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Pulmonary Rehabilitation in low-resource settings

Overview of pulmonary rehabilitation.

Pulmonary Rehabilitation (PR) has been shown to reduce the use of expensive services such as hospital inpatient care. It can be delivered safely in the community, outside of hospital. Despite its proven clinical and cost-effectiveness, PR is widely underused.

PR is for adults of all ages who are functionally limited by their breathlessness despite current management.

People with chronic lung conditions like COPD become breathless with little exertion and this can be very frightening for them and their families or carers. As a result, people may avoid activities which make them breathless, leading to physical deconditioning, demotivation and potentially social isolation.

It can be difficult, but there are two essential messages for healthcare professionals to communicate:

  • “Breathlessness whilst moving around is normal.”
  • “It is not harmful or dangerous to feel short of breath whilst moving.”

In the following videos by Dr Rowsham Alam, you can see an example of a PR programme in a low-resource setting in Bangladesh (All videos from the IPCRG website):

Video 1 Examples of Pulmonary Rehabilitation

Video 2 Examples of Pulmonary Rehabilitation

Video 3 Examples of Pulmonary Rehabilitation

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Chronic Respiratory Diseases (CRD) in Primary Care Settings

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