The Science Journal of the American Association for Respiratory Care

1996 OPEN FORUM Abstracts

The Body: Shaping the Program to Fit the Setting

Julien M. Roy, BA, RRT Tuesday, November 5, 1996

Today Pulmonary Rehabilitation has reached State of the Art status and is moving forward as a leading treatment for Chronic Obstructive Pulmonary Disease (COPD). The development of a multi-disciplinary team approach with all the necessary components will assure the success of any program and will meet any needs of all patients in a Rehab setting. Necessary components are:

* . Appropriate referral * . Complete and thorough evaluation * . Proper testing * . The exercise prescription * . Phychosocial intervention * . Smoking cessation intervention * . Training in proper use of pharmacological agents * . Education on disease process and proper treatments * . Nutritional counseling * . ADL training

The team of choice should include a Respiratory Care Practitioner, Nurse, Occupational or Physical Therapist, Exercise Physiologist, Nutritionist, Pharmacist, Social worker, and a dedicated Medical Director. Their involvement is important but not always available in today's healthcare and in smaller program. Since pulmonary rehabilitation is important in any setting, some adjustments will need to be made.

The first goal of this lecture is to familiarize the pulmonary rehabilitation specialist and his/her team with the technology available today for the treatment of COPD. My second goal is to demonstrate how the components can be achieved without the available "IDEAL" team to fit the setting.

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