By David Lynes

COPD is preventable and treatable, but its low profile and past due presentation implies that many of us usually are not clinically determined till the sickness has improved to a reasonable or serious level, the place interventions are much less powerful. The schooling of all healthcare execs is for this reason crucial in bettering take care of this sufferer crew. it's not easily a sickness of the airlines; it additionally has cognitive and social elements and if care is to be optimised it should be approached holistically. This e-book addresses quite a lot of matters and incorporates a bankruptcy at the patient’s viewpoint, written by means of a sufferer, which supplies beneficial insights. It advantages a spot within the healthcare library.Gill corridor, leader govt, respiration schooling united kingdom

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Extra info for The Management of COPD

Sample text

A large response, in excess of 400 ml, is suggestive of an asthmatic component but a minority of COPD patients may have a response greater than 400 ml and some asthma patients may demonstrate very little reversibility. In most cases, the diagnosis of COPD is suggested by the combination of the clinical history and baseline spirometry and reversibility testing may not add any additional information. It may be that symptoms are disproportionate to the spirometric impairment. Patients may have chronic bronchitis and emphysema but this may not necessarily be fully reflected in spirometric readings.

Patients should be given a steroid card, made aware of potential side effects and advised to take the daily dose as a single dose each morning after breakfast. Treatment should not be stopped suddenly (except after short courses of up to about three weeks) and an increase in dose may be required during periods of illness. Immunisation Immunisation 50 The Department of Health has recommended since 1993 that immunisation against influenza should be given to at-risk populations, including those with chronic pulmonary disease.

A normal FEV1 is defined as being greater than 80 per cent of the predicted value (NICE, 2004), although some guidelines suggest that a patient with such a percentage can still have COPD if their FEV1/FVC ratio is reduced (GOLD, 2006). The calculation for percentage of predicted FEV1 is: Measured FEV1 x 100 Predicted FEV1 For patients with COPD, the severity of the disease is determined by comparing the FEV1 to the predicted value. Varying guidelines for the diagnosis and classification of COPD exist.

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