| Settings |
| Home |
| Primary care |
| Secondary care |
| Hospital based home care programme |
| Professionals |
| Respiratory physicians |
| Respiratory nurses |
| Registered nurse case managers |
| Physiotherapist |
| Occupational therapist |
| Dietician |
| Psychologist |
| Social worker |
| Primary care doctor |
| Hospital medical officer |
| Pharmacist |
| Service |
| Developed care plans |
| Worked with protocols |
| Provided education to patients |
| Education to carers |
| Classes |
| Booklets |
| Smoking cessation |
| Exercise training |
| Breathing retraining |
| Evacuation of mucus |
| Chest wall and abdominal muscle wall work |
| Intensive rehabilitation program |
| Relaxation techniques |
| Recreational activities. |
| Occupational therapy |
| Tailored self-management of the disease |
| Teaching of self-management skills |
| Assessing psychological and spiritual needs. |
| Action plan |
| Exacerbation management |
| Ambulatory oxygen assessment |
| Supervision of domiciliary oxygen |
| Nebuliser assessments |
| Review of medication |
| Inhalation techniques |
| Monitoring of treatment compliance |
| Optimizing pharmacotherapy treatment |
| Advice about nutrition |
| Advice about exercise |
| Introduction to a patient support group |
| Telephone calls |
| Home visits |
| Annual influenza vaccination |
| Monitoring of treatment compliance |
| Duration |
| Variable, examples: 12 weeks, 4 months, 6 months, 18 months, 24 months |
