Week 8 COPD - Optimising Function in the Community

Question 1

how do we optomise function of paitents with COPD?

Answer 1

assesment is the first stp
optomisinf pharmocotherapy
adherence to inhaler techniques to be checked regularly
non-pharmocological stratergies - such as exersice palns shpuld be provided to the paitents
comorbid condition are common
pallaite care

Answer 2

inhaled corticoid steriods

relievers
- short acting beta 2 agonists
- short acting muscuriinc agonists

long acting beta 2 agonists
long acting muscurinic agonists

Question 3

what non-pharmocolgical interventions should be used across the spectrum of COPD?

Answer 3

reduce risk factors - avoid exposure, get flu vax, pnumonococcal vax
optimise function - excersice, reveiw nutrition, education, develop plan, COPD action plan
optimise treatement of co-morbidities - cardiovascular disease, anxiety, depression, ling cancer and osteoperosis
refer to rehab as symptomatic

Question 4

what are the pharmacological interventions that should be used in the moderate/sevre COPD paitens?

Answer 4

initate advanced care planning
manage advanced disease with oxygen, long term non-invasive ventilation, bronchoscopic interventipn

Question 5

what are the paharmalogical interventions that should be used over the range of COPD mamangment?

Answer 5

short acting relivers - SABA or SAMA
and long acting bronchodilators
LAMA and LABAs

moderate - inahled corticosteriods and trippple therapy

Question 6

what is pulmonary rehab?

Answer 6

comprehensive intervention based program
with taloired therapy including, exercise, education, behaviour change

typucally 2 times a week for 8 weeks
hopsital OP, community or home

Question 7

what is the goal of pulmonary rehabilitioation?

Answer 7

improve physical and psychological condition to promate long-term adherecne to health enhancing behaviorus

Answer 8

social networks
cease smoking

Question 9

what are some of the components of pulmnary rehab?

Answer 9

social networks
cease smoking
optimise pharmacotherapy
detect and manage acute exacerations
manage acute dysponea
exercise rehab
increased physical activity
improved body composition
promote menatl health
advance care planning

Question 10

what are the different modles of rehab avalible?

Answer 10

centre based care
home based
remote support
web based

Question 11

what are the outcomes from pulmonary rehab?

Answer 11

improves dysponea, fatiuge, anxiety/depression, perpheral muscle function, exercise capacity, emotal function
reduced hospitilastion and is cost effective