Prior to initiation of the program, all patients had their conditions evaluated by the programs physician-director, nurse clinical coordinator, and respiratory therapist. The initial intake evaluation included the following: a full history and physical examination, resting ECC, laboratory screening (SMA-20, CBC, medication levels), 12-minute walk test (using oxygen supplementation to keep arterial oxygen saturation above 90 percent by oximetry), Beck depression inventory, Health Education questionnaire (American Lung Association-Better Breathing Guide), subjective chronic obstructive pulmonary disease (COPD) disability scale, and a questionnaire aimed at evaluation of breathing, stress management, and exercise patterns. With the subjective COPD disability scale, patients rated themselves on a scale from 1 to 5, with a higher number indicating more severe dyspnea. buy cipro
On a separate occasion, patients underwent pulmonary function testing with arterial blood gas analysis and measurement of air flow rates, lung volumes, and diffusing capacity. Following pulmonary function testing, an exercise test was done using a progressive multistage ramping protocol on a cycle ergometer with a breath-by-breath analysis of gas composition (Medical Graphics).
Benefits of a Multidisciplinary Pulmonary Rehabilitation Program (4)