Division of Respirology

Respiratory Rehabilitation

St. Joseph’s Healthcare
There is a new respiratory inpatient and outpatient rehab program recently established in the new tower at St. Joseph’s. It is a marvellous facility staffed with an enthusiastic multidisciplinary team. During this rotation, the resident will become familiar with the rationale for and the components of respiratory rehabilitation. There will be an opportunity to refine skills in management of chronic respiratory disease, chronic respiratory failure, and of patients on long term or home ventilation.

Medical Expert

  1. To be able to evaluate patients for pulmonary rehabilitation and to know the indications and admission criteria for both inpatient and outpatient programs.
  2. To obtain a detailed understanding of the patient with chronic lung disease, it’s impact on quality of life, and its natural history.
  3. Understand the components of a pulmonary rehabilitation program and their rationale, including medications, oxygen therapy, supervised exercise training, and outcome evaluation.
  4. Obtain a detailed understanding of the provision of oxygen therapy, including indications for therapy, management of isolated nocturnal or exercise desaturation, determination of supplemental oxygen requirements, modalities available, associated monitoring equipment and costs, and the clinical outcomes of oxygen therapy.
  5. Exposed to laboratory measurements of exercise in patients with chronic lung disease and be able to develop an exercise prescription.
  6. Understand the influence of sleep on ventilatory function in chronic respiratory diseases, including indications for nocturnal studies and their interpretation.
  7. Gain experience in the evaluation and management of patients on long-term mechanical ventilation, with particular emphasis on home ventilation, and to understand its indications, choice of modalities, and longitudinal follow-up.

Communicator

  1. Develop exercise and oxygen prescriptions.
  2. Communicate effectively and appropriately with family members.

Collaborator

  1. Understand the roles of the various members of the multidisciplinary health care team and their contribution to the pulmonary rehabilitation program.
  2. Interact with the multidisciplinary health care team in order to achieve optimal patient care.
  3. Obtain a detailed understanding of the specific issues and problems involved in the assessment, management, and follow-up of patients with drug-resistant and multi-drug- resistant TB.

Manager

To demonstrate knowledge of resource constraints and utilization in the area of rehabilitation.

Health Advocate

To promote role of respiratory rehabilitation to patients with chronic lung disease in a community setting.

Scholar

  1. Develop effective teaching strategies to help the chronic respiratory patient to learn about the management of his or her disease.
  2. provide timely and effective feedback to each patient working towards his or her personal goals.

Professional

To demonstrate a commitment to the respiratory rehabilitation patients by showing patience, compassion and empathy.