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
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:
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