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Information and Patient Support

Can I Offer This Program?

As highlighted in the Essentials Checklist, there are five essential components of a pulmonary rehabilitation program:

  1. Patient assessment.
  2. Patient exercise training.
  3. Patient education.
  4. Program evaluation.
  5. Maintenance.

Personnel and equipment

Exercise Training

The minimum staff requirement for a pulmonary rehabilitation program is a health professional who has the expertise to conduct an exercise program for people with lung disease and who is trained in cardiopulmonary resuscitation.


For the educational component of the program, a multidisciplinary team of health professionals may be involved.  The team may include physiotherapist, dietician, occupational therapist, psychologist, pharmacist, social worker, specialist nursing staff, physician, etc.

[For further details, see: Frith, 2008]

Staff-to-Patient ratio for exercise training

There are no current guidelines on the most appropriate staff-to-patient ratios for conducting pulmonary rehabilitation exercise sessions.   A staff-to-patient ratio of 1 : 4 was reported in a survey of 46 obstructive pulmonary disease rehabilitation programs in Ohio [For further details, see: Hoberty, 2001].

For cardiac rehabilitation exercise sessions, the minimum staff-to-patient ratio is 1 : 5
[For further details, see: American Association of Cardiovascular and Pulmonary Rehabilitation, 2004].

The minimum requirements for equipment are shown in the Equipment Checklist.