This book provides up-to-date knowledge on all aspects of the multidisciplinary approach to pulmonary rehabilitation that is essential in order to achieve optimal results. It will be an ideal resource especially for pulmonologists in training, but will also be of value for physiotherapists, other health care professionals, and technicians. Detailed information is presented on the diverse program components in pulmonary rehabilitation, with clear explanation of the roles of the nutritionist, psychologist, occupational therapist, respiratory nurse, and physical activity coach. Guidance is provided on identification of candidates for pulmonary rehabilitation and on all aspects of assessment, including with respect to exercise capacity, muscle function, and physical activity. Patient-centered, economic, and other outcomes are examined, with separate discussion of combined outcome assessment. Furthermore, due consideration is given to organizational aspects of pulmonary rehabilitation and to rehabilitation in specific scenarios, e.g., thoracic oncology and surgery, transplantation, and the ICU. The authors are internationally recognized experts selected for their expertise in the topics they discuss.
Part I Introductory Aspects. 1 Historical and geographical perspectives.- 2 Current concepts and definition.- Part II Participants. 3 Identifying candidates for PR.- 4 The complexity of a respiratory patient (including CMBs and the challenge of integration of different GLs).- Part III Assessment. 5 Assessment of exercise capacity.- 6 Assessment of muscle function.- 7 Assessment of Patient Reported Outcomes. 8 Assessment of Physical activity.- 9 Multidisciplinary assessment.- Part IV Program components. 10 Exercise training in PR (including alternative strategies).- 11 Nutrition in PR.- 12 Occupational therapy in PR.- 13 Role of the psychologist in PR.- 14 The Respiratory Nurse in PR.- 15 The physical activity coach in PR.- 16 Breathing exercises and mucous clearance techniques in PR.- 17 Self-management in PR.- 18 Inspiratory muscle training.- Part V Outcomes & expected results.19 Patient-centered outcomes.- 20 Economical and other outcomes.- 21 Combined outcome assessment.- Part VI Organization. 22 Conventional programs, setting, cost and staffing (including early PR and maintenance).- 23 Contemporary alternative settings (including advance care planning).- Part VII Specific scenarios.24 Thoracic Oncology and surgery.- 25 Transplantation. 26 ICU.- 27 CF.- 28 ILDs and Neuromuscular diseases.- 29 Perspectives in pulmonary rehabilitation.