Princess Margaret Hospital Chronic Respiratory Disease Out-patient Pulmonary rehabilitation Programme (2011-2012) Final draft Prepared by PR Team,PMH Date: 22nd November 2011 Endorsed by: Endorsed by: Dr. W C Yu Consultant, M&G Signature:_______________ Signature:_______________ Date:___________________ Date:___________________ Endorsed by: Endorsed by: Signature:_______________ Signature:_______________ Date:___________________ Date:___________________ Chronic Respiratory Disease Out-patient Pulmonary Rehabilitation Program ( CRD OP PRP) Background: The high disease burden and resource implication of chronic respiratory diseases attract global attention. Chronic Obstructive Pulmonary Disease (COPD), one of the chronic respiratory disease, is the fifth leading cause of death in 2002 and will become the third leading cause of death in 2030 [1]. Pulmonary rehabilitation is defined as a multidisciplinary program of care for patients with chronic respiratory impairment that is individually tailored and designed to optimize physical and social performance and autonomy [2]. Tremendous evidence supported the effectiveness of pulmonary rehabilitation in decreasing the dyspnoea and improving the exercise tolerance as well as quality of life [2]. The GOLD guideline had recommended that the pulmonary rehabilitation program (PRP) should be offered to COPD patients with moderate to severe stage (ie stage II to stage III equivalence to FEV1 30-80%) [3]. This probably constitute over 90% of all COPD patients currently followed up at PMH SOPCs (~1300 patients) and Kwai-Tsing GOPCs (~800 patients). Currently we are only able to offer in-patient PRP to 30-40 patients per year. As the in-patient resources are relatively expensive, it will be better to develop the out-patient phase PRP. Objectives of OP PRP: 1. To improve the respiratory symptoms 2. To restore functional capabilities and reduce handicap 3. To enhance and maintain the quality of life of patients 4. To reduce development of complications and early identification of self-care problems 5. To enhance patient’s and carer’s knowledge and confidence on self-care 6. To facilitate the patient / carer to utilize community resources 7. Reduce the unplanned admission or re-admission rate 8. To reduce A&E attendance 9. To reduce hospital bed–days occupancy Design of OP PRP Multi-disciplinary approach that consists of 2 phases 1. Active phase (1 session of assessments, 8 sessions of interventions, 1 session of re-assessment & phone FU for default patients (Follow-up by PT, OT and Resp. Nurse) 2. Maintenance phase (FU once in each month for six months) Active Phase Target Group: A. Inclusion Criteria 1. Symptomatic impairment attributable to pulmonary disability 2. Failure of standard medical regimen to achieve adequate symptomatic relief 3. Motivated, adherent patient 4. Can assess the OPD setting independently 5. Quit smoking for over 3 months 6. FEV1 30-80% B. Exclusion Criteria 1. Poor motivation 2. Patients with significant physical co-morbidity, e.g. heart failure, renal failure, severe parkinsonism, underlying malignancy, severe osteoporosis & etc 3. Patient with significant mental co-morbidity, e.g. dementia, psychosis 4. Active smokers 5. Requiring NEATS service for follow-up 6. LTOT  2L/min Referral Source A. In-patient referral (Patients who are just discharged from hospital) B. Out-patient referral (Patients who are followed up at OPD by COPD clinic, Respiratory clinic, Medical Team A & Geri OPD (phase 1) ; GOPD (phase 2)) Target size: 4-6 clients for each session Programme contents: (Refer to Appendix 1-3)  Multidisciplinary team approach  Promote self-management in the following aspect  Understanding your respiratory system and the disease  Puff techniques and medication  Reduction of risk factors (including smoking cessation)  Breathing retraining  Bronchial hygiene promotion  Dyspnoea management  Exercises training  Stress management and relaxation  Energy conservation techniques  Suitable nutrition by referring to dietitian  Change your life style  Home recommendation  Know more about the community resources  Exercise intervention  Clinical guidelines and protocols development  Regular operational and clinical meetings  Continuous evaluation & outcome monitoring bi- monthly  Cost effective evaluation by end of the year Registration Procedure: 1. Referral (Appendix 4) made by physicians. 