Considerations for managing chronic obstructive pulmonary disease in the elderly

George E Taffet,1 James F Donohue,2 Pablo R Altman31Geriatrics Section, Geriatrics and Cardiovascular Sciences, Baylor College of Medicine, The Methodist Hospital, Houston, TX, 2Pulmonary Diseases and Critical Care Medicine, University of North Carolina, Chapel Hill, NC, 3Medical Affairs, Mylan Spec...

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Autores principales:	Taffet GE, Donohue JF, Altman PR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Chronic obstructive pulmonary disease inhaler device cognition disability comorbidities maintenance therapy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a71d0652d849412caf639957499a99a6
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spelling	oai:doaj.org-article:a71d0652d849412caf639957499a99a62021-12-02T02:40:03ZConsiderations for managing chronic obstructive pulmonary disease in the elderly1178-1998https://doaj.org/article/a71d0652d849412caf639957499a99a62013-12-01T00:00:00Zhttps://www.dovepress.com/considerations-for-managing-chronic-obstructive-pulmonary-disease-in-t-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998George E Taffet,1 James F Donohue,2 Pablo R Altman31Geriatrics Section, Geriatrics and Cardiovascular Sciences, Baylor College of Medicine, The Methodist Hospital, Houston, TX, 2Pulmonary Diseases and Critical Care Medicine, University of North Carolina, Chapel Hill, NC, 3Medical Affairs, Mylan Specialty L.P., Basking Ridge, NJ, USAAbstract: Chronic obstructive pulmonary disease (COPD) is common in older people, with an estimated prevalence of 10% in the US population aged ≥75 years. Inhaled medications are the cornerstone of treatment for COPD and are typically administered by one of three types of devices, ie, pressurized metered dose inhalers, dry powder inhalers, and nebulizers. However, age-related pulmonary changes may negatively influence the delivery of inhaled medications to the small airways. In addition, physical and cognitive impairment, which are common in elderly patients with COPD, pose special challenges to the use of handheld inhalers in the elderly. Health care providers must take time to train patients to use handheld inhalers and must also check that patients are using them correctly on a regular basis. Nebulizers should be considered for patients unable to use handheld inhalers properly. What follows is a review of issues associated with COPD and its treatment in the elderly patient.Keywords: chronic obstructive pulmonary disease, inhaler, device, cognition, disability, comorbidities, maintenance therapyTaffet GEDonohue JFAltman PRDove Medical PressarticleChronic obstructive pulmonary diseaseinhalerdevicecognitiondisabilitycomorbiditiesmaintenance therapyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 23-30 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chronic obstructive pulmonary disease inhaler device cognition disability comorbidities maintenance therapy Geriatrics RC952-954.6
spellingShingle	Chronic obstructive pulmonary disease inhaler device cognition disability comorbidities maintenance therapy Geriatrics RC952-954.6 Taffet GE Donohue JF Altman PR Considerations for managing chronic obstructive pulmonary disease in the elderly
description	George E Taffet,1 James F Donohue,2 Pablo R Altman31Geriatrics Section, Geriatrics and Cardiovascular Sciences, Baylor College of Medicine, The Methodist Hospital, Houston, TX, 2Pulmonary Diseases and Critical Care Medicine, University of North Carolina, Chapel Hill, NC, 3Medical Affairs, Mylan Specialty L.P., Basking Ridge, NJ, USAAbstract: Chronic obstructive pulmonary disease (COPD) is common in older people, with an estimated prevalence of 10% in the US population aged ≥75 years. Inhaled medications are the cornerstone of treatment for COPD and are typically administered by one of three types of devices, ie, pressurized metered dose inhalers, dry powder inhalers, and nebulizers. However, age-related pulmonary changes may negatively influence the delivery of inhaled medications to the small airways. In addition, physical and cognitive impairment, which are common in elderly patients with COPD, pose special challenges to the use of handheld inhalers in the elderly. Health care providers must take time to train patients to use handheld inhalers and must also check that patients are using them correctly on a regular basis. Nebulizers should be considered for patients unable to use handheld inhalers properly. What follows is a review of issues associated with COPD and its treatment in the elderly patient.Keywords: chronic obstructive pulmonary disease, inhaler, device, cognition, disability, comorbidities, maintenance therapy
format	article
author	Taffet GE Donohue JF Altman PR
author_facet	Taffet GE Donohue JF Altman PR
author_sort	Taffet GE
title	Considerations for managing chronic obstructive pulmonary disease in the elderly
title_short	Considerations for managing chronic obstructive pulmonary disease in the elderly
title_full	Considerations for managing chronic obstructive pulmonary disease in the elderly
title_fullStr	Considerations for managing chronic obstructive pulmonary disease in the elderly
title_full_unstemmed	Considerations for managing chronic obstructive pulmonary disease in the elderly
title_sort	considerations for managing chronic obstructive pulmonary disease in the elderly
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/a71d0652d849412caf639957499a99a6
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Considerations for managing chronic obstructive pulmonary disease in the elderly

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