased Dyspnoea Further Reduced Capacity Anxiety Avoidance

Exercise and Dyspnoea: The Positive Activity Spiral BODY COPY Normal Activity Decreased Dyspnoea Reduced Anxiety Capacity Maintained or Increased Less Avoidance

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

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