Table of Contents
Preface
Acknowledgments
Chapter 1 Overview of Pulmonary Rehabilitation
Definition and Scope of
Pulmonary Rehabilitation
The Burden of Chronic Respiratory Disease
A Brief
History of Pulmonary Rehabilitation
Essential Components of Pulmonary
Rehabilitation
Prevention
Patient Goals
Program
Goals
Philosophy
Code of Ethics for the Pulmonary Rehabilitation
Specialist
Conclusion
Chapter 2 Selection and Assessment of the Pulmonary Rehabilitation
Candidate
Patient Selection
Patient Assessment
Goal
Development
Rehabilitation Potential
Conclusion
Chapter 3 Patient Education and Skills Training
Education Process
Focus
and Scope of Educational and Skills Training
Conclusion
Chapter 4 Exercise Assessment and Training
Exercise
Assessment
Functional Performance Assessment
Exercise
Training
Emergency Procedures
Conclusion
Chapter 5 Psychosocial Assessment and Intervention
Adjustment
Process
Psychosocial Assessment
Psychosocial
Interventions
Conclusion
Chapter 6 Outcome Assessment
Timing of Patient-Centered Outcome
Measurement
Domains for Outcome Assessment
Health Domain
Clinical
Domain
Behavioral Domain
Service Domain
Conclusion
Chapter 7 Disease-Specific Approaches in Pulmonary
Rehabilitation
Asthma
Cystic Fibrosis
Interstitial Lung
Disease
Obesity-Related Respiratory Disorders
Pulmonary
Hypertension
Neuromuscular and Chest Wall Disorders
Lung Volume Reduction
Surgery
Lung Transplantation
Lung Cancer and Thoracoabdominal
Surgery
Mechanical Ventilation
Pediatric Patients With Respiratory
Disease
Patients With Coexisting Respiratory and Cardiac
Disease
Conclusion
Chapter 8 Program Management
Medical Director
Program
Coordinator
Rehabilitation Specialist
Interdisciplinary Team
Structure
Staff Competencies
Core Staff Responsibilities
Continuing
Education
Minimum Staffing Requirements
Program Components and
Structure
Duration of Program
Policies and Procedures
Facilities and
Equipment
Emergency Procedures
Pulmonary Rehabilitation Location: General
Issues
AACVPR Program
Certification
Documentation
Conferences
Reimbursement
Strategies for
Program Success
Postrehabilitation Maintenance Programs
Continuous Quality
Improvement
Conclusion
Appendix A Forms, Questionnaires, and Assessments
Appendix B Measures for
Promoting Maintenance
Appendix C American Thoracic Society Statement:
Guidelines for the Six-Minute Walk Test
Appendix D Clinical Competency
Guidelines for Pulmonary Rehabilitation Professionals
Appendix E Examples of
Pulmonary Rehabilitation Programs That Meet 2, 3, and 5 Days a Week
Appendix
F Example of a Typical Pulmonary Rehabilitation Facility
Appendix G Pulmonary
Rehabilitation Skills and Competency Assessment
