Pulmonary Rehabilitation Plus: Engaging Patients
Pulmonary rehabilitation (PR) is an exercise and education programme designed for people with lung disease who experience symptoms of breathlessness.1 The substantial health benefits of non-pharmacological approaches such as PR programmes on patients are well documented.2 As such, it is one of the five fundamentals of COPD care and is also listed as a key intervention in the NHS Long Term Plan.1
Despite the importance of PR in the self-management of COPD, the National COPD Audit Programme’s PR Report reveals many patients are not being referred, and many patients (40%) do not complete the PR programme.2 It is therefore vital to understand more about the barriers to referral, as well as adherence to interventional programmes, in order to improve the management of COPD patients.
In addition to PR, there are also other non-pharmacological approaches to support patients manage their breathlessness, such as music and dance intervention programmes.3
In this presentation Dr Kier Philip will explore the opportunity of incorporating music and dance into respiratory disease management, touching on his recent publication on how low-resource arts-in-health interventions can be incorporated into PR programmes and benefit patients with chronic respiratory illnesses.
1. Pulmonary Rehabilitation. NHS England www.england.nhs.uk/ourwork/clinical-policy/respiratory-disease/pulmonary-rehabilitation
2. The National COPD Audit Programme’s Pulmonary Rehabilitation Report. Royal College of Physicians. Feb 2016 www.rcplondon.ac.uk/news/pulmonary-rehabilitation-delivers-significant-health-benefits-too-many-patients-are-missing-out
3. Philip KEJ, Lewis A, Williams S, et al. Dance for people with chronic respiratory disease: a qualitative study. BMJ Open 2020;10:e038719. doi: 10.1136/bmjopen-2020-038719
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Adult Physician (Registrar) and Clinical Research Fellow