Date:
Patient:
Reason for Visit:
Pulmonary rehabilitation (PR) progress evaluation
Review of exercise program adherence and tolerance
Assessment of symptoms and functional limitations
History:
Presenting Diagnosis:
Underlying lung condition(s) leading to participation in PR (e.g., COPD, pulmonary fibrosis, interstitial lung disease)
PR Program Details:
Program start date and duration
Frequency and duration of PR sessions
Components of the PR program (e.g., exercise training, education, self-management)
Assessment:
Symptoms:
Changes in shortness of breath, fatigue, exercise intolerance
Presence of any new or worsening symptoms
Functional limitations:
Improvements in activities of daily living (ADLs) and exercise capacity
Evaluation using standardized assessments (e.g., 6-minute walk test)
Exercise adherence:
Attendance at scheduled PR sessions
Completion of prescribed home exercise program
Patient-reported adherence to exercise recommendations
Education and self-management:
Patient understanding of lung condition and PR goals
Ability to use inhalers, breathing techniques, and other self-management strategies
Plan:
Continue PR program: If patient is making progress and continues to benefit.
Modify PR program: Adjust exercise intensity, duration, or components based on progress and individual needs.
Discharge from PR program: May be considered if patient has achieved program goals and can maintain exercise routine independently.
Referral to other services: Consider referral to a nutritionist, psychologist, or social worker to address specific needs.
Education:
Reinforce education on lung condition, medications, and self-management strategies.
Discuss the importance of ongoing exercise adherence for long-term benefits.
Provide resources for healthy lifestyle habits (e.g., smoking cessation, weight management).
Follow-up:
Schedule for next PR session or follow-up appointment.
Discuss the importance of ongoing communication regarding any changes in symptoms or functional limitations.
Disclaimer: This information is for educational purposes only and should not be interpreted as medical advice. Please consult with a qualified healthcare professional for the design and implementation of a pulmonary rehabilitation program.