2. Fax to M&G (Respiratory Nurse) who will perform the patient’s initial screening and enrollment. 3. M&G (Respiratory Nurse) will open the file and arrange the initial team assessment accordingly Method 1. Assess and implement the CRD OP PRP protocol (see Appendix 5) – with cases conference 2. Refer to community resource if necessary, e.g. CNS, NGO, CRN, Integrated Family Service Centre 3. The multi-disciplinary case conference (every Thursday: 4:30 – 5:00 p.m. in Acc) will decide the recruitment of participants in acute phase and maintenance after initial assessment and follow-up respectively. Respiratory nurse will arrange the treatment sessions with appointment card given accordingly. 4. All patients information will be registered at Master list (Appendix 8) on web at PMH home page/clinical/ M&G/ Resp . 5. MSW will assess cases with acute financial and social problems regularly during every first Friday of each month (4:15 – 4:45pm) at K3 (room 5) in Out-patient Physiotherapy Department. 6. Liaise Respiratory team and arrange early follow up in COPD clinic (Tue), Respiratory Clinic(Wed.) or MA SOPD(Fri.) or clinical admission under Respiratory Team. 7. Liaise A&E staff if client attended A&E for acute exacerbation 8. Inform M&G Respiratory team for take over the patient if applicable Acute Phase Programme Schedule (in black colour) (Refer to Appendix 6) One initial assessment (with Case conference for recruitment), 8 intervention sessions (2 times per week) One re-assessment session (with case conference) Graduation certificate will be given to patients if completed active phase. Phone FU will be done for defaulted patient (Follow-up by PT, OT or Resp. Nurse) Additional or Ad hoc phone consultation if indicated  Weekly case conference with the Respiratory team (1/2 hour / PM session ) Maintenance Phase Target Group: A. Inclusion Criteria 1. Already attended full active phase PR program or full in-patient PRP 2. Recent deconditioning 3. Motivated, adherent patient 4. Can assess the OPD setting independently 5. Quit smoking for over 3 months B. Exclusion Criteria 1. same as active phase Recruitment procedure 1. For patients who have completed the in-patient PRP, referral for maintenance program should be faxed to resp nurse for screening and enrollment. M&G (Respiratory Nurse) will open the file and arrange the appointment of Allied Health accordingly. 2. For patients who have completed the OP PRP, after the agreement made in the case conference, resp nurse can arrange the maintenance phase appointment with appointment card given accordingly. Maintenance Phase Programme Schedule Follow up once in each month for six months on either Tuesday or Friday. Phone FU will be done for defaulted patient (Follow-up by PT, OT or Resp. Nurse) Outcome Measures: Primary Outcome measure  Total hospital bed-days  A&E attendance  Medical admissions  BODE Index  6 minutes walk test  Quality of life: CRQ  COPD assessment test  etc Equipment: portable pulse oximetry and portable spirometry with consumable, E-trolley, AED, ex equipment Commencement Date: To commence on 18th Oct 2011 List of appendix Appendix 1 Program content: Nursing education Appendix 2 Program content: Occupational therapy education Appendix 3 Program content: Physiotherapy therapy education Appendix 4 Referral of OP PRP Appendix 5 Work flow for COPD Active phase Out-patient Pulmonary rehabilitation Appendix 6 Arrangement and charging of the program Appendix 7 Program schedule Appendix 8 Master list Appendix 1 Princess Margaret Hospital Program content of OP PRP Nursing Education Date Topic Content Signature Educate the knowledge