In-patients pulmonary rehabilitation is multimodal therapeutic concept primarily intended for pulmonary patients whose condition cannot be satisfactory improved in the out-patient setting, despite the optimal pharmacotherapy.
Primary target groups for the pulmonary rehabilitation are:
- Patients with chronic obstructive pulmonary diseases (HOPB)
- Patients with bronchial asthma (all types of asthma)
- Patients after the lung cancer treatment
- Other pulmonary patients for whom the pharmacotherapy did not produce the expected result
Pulmonary rehabilitation is contraindicated in patients with decompensated hearth failure (cor pulmonale decompensatum) and in patients with unregulated hypertension. As the basic pulmonary disease does not influence the rehabilitation outcome the pulmonary rehabilitation is also justified in the advanced stages of pulmonary diseases.
Pulmonary rehabilitation includes:
- Pharmacotherapy (individual optimization of the pharmacotherapy)
- Intensive individual and group training therapy (physical training) which is composed of:
⁻ respiratory gymnastic, respiratory muscles training,
⁻ endurance exercises, muscle strengthening, pelvic floor muscles strengthening,
⁻ group games adapted to the patient’s condition,
⁻ treatment and prevention of the main disease complications (e.g., prevention of osteoporosis).
Great emphasis in pulmonary rehabilitation is placed on the patient’s education – in the Institute we have the COPD School, Asthma School, and School for patients with allergies. The aim of the education is to have an informed patient who is partner in the treatment, about correct „pump use”, etc. It is especially important to teach patient how to embrace and to manage the disease himself / herself during the episodes of worsening or suffocation attacks. Every patient should be competent in first self-aid.
Pulmonary rehabilitation team includes: lung specialist, rehabilitation specialist, sports medicine specialist, physiotherapist, psychologists, nurses, occupational therapists and social workers.