title: Pulmonary Rehabilitation and Palliative Care for the Lung Cancer Patient.
abstract: Pulmonary rehabilitation, as a quality of life intervention, has a role to play in palliative care for lung cancer patients. Combining the art and skills of clinical care, physiological, and behavioral tools, pulmonary rehabilitation can serve to rebuild the functional capacity of patients limited by breathlessness and deconditioning. Exercise programs are the primary tool used to restore and rebuild the patient's endurance by challenging the entire pathway of oxygen transport and improving gas exchange. Other tools of pulmonary rehabilitation include breathing retraining, self-management skills, airway clearance techniques, bronchodilitation, smoking cessation and oxygen therapy. Pulmonary rehabilitation is now becoming a part of supportive care for patients undergoing chemotherapy and radiation therapy. The ability to be more active without suffering the consequences of dyspnea on exertion boosts the patient's self-efficacy and allows for an improved quality of life, so that lung cancer patients can participate in their family lives during this therapeutic challenge.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Brian
authors.initials: B
authors.lastname: Tiep
authors.affiliation: Nursing Research and Education, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Virginia
authors.initials: V
authors.lastname: Sun
authors.affiliation: Department of Medical Oncology and Therapeutics Research, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Marianna
authors.initials: M
authors.lastname: Koczywas
authors.affiliation: Division of Thoracic Surgery, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Jae
authors.initials: J
authors.lastname: Kim
authors.affiliation: Lung Cancer and Thoracic Oncology Program, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Dan
authors.initials: D
authors.lastname: Raz
authors.affiliation: Cancer and Aging Research Program, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Arti
authors.initials: A
authors.lastname: Hurria
authors.affiliation: Rehabilitation Services, Sheri & Les Biller Patient and Family Resource Center, City of Hope, 1500 E Duarte Rd, Duarte, CA 91010.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hayter
keywords: dyspnea; exercise; palliative care; pulmonary rehabilitation; quality of life