Optimizing care of your patients with COPD

Chris Garvey,1 Nicola A Hanania,2 Pablo Altman3 1Seton Pulmonary and Cardiac Rehabilitation, Daly City, CA, USA; 2Asthma Clinical Research Center, Section of Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, TX, USA; 3Mylan Specialty LP, Basking Ridge, NJ, USA (forme...

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Autores principales:	Garvey C, Hanania NA, Altman P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/5ed5f9a9acc14b61b70a952ceb13ae44
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spelling	oai:doaj.org-article:5ed5f9a9acc14b61b70a952ceb13ae442021-12-02T02:27:30ZOptimizing care of your patients with COPD2230-522Xhttps://doaj.org/article/5ed5f9a9acc14b61b70a952ceb13ae442014-02-01T00:00:00Zhttp://www.dovepress.com/optimizing-care-of-your-patients-with-copd-a15908https://doaj.org/toc/2230-522X Chris Garvey,1 Nicola A Hanania,2 Pablo Altman3 1Seton Pulmonary and Cardiac Rehabilitation, Daly City, CA, USA; 2Asthma Clinical Research Center, Section of Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, TX, USA; 3Mylan Specialty LP, Basking Ridge, NJ, USA (formerly) Abstract: Chronic obstructive pulmonary disease (COPD) is now the third-leading cause of death in the US. The primary risk factor for COPD is smoking. COPD is underdiagnosed, and spirometry, the main method for its diagnosis, is underutilized. Nurses can play an essential role in improving patient outcomes, in part by helping to apply clinical guidelines for care. Management of COPD consists of reduction of risk factor exposure (for example, smoking cessation), influenza vaccination, pharmacotherapy, and pulmonary rehabilitation. Comorbidities may pose a special challenge in patients with COPD and they may compete with COPD for attention during office visits. Of particular note with regard to pharmacotherapy is the choice of delivery system. Handheld inhalers form the mainstay of treatment of COPD; however, some patients have difficulty using inhalers because of an inability to generate sufficient inspiratory flow, impaired manual dexterity, or cognitive impairment that leads to difficulties in following instructions concerning how to use the inhaler. In such patients, nebulization may be an effective alternative. In this review, we provide a list of best practices that can assist nurses in the optimal care of patients with COPD. Keywords: chronic obstructive pulmonary disease, exacerbation, long-acting beta-agonist, bronchodilators, nebulizationGarvey CHanania NAAltman PDove Medical PressarticleNursingRT1-120ENNursing: Research and Reviews, Vol 2014, Iss default, Pp 7-18 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Garvey C Hanania NA Altman P Optimizing care of your patients with COPD
description	Chris Garvey,1 Nicola A Hanania,2 Pablo Altman3 1Seton Pulmonary and Cardiac Rehabilitation, Daly City, CA, USA; 2Asthma Clinical Research Center, Section of Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, TX, USA; 3Mylan Specialty LP, Basking Ridge, NJ, USA (formerly) Abstract: Chronic obstructive pulmonary disease (COPD) is now the third-leading cause of death in the US. The primary risk factor for COPD is smoking. COPD is underdiagnosed, and spirometry, the main method for its diagnosis, is underutilized. Nurses can play an essential role in improving patient outcomes, in part by helping to apply clinical guidelines for care. Management of COPD consists of reduction of risk factor exposure (for example, smoking cessation), influenza vaccination, pharmacotherapy, and pulmonary rehabilitation. Comorbidities may pose a special challenge in patients with COPD and they may compete with COPD for attention during office visits. Of particular note with regard to pharmacotherapy is the choice of delivery system. Handheld inhalers form the mainstay of treatment of COPD; however, some patients have difficulty using inhalers because of an inability to generate sufficient inspiratory flow, impaired manual dexterity, or cognitive impairment that leads to difficulties in following instructions concerning how to use the inhaler. In such patients, nebulization may be an effective alternative. In this review, we provide a list of best practices that can assist nurses in the optimal care of patients with COPD. Keywords: chronic obstructive pulmonary disease, exacerbation, long-acting beta-agonist, bronchodilators, nebulization
format	article
author	Garvey C Hanania NA Altman P
author_facet	Garvey C Hanania NA Altman P
author_sort	Garvey C
title	Optimizing care of your patients with COPD
title_short	Optimizing care of your patients with COPD
title_full	Optimizing care of your patients with COPD
title_fullStr	Optimizing care of your patients with COPD
title_full_unstemmed	Optimizing care of your patients with COPD
title_sort	optimizing care of your patients with copd
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/5ed5f9a9acc14b61b70a952ceb13ae44
work_keys_str_mv	AT garveyc optimizingcareofyourpatientswithcopd AT hananiana optimizingcareofyourpatientswithcopd AT altmanp optimizingcareofyourpatientswithcopd
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Optimizing care of your patients with COPD

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