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.

References:

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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• Keir Philip

  Adult Physician (Registrar) and Clinical Research Fellow

  Read biography
  Keir Philip

  Adult Physician (Registrar) and Clinical Research Fellow Imperial College Healthcare NHS Trust and Imperial College London

  Role and Location

  Keir is an adult physician (registrar) specialising in Respiratory and General Internal Medicine at Imperial College Healthcare NHS Trust; Clinical Research Fellow at the National Heart and Lung Institute, Imperial College London.

  Education

  MBChB, BSc, MRCP, PhD, PGCert, EADTM&H, DPMSA

  He recently completed his PhD at Imperial College focusing on holistic interventions and digital health for people with breathlessness. Keir has also completed the following: PGCert Resp Med (Distinction) University of South Wales (2018); DPMSA (Diploma in Ethics and the Philosophy of Healthcare) Society of Apothecaries of London (2012); MBChB (Bachelor of Medicine, Bachelor of Surgery) University of Sheffield (2011); BSc International Health, University of Bristol (2008).

  Research

  His PhD research has resulted in over 30 publications in leading academic journals and has featured in national and international newspapers and TV shows. Drawing on his previous work as a professional dancer, Keir’s work extends beyond the conventional boundaries of healthcare, including current collaborations with the World Health Organisation Centre for Arts and Health, Asthma + Lung UK, and the English National Opera.

  Memberships

  Keir is a member of the Royal College of Physicians, British Thoracic Society and European Respiratory Society.