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The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease

Pulmonary rehabilitation (PR) is recommended for all individuals living with a lung condition and chronic breathlessness. This article considers how adopting an interdisciplinary, medical humanities approach to the term ‘pulmonary rehabilitation’ might unpack some of the misconceptions, misrepresent...

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Detalles Bibliográficos
Autores principales: Oxley, Rebecca, Harrison, Samantha L., Rose, Arthur, Macnaughton, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6539565/
https://www.ncbi.nlm.nih.gov/pubmed/31137961
http://dx.doi.org/10.1177/1479973119847659
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author Oxley, Rebecca
Harrison, Samantha L.
Rose, Arthur
Macnaughton, Jane
author_facet Oxley, Rebecca
Harrison, Samantha L.
Rose, Arthur
Macnaughton, Jane
author_sort Oxley, Rebecca
collection PubMed
description Pulmonary rehabilitation (PR) is recommended for all individuals living with a lung condition and chronic breathlessness. This article considers how adopting an interdisciplinary, medical humanities approach to the term ‘pulmonary rehabilitation’ might unpack some of the misconceptions, misrepresentations or negative connotations surrounding it, which have been largely overlooked in explanations of the low uptake of this programme. Taking key insights from Wellcome Trust-funded Life of Breath project, including ethnographic research in community fitness groups in North East England and the ‘Breath Lab’ special interest group, this article outlines how the whole-body approach of PR is not easily understood by those with lung conditions; how experience can inform breath perception through the pacing of everyday life; and how stigma can impact rehabilitation. This article highlights the value of medical humanities in working through communicative challenges evident in the translation of PR between patient and clinical contexts and sets out two arts-based approaches (Singing for Lung Health and dance movement) as potential options that could be included in the PR referral. Finally, the article outlines the need for collaborative research exploring the communication and meaning of healthcare strategies and experiences at the interface of the arts, humanities and medical practice.
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spelling pubmed-65395652019-06-12 The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease Oxley, Rebecca Harrison, Samantha L. Rose, Arthur Macnaughton, Jane Chron Respir Dis Review Pulmonary rehabilitation (PR) is recommended for all individuals living with a lung condition and chronic breathlessness. This article considers how adopting an interdisciplinary, medical humanities approach to the term ‘pulmonary rehabilitation’ might unpack some of the misconceptions, misrepresentations or negative connotations surrounding it, which have been largely overlooked in explanations of the low uptake of this programme. Taking key insights from Wellcome Trust-funded Life of Breath project, including ethnographic research in community fitness groups in North East England and the ‘Breath Lab’ special interest group, this article outlines how the whole-body approach of PR is not easily understood by those with lung conditions; how experience can inform breath perception through the pacing of everyday life; and how stigma can impact rehabilitation. This article highlights the value of medical humanities in working through communicative challenges evident in the translation of PR between patient and clinical contexts and sets out two arts-based approaches (Singing for Lung Health and dance movement) as potential options that could be included in the PR referral. Finally, the article outlines the need for collaborative research exploring the communication and meaning of healthcare strategies and experiences at the interface of the arts, humanities and medical practice. SAGE Publications 2019-05-28 /pmc/articles/PMC6539565/ /pubmed/31137961 http://dx.doi.org/10.1177/1479973119847659 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review
Oxley, Rebecca
Harrison, Samantha L.
Rose, Arthur
Macnaughton, Jane
The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
title The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
title_full The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
title_fullStr The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
title_full_unstemmed The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
title_short The meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
title_sort meaning of the name of ‘pulmonary rehabilitation’ and its influence on engagement with individuals with chronic lung disease
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6539565/
https://www.ncbi.nlm.nih.gov/pubmed/31137961
http://dx.doi.org/10.1177/1479973119847659
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