Whakakotahitia a Mate Romahā

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  • Day 2 Project
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Established in 2008, the Integrated Respiratory Service has been fundamental in helping more people get support for their breathing conditions.

Diagnostic tests like spirometry and sleep studies are now able to be done in the community, closer to people in their homes, not just in the hospital. 

Better Breathing Pulmonary Rehabilitation is the only evidence-based intervention available for people with Chronic Obstructive Pulmonary Disorder (COPD) and the community respiratory team deliver nine programmes a year throughout the region.

Community support and exercise groups are there to maintain exercise goals, and to remain connected with other people with similar conditions.

The Better Breathing Consumer Group represent the Better Breathing programmes and support groups and contribute to the development of new services and patient materials.

Specialist respiratory nurses and physicians are available to support general practice teams and community providers to look after their respiratory patients.

The Integrated Respiratory Service is overseen by the Integrated Respiratory Service Development Group (IRSDG), which includes representatives from consumers, Māori, Pasifika, general practice, community pharmacy, hospital and district nursing.

The Day 2 Project sees people who have been admitted to hospital with chronic obstructive pulmonary disease (COPD) given a full assessment which considers the physical, emotional, social and environmental factors linked to their condition. This helps those involved in their care make connections with appropriate services and resources on their discharge from hospital.

Hospital stays for people with COPD can last as little as three days, so this assessment will be carried out from the second day to fit around clinical activity.

The 12-month project, which started in June 2021, is led by a steering group of which half of the members are consumers with lived experience of COPD, working alongside clinicians to develop the new model. The project uses the partnership in design approach, putting people and whānau at the centre of the design of ā tātou (our own) health system and services.

The steering group will work with organisations outside of health that can influence the social factors that impact lung health, such as housing and access to nutritious foods and physical activity opportunities. The goal is to reduce the overall admission of people with COPD into hospital by 20 per cent, and readmissions from 20% to 12%.

Latest News

New look for Better Breathing Pulmonary Rehab

03 Aug, 2020 | Return|

The Better Breathing Pulmonary Rehabilitation Programme has had a facelift post-COVID. During the lockdown period the traditional eight-week, sixteen session programme wasn't able to be delivered to the planned groups.

Instead, the Community Respiratory team rang participants to touch base and track progress. After lockdown lifted the timing was right to pilot a different approach to be able to reach more people, and closer to the time they’ve been referred to pulmonary rehabilitation.

Starting this week the team have kicked off a rolling programme, which will eventually be delivered in four locations around urban Christchurch (the rural programmes also continue). Participants are assessed by telephone and then meet face-to-face in the group setting once a week. The participant is encouraged to keep an exercise diary and join in a community exercise group or other activity. The programme will continue for eight week blocks with a different education topic each week.

Participants can join the programme at any time and complete their eight week cycle. If a participant missed out on one of the sessions they can catch up with the next cycle of exercises and education.

About the Author


Windmill Newsletter

Better Breathing Consumer Working Group and Community Exercise Support Groups newsletter comes out q...

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Social connectedness - the way forward for health and wellbeing

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Community Respiratory Nursing Newsletter - Winter 2017

The latest edition of the community respiratory nursing service newsletter, the team showcases proac...

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Community Respiratory Nursing Service newsletter

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The Autumn edition of the newsletter has information about how respiratory patients need extra suppo...

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Windmill newsletter Spring 2019

Windmill newsletter Spring 2019

The latest Windmill newsletter is out now, featuring a story from consumer Pat Neville and contact d...

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Community Respiratory Nursing Service newsletter

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In the Summer edition there's information about the upcoming South Island Respiratory Educators ...

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Useful resources

Work Plan 2021-22

For Integrated Respiratory SDG. Read full CCN work plan.

Pulmonary Rehabilitation flyer

Information about Canterbury Community Pulmonary Rehabilitation.

Funded Inhalers

Poster showing the funded inhalers in New Zealand 2019.

Exercise groups flyer

Flyer with details of the community respiratory support and exercise groups.

Learning to breathe better

Breathing Breathing Programme - a patient perspective.