Comparing Programs

///Comparing Programs
Comparing Programs 2017-09-18T11:37:24+11:00

Comparing centre based and home based pulmonary rehabilitation programs

Home-based

Centre-based

Patients attend a hospital or community centre for an initial assessmentPatients attend a hospital or community centre for an initial assessment
Health professional attends the patients’ home for the first session to establish an exercise program and provide elements of the care package that cannot be delivered on the telephone (e.g. checking of inhaler technique) – patient can make a suitable appointment timePatients attend first day of a pulmonary rehabilitation program in a hospital or community centre - may not be able to choose the day or time
First session of exercise program is supervised by a health professional in personAll sessions of the exercise program are supervised by a health professional in person
Patients exercise at home or at their local gym or pool
at times that suit their daily routine for 6 to 8 weeks
Patients attend the medical centre on set days at set times for 6 to 8 weeks and joins in a group exercise session. They will also be prescribed a home exercise program to complete
The patients monitor their condition by themselves during their exercise using the two Borg scales – Perceived Shortness of Breath and Perceived Exertion. Patients may choose to purchase a pulse oximeter and blood pressure monitor for use at home
They may also learn to monitor their heart rate.
Patient are monitored by both themselves and the supervising staff using heart rate, oxygen saturation and blood pressure readings as well as the two Borg scales - Perceived Shortness of Breath and Perceived Exertion
A health professional rings patients at a mutually agreed time each week of the program to discuss their progress, their goals and their issuesThe program coordinator discusses the patients’ progress, goals and issues during the group session
Individualised education and goal setting designed around the patients’ priorities and needsIf available, the patients attend structured education sessions at the medical centre at the end of each exercise session. Individualised education and goal setting may also occur
Goal setting and education occurs primarily with the health professional, with referrals made to the other members of the multidisciplinary team when a need is identified by the patient or the health professionalMultidisciplinary team may provide individual assessments, structured education or individual education and goal setting, depending on local resources
Patients attend a hospital or community centre for the follow up assessmentPatients attend a hospital or community centre for the follow up assessment
Patients are offered a maintenance program to continue at home or are referred to a group maintenance program according to patient preferencePatients are offered a maintenance program to continue at home or are referred to a group maintenance program according to patient preference
Development of the HomeBase program was supported by the following organisations