As the field of pulmonary rehabilitation has continued to advance and evolve, standards for patient care and for programs have become increasingly important.
Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers the best practices for patient care and serves as the must-have resource for programs to prepare for the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) pulmonary rehabilitation program certification. Readers will learn to tailor individualized care for respiratory patients as well as to improve new programs or update existing programs.
For this revised fifth edition, AACVPR has assembled an expert team of nationally and internationally recognized authors. Together, they present the individuated and interrelated components of pulmonary rehabilitation, including initial and ongoing assessment, collaborative self-management education, exercise training, psychosocial support, and outcome measurement. Highlighted guidelines have been included throughout the book, giving readers easy-to-find guidance for implementing treatment programs and helping patients stay on track.
Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers an evidence-based review in several areas based on the rapid expansion of high-quality scientific evidence since the last edition. To learn best practices for care and program development, readers will find contributions from expert pulmonary rehabilitation professionals in nursing, medicine, physical therapy, respiratory therapy, and exercise physiology. This text provides a scientific, practical framework to help aspiring and current practitioners do the following:
- Understand the current requirements for accrediting pulmonary-based facilities
- Design, implement, or update accredited pulmonary rehabilitation programs
- Deliver optimal care to patients with symptomatic respiratory needs
- Address program issues in exercise, outcomes, and management of pulmonary-based programs
New to this edition, a web resource provides easy access to practical checklists from the book and offers biannual updates to keep programs current with key changes in the field. The reorganized content provides a more logical flow of information consistent with pulmonary rehabilitation development. A new chapter on nutrition helps readers to understand its importance in the rehab process and to provide rehab patients with the best opportunity for success. In the updated appendixes, readers will find a comprehensive set of forms, questionnaires, and assessment tools.
With continued advancements in the science, application, and credentialing of pulmonary rehabilitation programs, the fifth edition of
Guidelines for Pulmonary Rehabilitation Programs will assist respiratory practitioners in remaining up to date on the best practices in the field. This edition supports practitioners in understanding the components of pulmonary rehabilitation and applying best practices as well as updating and improving their programs to meet AACVPR certification requirements.
Contents
Preface
Acknowledgments
- Chapter 1. Overview of Pulmonary Rehabilitation
- Brian Carlin
- Definition
- Rationale for Pulmonary Rehabilitation
- Pulmonary Rehabilitation and Integrated Care of the Respiratory Patient
- History of Pulmonary Rehabilitation
- Evidence-Based Guidelines on Pulmonary Rehabilitation
- Positioning Pulmonary Rehabilitation within the GOLD 2017 Guidelines
- Current Status of Pulmonary Rehabilitation
- Summary
- Chapter 2. Selecting and Assessing the Pulmonary Rehabilitation Candidate
- Gerilynn Connors and James Lamberti
- Patient Selection
- Patient Assessment
- Summary
- Chapter 3. Exercise Assessment and Training
- Chris Garvey, Rebecca Crouch, and Dave Verrill
- Rationale for Exercise Training in Chronic Lung Disease
- Mechanisms of Exercise Intolerance in Chronic Respiratory Disease
- Exercise Assessment
- Field Tests (Walking Tests)
- Graded Exercise Test and Cardiopulmonary Exercise Tests
- Functional Performance Assessment
- Exercise Prescription
- Volume, Pattern, and Progression of Exercise Training
- Resistance Exercise Testing
- Other Tests of Muscular Fitness
- Inspiratory Muscle Training
- Flexibility Training
- Patient Safety
- Precautions in Pulmonary Hypertension
- Exercise Induced Hypoxemia
- Home Exercise Considerations
- Emergency Procedures
- Documentation of the Evaluation and Treatment Session
- Summary
- Chapter 4. Collaborative Self-Management and Education
- Gerene Bauldoff, Jane Knipper, and Debbie Koehl
- Developing an Individualized Self-Management Program
- Implementing Self Management Training
- Summary
- Chapter 5. Psychosocial Assessment and Intervention
- Maria Buckley and Kent Eichenauer
- Assessment of Psychosocial Functioning
- Interventions to Improve Psychosocial Functioning
- Partnering with a Psychosocial Provider
- Summary
- Chapter 6. Nutritional Assessment and Intervention
- Ellen Aberegg
- Compromised Nutritional Status in Pulmonary Disease
- Diet Intake and COPD
- Assessment of Nutritional Status
- Nutrition Support
- Summary
- Chapter 7. Patient-Centered Evidence-Based Outcomes
- Gerene Bauldoff and Eileen Collins
- Timing and Analyzing Outcomes
- Patient-Centered Outcome Measures
- Summary
- Chapter 8. Disease-Specific Approaches to Pulmonary Rehabilitation
- Charlotte Tenebeck, Katherine Mensons, Jonathan Raskin, and Brian Carlin
- Restrictive Lung Diseases
- Pulmonary Hypertension
- Other Pulmonary Rehabilitation Populations
- Summary
- Chapter 9. Program Management and Reimbursement Realities
- Trina Limberg, June Schulz, and Karen Lui
- Interdisciplinary Team
- Program Content and Structure
- Administrative Aspects of Program Management
- Postrehabilitation Maintenance
- Reimbursement Realities
- Strategies for Program Success
- Summary
- Chapter 10. Putting It All Together
- Performance Measures, Outcomes, Valid and Reliable Tools, and Program Certification
- Anne Gavic and Steve Lichtman
- Measuring the Quality of Patient Care
- AACVPR Outpatient Pulmonary Rehabilitation Registry
- Pulmonary Rehabilitation Certification
- Summary
Appendix A: Forms, Questionnaires, Assessments, and Individualized Treatment Plan Example
Appendix B: Excerpt from ATS/ERS Statement: Key Concepts and Advancements in Pulmonary Rehabilitation
Appendix C: Clinical Competency Guidelines for Pulmonary Rehabilitation Professionals
Appendix D: Example of Typical Pulmonary Rehabilitation Facility and Program Schedules
Appendix E: Summary of Additional Recommended Guidelines for Pulmonary Rehabilitation
Index
About the AACVPR