St Vincent's Hospital: Pulmonary Rehabilitation Services Analysis

This report provides a comprehensive overview of the pulmonary rehabilitation services offered at St Vincent's Hospital. It details the various types of services, including RITH, CRC, Domiciliary Physio, Rehabilitation and Clinics, HARP, and Respiratory Educator programs. The report outlines the objectives of pulmonary rehabilitation, focusing on patients with pulmonary and respiratory symptoms. It describes the methodologies used, including assessment processes such as the 6-minute walk test and referrals from various sources. The report also provides a breakdown of each service, including program types, costs, selection criteria, program intensity, percentage of respiratory patients, and referral processes. Special considerations for cognitive impaired clients and self-management education are also highlighted. Furthermore, the report details the services referred to after program completion, such as local gyms and community health centers. Overall, the report offers a valuable insight into the structure and function of pulmonary rehabilitation services at St Vincent's Hospital, offering valuable insights for healthcare professionals and students alike.

Services and Pathways for Pulmonary Rehabilitation services of
St Vincent’s Hospital
ABSTRACT
TITLE:
Services and Pathways for Pulmonary Rehabilitation at St Vincent’s Hospital
TYPES OF SERVICES:
RITH
CRC
Domiciliary Physio
Rehabilitation and Clinics
HARP (Hospital Admission Risk Program)
Respiratory Educator
OBJECTIVE:
Pulmonary Rehabilitation for patients with pulmonary and respiratory symptoms
METHODS:
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BACKGROUND
Different services provided at St Vincent’s Hopital
RITH
 Type of Program: Home Based
 Cost of program: Free
 Selection Criteria: Medically Stable Patients o0f all ages with functional goals
 Program 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 rate
 Assessment Process:
 Referrals: Mostly patients from acute wards at St Vincent’s Care
 For Cognitive Impaired Clients: Program is tailored according to their needs,
using visual aids, careers education and optimising the time of appointment
 Self Management Education: Lifestyle modification, stress management,
disease management
 Services Referred after Program Completion: Pulmonary Rehabilitation at St
Vincent’s, Domiciliary Programs, pallative care, HARP, community health
centers
CONCLUSIONS
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[RITH
 Service:
 Home based
 Free
 Two 1 hour session every week for 6 to 8 weeks
 Demography:
 70% of patients
CRC
 Service:
 Both Centre and home based
 7 dollar per visit program
 Two, 2 hour session every week for 8 weeks
 Demography:
 70% of patients
DOMICILIARY PHYSIO
 Service:
 Both Centre and home based
 10 dollar per visit
 One , 1 hour session every week for 6 weeks
 Demography
 25% of patients
REHABILITATION AND CLINICS
 Service:
 Centre Based
 Free
 Two 2 hour program, twice a week for 8 weeks
 Demographics
 All patients
HARP(Hospital Admission Risk Program)
 Service:
 Both Centre and home based
 Free
 1 hr sessions, once every week or two weeks for 1 month to 12 months
 Demographics
 All patients
Respiratory Educator
 Service:
 Center Based
 Free
 Variable length of program (depending on patients needs)
 Demographics
 All patients
CRC
 Type of Program: Mainly Centre based, but also can be provided at home
 Cost of program: 7 dollars per visit
 Selection Criteria: Patients should be able to actively visit the centres and
participate actively in the program
 Program Intensity: 8 weeks program, conducted twice a week. Each session
for 2 hours.
 Percentage of Respiratory Patients: 70% of patients sueefring from respiratory
symptom
 Assessment Process: 6 min walk test, Blood pressure, heart rate
 Referrals: 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 clinic
 Self Management Education: Hard copies of disease management exercise
 Services Referred after Program Completion: Local Gyms, walking groups,
water based exercise, other allied supportive help
DOMICILIARY PHYSIO
 Type of Program: Both home based and center based
 Cost of program: 10 dollars per visit
 Selection Criteria: Patients with Gold Cards, patients with community
assessment packages (level 3 to 4), patients below 65 years age are all excluded
 Program Intensity: 6 weeks program, once a week session. Each session for 1
hour
 Percentage of Respiratory Patients: 25% of patients suffering from respiratory
symptoms
 Assessment Process: Get up and go test
 Referrals: ACS team performs the assessment and sends approved client file to
St George’s Continency clinic which sends referrals to Domiciliary clinic
 For Cognitive Impaired Clients: Education provided to family members to
better assist the clients
 Self Management Education: Pamphlets and information on exercises and
management methods
 Services Referred after Program Completion: Day centers and CRC
HARP(Hospital Admission Risk Program)
 Type of Program: Both centre based and home based
 Cost of program: Free
 Selection Criteria: From St Vincent’s Cachment Areas and patients who cannot
access other services
 Program 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
conditions
 Assessment Process: Borgue scale, 6 min walk test, information on current
diagnosis
 Referrals: Inpatients at St Vincent’s emergency, self referrals, referrals from
other hospitals
 For Cognitive Impaired Clients: assistance from carerers, teaching them self
management strategies
 Self Management Education: stress management, life style management,
pictorial guides, pr referrals, smoking cessation
 Services Referred after Program Completion: Community exercise groups,
gyms, planned activity groups, community rehabs, pulmonary rehab center
REHABILITATION AND CLINICS
 Type of Program: Centre Based
 Cost of program: Free of cost
 Selection Criteria: Patients with significant injury who cannot participate in the
exercise are excluded
 Program Intensity: 8 week program, done twice a week. Each session for 2
hours.
 Percentage of Respiratory Patients: All patients have respiratory symptoms
 Assessment Process: Borgue scale, heart rate, 6 min walk test
 Referrals: 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 Hospitals
 For Cognitive Impaired Clients: Included if they are able to carry out the
program safely
 Self Management Education: Educate, encourage and help them to to achieve
the goal. Handouts and books are provided on exercises and information
regarding their conditions
 Services Referred after Program Completion: Patients are encouraged to join
community gyms or advised to exercise at homes
Respiratory Educator
 Type of Program: Centre Based
 Cost of program: Free
 Selection Criteria: Only patients with respiratory conditions are included
 Program Intensity: Variable, depending on the patient
 Percentage of Respiratory Patients: all patients have some type of respiratory
symptoms
 Assessment Process: Borgue scale, MRC scores, pulse oximetry, COPD
assessment test, personal hisotry
 Referrals: Inpatients of St Vincents and outpatients
 For Cognitive Impaired Clients: Referred to HARP
 Self Management Education: Written materials, help on phone
 Services Referred after Program Completion: Rehab service, HARP, speech
pathologist. psychology