Pulmonary Rehabilitation

Posted by: Hardy Fox - Posted on:

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What is Pulmonary Rehabilitation?

An individually tailored exercise and education programme for patients with a confirmed respiratory diagnosis aimed at helping patients breathe better, be able to do more and improve quality of life. The programme is twice a week for 6 weeks and will be held at a local venue. For patients who are unable to access their local venue, other options may be available.

Inclusion Criteria

• Patient consents to referral

• COPD

• Bronchiectasis

• Interstitial lung disease

• Pre and post lung resection

• Pre and post lung transplantation

• Pre and post lung volume reduction surgery

• Post Covid or Long Covid where breathlessness is a significant limiting factor (this service is not available for the Medway or West Kent locality)

• Able to mobilise a minimum of 10m.

Exclusion Criteria

• Patients where exercise is contraindicated (severe heart failure, MI within the previous six weeks, unstable arrhythmias, unstable angina, moderate to severe aortic stenosis, unstable diabetes).

• Patients with severe neurological, orthopaedic or vascular problems, where mobility will limit participation to less than 10m

• Patients with severe progressive disease (undergoing active treatment for cancer or neuromuscular disease).

• Patients with inadequate balance who could not be left unattended.

• Patients not committed to instigating lifestyle changes.

• Patients with cognitive impairments unable to retain information related to treatment interventions or to follow commands.

• Patients who have completed pulmonary rehabilitation in the last 12 months and have had no significant change in their clinical condition.

• AAA >5.5cm.

Useful Website links

Pulmonary rehabilitation (PR) | Asthma + Lung UK (asthmaandlung.org.uk)

Kent Community Health NHS Foundation Trust PR service for North and East Kent: Pulmonary Rehabilitation Service | Kent Community Health NHS Foundation Trust (kentcht.nhs.uk)

Medway Community Healthcare PR service for Medway: Respiratory :: Medway Community Healthcare

HCRG Care Group PR service for Swale: Pulmonary Rehabilitation Service – North Kent Adult Community Services (northkentacs.nhs.uk)

Maidstone and Tunbridge Wells NHS Trust PR service for West Kent: West Kent Pulmonary Rehabilitation Service – Maidstone and Tunbridge Wells NHS Trust (mtw.nhs.uk)