10th, November, 2009IntroductionRehabilitation programs aim at specific objectives one of which is to improve the patient’s function. They aim at specific outcomes. These outcomes are not only meant to improve the patient’s respiratory functions in relation to the disease/condition causing the disability/abnormal condition, but also to maintain function, provide satisfaction with services and provide adequate quality of life (Martinson et al, 2002). The outcomes focus on the patient’s sense of wellbeing which considers the emotional, social and physical well being. This is why the rehabilitation programs focus on methods of achieving their aim (Meek & Lareau, 2003).
For a program to ensure that the patient’s emotional well being is taken care of for example, it has to incorporate education programs that will enlighten the patient and family members on how to handle the patient’s emotions in his or her condition. This does not mean that education as an element of a pulmonary rehabilitation is only meant for improving and maintaining patients’ emotional well being. It only gives the idea that every element is a function of what the rehabilitation program achieves.
The aims determine what elements should be incorporated in a rehabilitation program. It is important to evaluate such programs in order to ensure the program works towards its aims. As noted previously, the program aims to improve the quality of life, maintain function and provide satisfaction with services (UMCP, 2009). Below is a short description of what to include in the evaluation of a pulmonary rehabilitation program with the elements to be evaluated and the reasons why it is important to evaluate them. The rehabilitation program described has been adopted from a University Medical Center’s rehabilitation program for purposes of evaluation.
The program goals, assessment criteria and interventions have been described. Pulmonary Rehabilitation Program at JhoneThe pulmonary rehabilitation program at Jhone was started 15 years ago and holds its therapy sessions twice in a week. It accommodates both out patient and inpatient rehabilitation. The program is meant for out patients but has special arrangements for patients who come from far. The patients take four days within the hospital facility while undergoing rehabilitation. This pulmonary rehabilitation program is totally funded and so charges no patient. There are only three rehabilitation programs sessions per week, that is, a 2 hour education class and 45 min gym session on Wednesdays and a 45 minute gym session every Monday. It can only accommodate two groups with 15-20 patients at a time.
Assessment is done by the multidisciplinary team who conduct their assessment the first few hours of admission. The team then plans on how to conduct the therapy based on each patient’s requirements. The respiratory physician and the rehabilitation’s physiotherapists conduct a thorough assessment then refer the patients for ABG, routine blood test, respiratory function test and the six minute walk test.
Hospital Anxiety and Depression Scale (HADS) respiratory questionnaire has also to be completed by every patient. For admission to the rehabilitation program, patients are referred by any health professional (GPs, respiratory physicians and nurses) either from private hospitals, from within the hospital or public hospitals to the rehabilitation program.