week 8 - preventing deterioration of COPD Flashcards
what are the elements that help to prevent deterioration in COPD paitents?
smoking cesation - most important
prevent exacerbations
vaccinations and risks associated with pnumoccocal or flue - get vaxxed
long term o2 therapy has survival benifits for COPD paitents
what are the annual reveiw goals to check?
smoking
physical activity
acessess to coping stratergies
FEV1 performance
med adherence
reveir inhaled bronchdilator therpy
how do we develop a care plan for COPD patients?
cood chronic disease managment that anticipates needs
clinical support teams to enhance quality of life and reduced disability
paitent benifits from slef manamget
pt benifit from community/group services
what are the treatable pulmnary traits?
airflow limitation, airwy inflamation, systemic alergic response, frequent chest infections, mucus hpersecretion, dysponeea, oxygen desaturation
what are the treatable extrapulmonaray factors?
dysfunctional breathing
anemia,
systemic infalmation
obessity
depression/anxiety
vocal chord dysfunction
what are the treatable behaviours/risk factors?
absence of action plan
exercise intolerence
bondensity
smoking
inhaler device polypharm
inhalor non complience
phyysical inactivity/sedentary
what team is utalised to care for a COPD paitent?
practice nurce, gp, pharmacist, excersise physiologist, resp educator, phsycologist/physciatris, social worker, dieticien, nutricionist, OT, speech pathologist
team care arrangments
copd managment plan
subserdised session with allied health professionals - not through medcare
what effects a personas ability to self manage their COPD?
health literacy, complience, potential risks