Implantação do programa de reabilitação pulmonar em um hospital escola de nivel terciário na cidade de Fortaleza/Ce : experiência da fisioterapia

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable respiratory disease characterized by the presence of chronic airflow obstruction. The Pulmonary Rehabilitation is a program of inter/multidisciplinary care with actions planned in order to enable the user to optimize autonomy for activities of daily living, improving the quality of life and the physical and social performance. Thus, this paper aimed to describe the process of implementing a university extension program of pulmonary rehabilitation in a teaching hospital tertiary care in Fortaleza/CE, Brazil. For this, it was used a case report of extension practice, qualitative and interpretative. It organized a partnership with Multidisciplinary Residency Program of Physical Therapy at Hospital Universitário Walter Cantídio, created a schedule of visits and selected protocol to be used. The implementation process included user evaluation (medical and physiotherapy), individualized care planning and health education activities. Formation of groups (up to 6 patients) and submission to the rehabilitation protocol for 24 sessions (2x/week - physical training and 1x/week - health promotion). From March to September 2011, it involved 8 health professionals (3 doctors, 1 nurse and 4 physiotherapists), 4 students from residency, 4 patients were treated. The cardiopulmonary benefits improved the way the users cope with the disease. For physical therapy, the experience has been challenging but enriching at the same time since it enables the professional-student to experience different kinds of health service.