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Comparing Programs
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Comparing centre based and home based pulmonary rehabilitation programs
Home-based | Centre-based |
|---|---|
| Patients attend a hospital or community centre for an initial assessment | Patients 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 time | Patients 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 person | All 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 issues | The program coordinator discusses the patients’ progress, goals and issues during the group session |
| Individualised education and goal setting designed around the patients’ priorities and needs | If 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 professional | Multidisciplinary 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 assessment | Patients 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 preference | Patients are offered a maintenance program to continue at home or are referred to a group maintenance program according to patient preference |
