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Special programmes · Treatment guide

Pulmonary Rehabilitation

What is pulmonary rehabilitation? Exercise tolerance in respiratory disease, coping with breathlessness, education and the approach to follow-up.

Updated: · General information

Pulmonary Rehabilitation: what approach is taken?

The need for pulmonary rehabilitation is determined on the basis of the person’s state of health and clinical assessment. Assessment is carried out in respiratory diseases such as COPD (chronic obstructive pulmonary disease), asthma and bronchiectasis, and also in people whose respiratory capacity has diminished after prolonged bed rest or surgery. Information about the suitability and scope of the programme and the follow-up process can be obtained through a consultation with a physician.

    Areas of assessment and treatment

    • Clinical assessment
    • Respiratory rehabilitation in COPD, asthma and bronchiectasis
    • Training in breathing and coughing techniques
    • Individually tailored exercise planning
    • Regular monitoring

    Breathlessness and daily capacity are assessed

    Difficulty with dressing, stairs and walking, together with the current respiratory treatments, is reviewed. Where needed, measurements of exertion and oxygenation are made. The programme does not consist of breathing exercises alone; appropriate endurance and strength work and educational components may be planned together.

      Safe participation and sustainability

      The degree of exertion to be expected during exercise and the symptoms that call for stopping are explained. Oxygen or medication settings are never altered on one’s own initiative. The aim is to manage everyday tasks better and to maintain the habit of being active. New chest pain or marked, sudden breathlessness requires emergency assessment.

        What is assessed at the first consultation?

        Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.

          Your questions

          Patient information

          If I become breathless, should I give up all activity?

          After appropriate assessment, exercise can be planned according to capacity. The cause of new or unusual breathlessness should be investigated first.

          Can I stop my respiratory medication?

          Rehabilitation does not replace drug treatment. Changes to medication are made by the physician providing follow-up.

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