Services and Pathways for Pulmonary Rehabilitation Services
Added on 2021-05-27
1 Pages1139 Words77 Views
Services and Pathways for Pulmonary Rehabilitation services of St Vincent’s HospitalABSTRACTTITLE:Services and Pathways for Pulmonary Rehabilitation at St Vincent’s HospitalTYPES OF SERVICES:RITHCRCDomiciliary PhysioRehabilitation and ClinicsHARP (Hospital Admission Risk Program)Respiratory EducatorOBJECTIVE: Pulmonary Rehabilitation for patients with pulmonary and respiratory symptomsMETHODS: [Add text here.]BACKGROUNDDifferent services provided at St Vincent’s HopitalRITHType of Program: Home BasedCost of program: FreeSelection Criteria: Medically Stable Patients o0f all ages with functional goalsProgram Intensity: 6 to 8 weeks, 2 sessions per week. Each session lasting for 1 hour.Percentage of Respiratory Patients: 70% of total patients suffering from respiratory symptoms6 min walk test, 10 meter test, Oxygen saturation, Blood pressure, heart rateAssessment Process:Referrals: Mostly patients from acute wards at St Vincent’s CareFor Cognitive Impaired Clients: Program is tailored according to their needs, using visual aids, careers education and optimising the time of appointmentSelf Management Education: Lifestyle modification, stress management, disease managementServices Referred after Program Completion: Pulmonary Rehabilitation at St Vincent’s, Domiciliary Programs, pallative care, HARP, community health centersCONCLUSIONS[Replace, move, resize, or delete graphic, as necessary.][RITHService:Home basedFreeTwo 1 hour session every week for 6 to 8 weeksDemography:70% of patientsCRCService:Both Centre and home based7 dollar per visit programTwo, 2 hour session every week for 8 weeksDemography:70% of patientsDOMICILIARY PHYSIOService:Both Centre and home based10 dollar per visitOne , 1 hour session every week for 6 weeksDemography25% of patientsREHABILITATION AND CLINICSService:Centre BasedFreeTwo 2 hour program, twice a week for 8 weeksDemographicsAll patientsHARP(Hospital Admission Risk Program)Service:Both Centre and home basedFree1 hr sessions, once every week or two weeks for 1 month to 12 monthsDemographicsAll patientsRespiratory EducatorService:Center BasedFreeVariable length of program (depending on patients needs)DemographicsAll patientsCRCType of Program: Mainly Centre based, but also can be provided at homeCost of program: 7 dollars per visitSelection Criteria: Patients should be able to actively visit the centres and participate actively in the programProgram Intensity: 8 weeks program, conducted twice a week. Each session for 2 hours.Percentage of Respiratory Patients: 70% of patients sueefring from respiratory symptomAssessment Process: 6 min walk test, Blood pressure, heart rateReferrals: Physicians at St Vincent’s, self referrals, GP referrals from community care centers.For Cognitive Impaired Clients: Assistance from occupational therapist, medical and geriatric team and CADAMS clinicSelf Management Education: Hard copies of disease management exerciseServices Referred after Program Completion: Local Gyms, walking groups, water based exercise, other allied supportive helpDOMICILIARY PHYSIOType of Program: Both home based and center basedCost of program: 10 dollars per visitSelection Criteria: Patients with Gold Cards, patients with community assessment packages (level 3 to 4), patients below 65 years age are all excludedProgram Intensity: 6 weeks program, once a week session. Each session for 1 hourPercentage of Respiratory Patients: 25% of patients suffering from respiratory symptomsAssessment Process: Get up and go testReferrals: ACS team performs the assessment and sends approved client file to St George’s Continency clinic which sends referrals to Domiciliary clinicFor Cognitive Impaired Clients: Education provided to family members to better assist the clientsSelf Management Education: Pamphlets and information on exercises and management methodsServices Referred after Program Completion: Day centers and CRCHARP(Hospital Admission Risk Program)Type of Program: Both centre based and home basedCost of program: FreeSelection Criteria: From St Vincent’s Cachment Areas and patients who cannot access other servicesProgram Intensity: 1 month to 12 month program, depending on the patient, sessions conducted weekly or fortnightly, each session of 1 hour.Percentage of Respiratory Patients: Mostly all patients have respiratory conditionsAssessment Process: Borgue scale, 6 min walk test, information on current diagnosisReferrals: Inpatients at St Vincent’s emergency, self referrals, referrals from other hospitalsFor Cognitive Impaired Clients: assistance from carerers, teaching them self management strategiesSelf Management Education: stress management, life style management, pictorial guides, pr referrals, smoking cessationServices Referred after Program Completion: Community exercise groups, gyms, planned activity groups, community rehabs, pulmonary rehab centerREHABILITATION AND CLINICSType of Program: Centre BasedCost of program: Free of costSelection Criteria: Patients with significant injury who cannot participate in the exercise are excludedProgram Intensity: 8 week program, done twice a week. Each session for 2 hours.Percentage of Respiratory Patients: All patients have respiratory symptomsAssessment Process: Borgue scale, heart rate, 6 min walk testReferrals: Inpatients referred by physicians at St Vincent’s self referrals and referrals from other Hospitals sicians at St Vincent’s self referrals and referrals from other HospitalsFor Cognitive Impaired Clients: Included if they are able to carry out the program safelySelf Management Education: Educate, encourage and help them to to achieve the goal. Handouts and books are provided on exercises and information regarding their conditionsServices Referred after Program Completion: Patients are encouraged to join community gyms or advised to exercise at homesRespiratory EducatorType of Program: Centre BasedCost of program: FreeSelection Criteria: Only patients with respiratory conditions are includedProgram Intensity: Variable, depending on the patientPercentage of Respiratory Patients: all patients have some type of respiratory symptomsAssessment Process: Borgue scale, MRC scores, pulse oximetry, COPD assessment test, personal hisotryReferrals: Inpatients of St Vincents and outpatientsFor Cognitive Impaired Clients: Referred to HARPSelf Management Education: Written materials, help on phoneServices Referred after Program Completion: Rehab service, HARP, speech pathologist. psychology
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