The American Thoracic Society and European Respiratory Society define pulmonary rehabilitation whose content is based on evidence, as “a comprehensive and multidisciplinary response for patients with chronic respiratory diseases who are symptomatic and generally have a lower daily activities. Integrated into the individualized treatment of the patient, pulmonary rehabilitation aims to reduce symptoms, improve functional status (exercise tolerance), to optimize social participation and reduce the cost of getting a disease stabilizing or reducing systemic manifestations of the disease” (Nici et al., 2006). Rehabilitation is a multidisciplinary professionals to provide individualized and at some point in the life of a chronically ill patient. This is a long term process for those with chronic respiratory disease origin that most commonly requires a lasting change in health behaviors (Préfaut and Ninot, 2009). It helps patients break the cycle of deconditioning and appropriating the disease.
The general message
Movement activities, patient education, dietary advice and counseling are essential to a rehabilitation program. The latter necessitates consideration the patient as an “asset” within the meaning actor about a change in lifestyle rather than as a ‘passive’ subject (that sits waiting for the cure).
What it means for Health Professionals
Movement activities, patient education, dietary advice and counseling are essential to a rehabilitation program. Their actions must be coordinated. Post-rehabilitation should be offered to the patient to continue the progress and maintain proficiency in a greater context of autonomy (Moullec et al., 2007).
What it means for Researchers
Recently, researchers in the field of pulmonary rehabilitation are able to publish their work in major medical journals (Griffiths et al., 2000). Rehabilitation revolutionizes how to care. A coordinated multidisciplinary team working to improve the health and quality of life of the patient.
What it means for Policymakers
Movement activities, patient education, dietary advice and counseling are inseparable in a rehabilitation program. Without it, we can not talk about rehabilitation. It is too often confused with exercise training that consists in driving a patient to a specific dose of physical exertion or rehabilitation that target organ or organ function.
Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, Turner-Lawlor PJ, Payne N, Newcombe RG, Ionescu AA, Thomas J, Tunbridge J (2000). Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet, 355, 362-368.
Moullec G, Ninot G, Desplan J, Préfaut C, Varray A (2007). Effet de la post-réhabilitation chez des personnes broncho-pneumopathes chroniques obstructives. Revue des Maladies Respiratoires, 24, 121-32.
Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, Carone M, Celli B, Engelen M, Fahy B, Garvey C, Goldstein R, Gosselink R, Lareau S, MacIntyre N, Maltais F, Morgan M, O’Donnell D, Prefault C, Reardon J, Rochester C, Schols A, Singh S, Troosters T (2006). American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 173, 1390-1413.
Préfaut C, Ninot G (2009). La réhabilitation du malade respiratoire chronique. Paris: Masson.
To reference this Blog en Sante © article.
Ninot G (2014). Definition of respiratory rehabilitation. Blog en Sante, L19.
© Copyright 2014 Grégory Ninot. All rights reserved.