Getting Started > Planning

Staffing

Staff required to set up a program

Centre based assessment: requires a health professional who is trained to assess exercise tolerance and is trained in cardiopulmonary resuscitation.

Home visit: requires a health professional who is trained to prescribe an exercise program, has experience in working with patients with chronic lung disease and is trained in cardiopulmonary resuscitation.

Weekly telephone calls: requires a health professional with cardiorespiratory experience who is trained to progress the exercise program in individuals with complex medical problems and who has been trained in Motivational Interviewing.

The centre based staff member will be trained to:

Obtain an appropriate medical history

Perform spirometry

Conduct a field walking test (6MWT or ISWT) to assess exercise tolerance

Use a pulse oximeter and the Borg dyspnoea scale to assess shortness of breath and oxygen saturation during the field walking test

Assess quality of life using questionnaires

Re-evaluate exercise capacity and quality of life at the end of the program

The home based staff member will be trained to:

Assess the patients environment and suitability and safety to exercise at home

Develop an exercise program based on the results of the exercise assessment

Prescribe upper and lower limb endurance and strength training

The health professional conducting the weekly telephone calls will be trained to:

Use Motivational Interviewing

Interpret the weekly exercise diary results presented to them by the patient

Assist the patient to progress their exercise program considering their co-morbidities

When appropriate, guide the patient through their health priorities

Refer the patient to other health professionals when appropriate

Offer ongoing options for rehabilitation at the completion of the program