Participant Eligibility and Referring
Participant Eligibility & Referral process
A person who has completed pulmonary or heart failure rehabilitation within the last 12 months, and who has not had any hospitalizations is eligible to partake in Lungs in Action. They can be referred directly into the Lungs in Action class by a general practitioner or their pulmonary/ heart failure rehabilitation physiotherapist/accredited exercise physiologist. For those who have completed rehabilitation more than 12 months ago please see the information below on the referral process and eligibility criteria.
All Lungs in Action participants require a referral form to be filled out prior to attending. There is the Standard Lungs in Action Entry Form for rehabilitation physiotherapist/exercise physiologist to use, and a GP Lungs in Action Entry Form for use of GP’s only. Lungs in Action is part of the continuum of care and referring clinicians will have the opportunity to observe their clients during class if they wish, and will be able to follow up on their progress.
Where a person has not completed pulmonary rehabilitation or heart failure rehabilitation, GPs are encouraged to refer their patient into their local rehabilitation program (To find out if there is a Pulmonary Rehabilitation program in your area, click here).
If you are interested is obtaining the Lungs in Action referral form in a Rich Text Format for use in either Medical Director or Best Practice systems please contact us at Lung Foundation Australia.
What if a person has completed rehabilitation more than 12 months ago, but has maintained regular exercise since?
If a person has exceeded 12 months since completing pulmonary or heart failure rehabilitation but they have been participating in regular weekly supervised exercise maintenance classes they can be referred into Lungs in Action by their GP using the GP Lungs in Action Entry Form .
What if a person has completed rehabilitation more than 12 months ago and has not kept up with exercise or has been hospitalised since?
If a person has exceeded 12 months since completing pulmonary or heart failure rehabilitation and they have NOT been exercising OR they have had a hospitalisation due to a respiratory or heart failure related illness, they will be required to return to their original pulmonary or heart failure rehabilitation physiotherapist/accredited exercise physiologist or their respiratory or heart failure specialist for assessment to confirm that they are fit to participate in Lungs in Action. If their six minute walk test is below their Pre- Pulmonary Rehabilitation six minute walk test result the physiotherapist or exercise physiologist might decide they need to complete some or all the pulmonary rehabilitation program prior to referral into Lungs in Action. Similarly, if the heart failure rehabilitation physiotherapist or exercise physiologist deems the client unstable or has considerable declined in function they may need to complete some, or all of the heart failure rehabilitation program prior to referral into Lungs in Action.
What if a person has completed rehabilitation within 12 months but has been hospitalised?
Please use the following as a guide for clients who have completed pulmonary or heart failure rehabilitation within the last 12months but have had a hospitalisation:
- If the hospitalisation was not related to their respiratory condition or their heart failure, they can request a referral from their GP. The GP must read the Lungs in Action Eligibility Criteria Form and then sign the GP Lungs in Action Entry Form giving them medical clearance to participate in Lungs in Action.
- If the hospitalisation was due to COPD or heart failure related illness, the client must see their pulmonary rehabilitation or heart failure physiotherapist/exercise physiologist for an assessment. If their six minute walk test result is below that of their pre-pulmonary rehabilitation six minute walk test result, the physiotherapist or exercise physiologist may decide that the client needs to repeat some or all of the pulmonary rehabilitation before referring to Lungs in Action. If medical clearance is required the Pulmonary Rehabilitation Physiotherapist will organise this. The heart failure physiotherapist or exercise physiologist will determine if the client is stable enough to return to Lungs in Action.
Further information on the eligibility for Lungs in Action can also be found within the following document. – Eligibility criteria form.