about the disease of COPD a. The nature of disease b. Sign and symptoms of COPD and reporting c. Problem with COPD d. Progress of COPD e. Provide education to career Smoking cessation Quitted Referred smoking cessation service  Second hand smoking environment Vaccination  Influenza vaccination Date:  Pneumococcal vaccination Date: Advice for prevention of chest infection a. Avoid exposure to respiratory irritants b. Recommend receiving annual influenza vaccination c. Avoid crowd and poorly ventilated area d. Observe sputum volume, nature and colour Educate medication therapy a. Explain the effect and the side effect of medications b. Reinforce the importance of good drugs compliance c. Remind patient the correct administration of drugs d. Check & instruct inhaler technique: * refer to MDI Techniques evaluation chart e. Educate career for puff inhalation Appendix 2 Princess Margaret Hospital Occupational Therapy Department Program Content of PRP – Occ. Therapy One complete cycle include Health Qigong & education on ECT, Stress & Dyspnea management Date Tue Date Fri 1.  Initial Ax: SOBQ, PAR-Q, etc  Energy Conservation Technique 2.  Warm Up  Teaching of Health Qigong  Cool down 2.  Practice of Health Qigong  Dyspnea Management 4.  Warm Up  Teaching of Health Qigong  Cool down 3.  Practice of Health Qigong  Stress Management & Relaxation 6.  Warm Up  Teaching of Health Qigong  Cool down 4.  Practice of Health Qigong  ADL & environmental advice, Home Oxygen Therapy if indicated 8.  Warm Up  Teaching of Health Qigong  Cool down Location: K4 Occupational Therapy Dept. Time: 3:15 – 4:15 pm on Tue 2:00 – 3:00 pm on Fri Remarks: Health Qigong will be taught in 4-week cycle. Session no 2, 4, 6 & 8 will be the compulsory sessions. Appendix 3 Princess Margaret Hospital Physiotherapy Department Program content of OP PRP Date of initial Ax:_______________ Date of re-ax:__________________ Friday (Room 5) Date Session Contents A Education on: Breathing retraining, relaxed position, dyspnea Mx, bronchial hygiene, +/- PEP therapy and resp equipment eg nebulizer etc Tai Chi ex ( 起式 + 雲手 ) +/- theraband Others:_________________________________ B Education on : Importance of ex +/- O2, diff. types of home ex, relaxation training. Tai Chi ex ( 單鞭 + 如風似閉 ) +/- theraband Others:___________________________________ C Education on: Breathing retraining, relaxed position, dyspnea Mx, bronchial hygiene, +/- PEP therapy and resp equipment eg nebulizer etc Tai Chi ex ( 起式 + 雲手 ) +/- theraband Others:_________________________________ D Education on : Importance of ex +/- O2, diff. types of home ex, relaxation training. Tai Chi ex ( 單鞭 + 如風似閉 ) +/- theraband Others:___________________________________ Tuesday (Room 7) Date Sessions Contents E Home ex and use of ex record sheet Gym ex Revised Tai Chi Others :_________________________________ F G H Remarks: Session A & C as well as session B & D are identical and compulsory sessions. Sessions E, F G and H are identical. Location: K3 Physiotherapy Dept. Time: 2:00 – 3:00 pm on Tue 3:15 – 4:15 pm on Fri Hospital Authority Princess Margaret Hospital Department of Medicine & Geriatrics Gum Label with address and phone number Referral to CRD Day Patient Pulmonary Rehabilitation Program Please fill in this form by referring doctor and fax to Respiratory Nurse of PMH at 2990 1640 (tel no: 2990 1636) Reason(s) for referral: □ Significant deconditioning □ Problems in dyspnoea management □ Problems in drug management □ Lack of exercise □ Others:________________________________________________________________________________________ Premorbid Mobility level: □ Independent walking □ Assisted walking □ Bed/Chair bound Medical FU: COPD/RESP / GERI / GENA / GENB / GENC / GOPC / other:_________________ (please circle) Criteria for recruitment to Pulmonary Rehabilitation Program INCLUSION criteria (tick those that apply) EXCLUSION criteria (tick those that apply) □ Recent deterioration in condition □ Motivated, good compliance □ Do not require NEATS to OPD □ Quit smoking for over 3 months □ FEV1 30-80% □ Severe comorbid illness □ Poor motivation □ Poor mental state □ Poor social support □ OAH resident □ LTOT  2L/min Referring Physician: Name: Rank: Signature: Date of referral: For official use only Date received: □ Recruit into PRP □ Active phase Date of appointment for initial assessment: □ Maintenance phase Date of appointment for initial assessment: □ Reject Reason: Doctor informed date: Nurse name and signature: Date: Appendix 6 Arrangement and charging of the program 1 assessment and 1 re-assessment at Ambulatory Care Centre (ACC) of PMH Date: on Thursday afternoon Charging : $150 at main shroff Venue: PT at BLG2 Other disciplines at ACC They are mainly replacing PR day-patient quota (at most 4). Arrangement of the 8 intervention sessions: 4 will be on Tuesday, PT (2:00 - 3:00 p.m. at K3), OT (3:15 – 4:15 p.m. at K4), Resp. Nurse (4:15 – 4:45 p.m. at K4) Charging : $55 at K3 4 will be on Friday, OT (2:00 - 3:00 p.m. at K4), PT (3:15 – 4:15 p.m. at K3) MSW will assess cases with acute financial and social problems regularly during every first Friday of each month (4:15 – 4:45pm at K3) in Out-patient Physiotherapy Department. Charging : $55 at K4 Sessions AB or CD on Friday will be compulsory sessions. Appendix 7 Programme Schedule 1st cycle in red colour 2nd cycle in pink colour 3rd cycle in purple colour Maintenance in green Sun Mon Tue Wed Thur Fri Sat Ax x 2 quotas Session A Session E Ax x 2 quotas Session B Session F Ax x 2 quotas Session C Session G Ax x 2 quotas Session D Session H Ax x 2 quotas Re-ax x 2 quotas Session A Session E Ax x 2 quotas Re-ax x 2 quotas Session B Session F Ax x 2 quotas Re-ax x 2 quotas Session C Maintenance 1 Ax x 2 quotas Re-ax x 2 quotas Session D Session G Ax x 2 quotas Re-ax x 2 quotas Session A Session H Ax x 2 quotas Re-ax x 2 quotas Session B Session E Ax x 2 quotas Re-ax x 2 quotas Session C Maintenance 2 Ax x 2 quotas Re-ax x 2 quotas Maintenance 1 Session F Ax x 2 quotas Re-ax x 2 quotas Session D Appendix 8 Chronic Respiratory Disease Out-patient Pulmonary Rehabilitation Program ( CRD OP PRP) master list Doctor contact person PT contact persons: Candy Leung (PTI) Ext:1307 Thomson Wong (PTI) Ext :1307 Keison Tam (PTII) Ext:3935 OT contact persons: Aileen Chu (OTI) Ext: Stanley Chau (OTI) Ext: Resp Nurse K W To Ext: 1636 MSW contact persons: Y Wong Ext: 3905 Please enter date of the booked appointments in RED. If the patient has already attended that session, please marked in Black. If he/she has attended MSW, please add a . If he has attended RN please marked with  When default, please mark (Def). For new appointment date, please mark in green.   case no. Patients name HN/Day No Sex Age O2 Referral date   Active phase               Maintenance Phase                         Initial Ax Session A Session B Session C SessionD Session 5 Session 6 Session 7 Session8 1st Re-ax 1st month 2nd month 3rd month 4th month 5th month 6th month 2nd Re-ax 1 Example Chan RD 123456 M 65 N 30/11/2011 1/12/2011 2/12/2011 6/12/2011  9/12/2011 13/12/11 (Def) 6/1/12 16/12/2011 23/12/2011 30/12/2011 3/1/2012 5/1/2012     2 Ex Chung RD 111111 M 72 N 30/11/2011 1/12/2011 2/12/2011 6/12/2011 9/12/2011 13/12/2011 16/12/2011 23/12/2011 30/12/2011 3/1/2012 5/1/2012     3 Happy RD000000 F 73 Y (2 L) 5/12/2011 8/12/2011 9/12/2011 13/12/201123/12/2011 30/12/2011 3/1/2012 6/1/2012 10/1/2012 12/1/2012     4 Joy RD222222 M 58 N 7/12/2011 8/12/2011 9/12/2011 13/12/2011 30/12/2011 3/1/2012 6/1/2012 10/1/2012 12/1/2012     5                       References: 1. World Health Organisation: Burden of Chronic obstructive pulmonary disease. http://www.who.int/respiratory/copd/burden/en/index.html (accessed 28 February 2011) 2. Nici L, Donner C, Wouters E, ZuWallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006. 173:1390–413. 3. Vestbo J, Agusti A, Anzueto A, et al. The Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): 2009 update. http://goldcopd.com/GuidelinesResources.asp (accessed 28 February 2011)