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Program:
Assessment Letter
Better Living with Exercise (Lung Foundation Australia)
Better Living with COPD – a Patient Guide (Lung Foundation Australia)
Home Exercise Diary
Home visit checklist
Letter to referrer
Patient Consent Form
Phone call excel sheet
Physiotherapist Home Visit form
Pulmonary Rehabilitation Referral
Exercise capacity:
Incremental Shuttle Walk Test Recording Sheet (ISWT) – Pulmonary Rehab Toolkit
Six Minute Walk Test Recording Sheet (6MWT) – Pulmonary Rehab Toolkit
Modified Incremental Step Test (MIST)
Quality of life and other measures:
Anxiety and Stress Scale 21 (DASS 21)
COPD Assessment Test (CAT)
Chronic Respiratory Disease Questionnaire
Dyspnoea Scale (Modified Borg)
Modified Medical Research Council Dyspnoea Scale (MMRC)
Medical Outcomes Study Short Form 36 (SF36-V2)
St George’s Respiratory Questionnaire (SGRQ)
Working safely in visiting health services (2.4 pages 11-18)
Patient satisfaction form