Rehabilitación respiratoria en cáncer pulmonar: una propuesta de algoritmo de evaluación e intervención

Introduction: Pulmonary rehabilitation is a multidisciplinary intervention, which main goals are to lessen respiratory symptoms, augment exercise tolerance and, therefore, enhance health related life quality on patients with chronic pulmonary diseases, such as Lung Cancer.   Objective: To establish the relevance of pulmonary rehabilitation, facilitate the construction of rehab programs that are focused on oncology patients, this with the creation of evaluation and intervention algorithms, all of this within the walls of the National Cancer Institute. Materials and methods: Descriptive study of a bibliographic review taking in account resources as: Academic Google, PubMed, Reveu des Maladies and some others. For the online research the keywords were “pulmonary rehabilitation”, “respiratory therapy”, “pulmonary rehabilitation program” and “cardiovascular and pulmonary rehabilitation”, all of them published between 2009 and 2019, written in Spanish, English or French. Based on this research we proposed evaluation and intervention algorithms for lung cancer patients.  Results: The insertion of a specialized pulmonary rehabilitation program can be highly significant with the outcomes of patients with Chronic pulmonary. This can be notices on short term by the patient (who retakes activities and reintegrates within his environment) and their family. The program also slows down the progression of the pathology, therefore diminishing sickness and mortality rates. This can be checked out with close monitoring and assessment of the patient. A pulmonary rehabilitation program must come with a full assessment, so we can track down the progression or regression of the patient, bibliography suggests that this assessments should be performed at least once every three months. In this review we present a suggestion for a pulmonary rehabilitation program for three months, within this period of time the patient will have a physical activity program that takes in account cardiovascular activity as much as strength exercise, all of this supervised by an interdisciplinary team; every month the dosage exercise will be adjusted and, at the end of the third month there will be a reevaluation.  Conclusions: Pulmonary rehabilitation has proved to be an excellent source for the management of patients with Chronic Pulmonary Diseases, it would be promising to take this new programs into practice.