Can I Offer This Program?
As highlighted in the Essentials Checklist, there are five essential components of a pulmonary rehabilitation program:
- Patient assessment.
- Patient exercise training.
- Patient education.
- Program evaluation.
Personnel and equipment
The minimum staff requirement for a pulmonary rehabilitation program is a health professional who has the expertise to conduct an exercise program for people with lung disease and who is trained in cardiopulmonary resuscitation.
For the educational component of the program, a multidisciplinary team of health professionals may be involved. The team may include physiotherapist, dietician, occupational therapist, psychologist, pharmacist, social worker, specialist nursing staff, physician, etc.
[For further details, see: Frith, 2008]
Staff-to-Patient ratio for exercise training
There are no current guidelines on the most appropriate staff-to-patient ratios for conducting pulmonary rehabilitation exercise sessions. A staff-to-patient ratio of 1 : 4 was reported in a survey of 46 obstructive pulmonary disease rehabilitation programs in Ohio [For further details, see: Hoberty, 2001].
For cardiac rehabilitation exercise sessions, the minimum staff-to-patient ratio is 1 : 5
[For further details, see: American Association of Cardiovascular and Pulmonary Rehabilitation, 2004].
The minimum requirements for equipment are shown in the Equipment Checklist.