Pulmonary Rehabilitation in Skilled Nursing Facilities

Pulmonary rehabilitation is a vital component of care in skilled nursing facilities, particularly for residents with chronic obstructive pulmonary disease (COPD), post-pneumonia deconditioning, and other forms of respiratory compromise. This chapter provides practical guidance for clinicians in SNF settings on developing individualized pulmonary rehab programs that improve respiratory function, mobility, and quality of life. Topics include assessment of pulmonary disability, phases of rehab, physical examination considerations, and therapeutic strategies such as breathing exercises, secretion clearance, and pharmacologic support. Emphasis is placed on interdisciplinary coordination, infection control, and adapting interventions to resident tolerance and comorbidities. Grounded in evidence-based practice, the chapter equips SNF teams with tools to optimize pulmonary outcomes in post-acute and long-term care.