Document Detail


Pulmonary rehabilitation in the treatment of chronic obstructive pulmonary disease.
MedLine Citation:
PMID:  20842995     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary rehabilitation is a nonpharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, self-management education, and psychosocial support. In the United States, pulmonary rehabilitation is usually given in outpatient, hospital-based programs lasting six to 12 weeks. Positive outcomes from pulmonary rehabilitation include increased exercise tolerance, reduced dyspnea and anxiety, increased self-efficacy, and improvement in health-related quality of life. Hospital admissions after exacerbations of chronic obstructive pulmonary disease are also reduced with this intervention. The positive outcomes associated with pulmonary rehabilitation are realized without demonstrable improvements in lung function. This paradox is explained by the fact that pulmonary rehabilitation identifies and treats the systemic effects of the disease. This intervention should be considered in patients who remain symptomatic or have decreased functional status despite optimal medical management. Medicare now covers up to 36 sessions of pulmonary rehabilitation in patients with moderate, severe, and very severe chronic obstructive pulmonary disease.
Authors:
Linda Nici; Suzanne Lareau; Richard ZuWallack
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American family physician     Volume:  82     ISSN:  1532-0650     ISO Abbreviation:  Am Fam Physician     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-16     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  655-60     Citation Subset:  AIM; IM    
Affiliation:
Providence (R.I.) Veterans Affairs Medical Center, Providence, Rhode Island, USA. rzuwalla@stfranciscare.org
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MeSH Terms
Descriptor/Qualifier:
Disease Progression
Dyspnea / etiology,  rehabilitation*
Exercise Test
Exercise Therapy / methods*
Exercise Tolerance / physiology
Humans
Patient Education as Topic
Patient-Centered Care / methods
Pulmonary Disease, Chronic Obstructive / physiopathology,  rehabilitation*
Quality of Life
Self Care / methods
Social Support
Comments/Corrections
Original Report in:
Am Fam Physician. 2010 Sep 15;82(6):661   [PMID:  20842996 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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