week 8 managing COPD exacerbations in the community Flashcards
how are exacerbations managed in the community?
understand exacerbation - change in pts dysponea, cough, sputum production
early diagnosis and treatment of exacerbations
multidiciplnary care at home
inhaled bronchodilated for effective treatments
consider rehab
what do exacerbations do to lung function?
rapid decline - health deficit
more frequent exacerbations where function isnt restored to where it was before
when should pts e reveiwed after an exacerbation?
within 7 days of primary healthcare
wjat is important after an exacertbation?
more acute needs
timleness with linking to allied health professionals
assess coping ability/straergies
revewi med adherence, excersise adherence, COPD action plans, chest xrays, oxygen therapy ect
what are the different stages in the priorites of care timeline?
stable/undiagnosed
pre-AECOPD
AECOPD
Post AECOPD
Later stages
what is importnat in the stable/undiagnosed stages?
accurate diagonis
GP care
preventitive medicine
comprehensive health care including co morbidities
what is importatn pre-exacerbation?
timely access to care
SABAs
avoid high o2
early NIV?
what is important in exacerbations of COPD?
rapid relif
OSC, ICS, LABA, LAMA and review
suppirted discharging
AECOPD action planning
mental health reveiw
what is imporatant post exacerbation
transition of care to gps
adequate recovory
medication reveiws
communication
follow up invisetigations
what is important in the later stages of COPD?
symptom releif
advanced care planning
LTOT
health care system navigation
carer burden
what are the three different types of non-adherence?
intentianal intelligent - deliberate
unintentional (erratic) - good intention, forgetful
unintentional (unwitting) - poor understanding of need or correct execution
refer to specialist review
identification/mangemt of comorbidities
advice re LTOT
facialatie preventative care
social engagment, support groups
recognisis and assting with carer burden
what community factors with impact on care?
sole case manager, healthcare team, acess to expertise, gegraphic setting, family and soaicl support, health literacy
