copd patient information pdf

Emphysema is a lung condition that causes shortness of breath and a cough. A key objective for patients with COPD is the prevention of exacerbations and hospital readmissions. The COPD patients showed a significantly lower MRER than the healthy volunteers (Fig 1, 12.6±4.4% vs 22.0±3.4%, p<0 The ATS Patient Information Series is a public service of the American Thoracic Society and its journal, the AJRCCM. the patient. A key objective for patients with COPD is the prevention of exacerbations and hospital readmissions. CDC collaborated with the National Institutes of Health and other federal agencies to develop the COPD National Action Plan — a patient-centered road map for addressing COPD, one of the most urgent health concerns facing Americans. Revised: 9/2020 _____ FULL PRESCRIBING INFORMATION: CONTENTS* 1 INDICATIONS AND USAGE 1.1 Maintenance Treatment of Chronic Obstructive Pulmonary Disease 1.2 Maintenance Treatment of Asthma 1.3 Limitations of Use 2 DOSAGE AND ADMINISTRATION Monitor for signs and symptoms of unstable COPD (dyspnea at rest, productive cough, URTI, �\S�AR�)� �D[_��$\/LPb Download PDF: Understanding COPD National Jewish Health authors free downloadable patient education materials to provide you and your family the information and tools to help manage your disease. hޔXmO�H��2�$D�/^�R� �*��w��o��Ϭ7i h޼WYo�8�+|_�@Q`�l7�>�@�}Pbm#l*�Z ��3Cі˖��x�盃��J+H^�(��6�`h�*�tQ��F�BP��lR&YP�*��s�:��D��j]�^��Ⲿ�Yw�M��Y-��m��}��@��x1��_W�:��\]\�;��w�Wl�y[��\�-_��F�ŧ��]7��aݽ��5B��^�<4��Ay'�xS�; �X��Ƕ!J��V�n�#F��v��8�� Z�us��ی ��#z��-t��s�O�07��f�J/'�ɬ��"��i��v;�(��e �~�A�0 ��c�O!1�H��ք8N޷K�(M�o�N�-�!f�x�G�A$� People with COPD are at increased risk of developing heart dise… Long-term cigarette smoking causes nearly all cases of COPD… h�̕ok�0ƿ�}�I'�V Ű�M�,�~1a��h=�� CDC collaborated with the National Institutes of Health and other federal agencies to develop the COPD National Action Plan — a patient-centered road map for addressing COPD, one of the most urgent health concerns facing Americans. The inflammation (irritation and swelling) Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the world [].A large part of the COPD burden of illness is due to disease exacerbations that require hospital admissions [2, 3], which can cost over $40,000 USD per hospitalization [].Recurrent hospitalizations for COPD patients may indicate poor long-term … Chronic obstructive pulmonary disease (also called COPD) and asthma are both diseases of the lungs that make it hard for you to breathe. Keeping active and doing exercise can make a big difference – many people find this helps more than inhaled drugs. �&��$��H��u�u �P�R�I�Zx0�*�lBF��"��m��r,��wo"&$�,�$��2$X�-�Ħ1�1��csҙ��R'�;Lb�hIR k� ��l�#�q�a��@#V� �@6N�oF�8`�U�@�c^r�nC�d�"r��K"Rg)i4��6�Q� �o��k8 ��\��eأ&��0N� [�p��c�m~T1�kI%,҂�� o� i��0I+�I@F�Q��dG*LI�ލ>~eԀn��ُ�}�z��1��~=��_�V��|��g�g��=��x��i��=^��qD�g�'��H��}H�'=��I��n'��~o?�%E��ں��۪jON8SH�n��S The following resources include printable and shareable tips for living with the disease, as well as information that you can use in discussions with your loved ones and health care provider(s). Over time the air sacs get stiff and will not let oxygen into and carbon dioxide out of your blood. ��nt3�?8t2��K�{`�o��W��̫Ǽ��v��B�!>�އF��3��U�ՖڊUQtmZ�� К}hh��u��g��N�"��#��oD)"$� �"Φ˩�i�\]^]�m^�iA6��#�ԕ�#JˌΊ��lڼ�Z�.v�C>E�6��/3[r��%;��Ԗ�%�l��y_��?2�p�I�Ch�M��r�̧� �p��"�-��3��H�,=�-��P��/��$�"v9�'s^&�)5HJ� There is no cure but there are treatments that can help stop it getting worse. Chronic obstructive pulmonary disease (also called COPD) and asthma are both diseases of the lungs that make it hard for you to breathe. g[8�3�"�CA�Y�P=p�{��Ѓ��C�rV�z;ٱ�Ok�m�&Mυ4>��O`��Wv:�4Nqd߶��lvZ�|�W}�q��0�B2��9r9�::��1��B��EtQ'|?�qPj�;=��}��)��y Please see additional Important Safety Information on this web page. Over time the air sacs get stiff and will not let oxygen into and carbon dioxide out of your blood. Chronic Obstructive Pulmonary Disease (COPD) COPD is a common lung disease. It consists of 8 questions that are rated on a scale from -05 (0=normal/none; 5=markedly abnormal), which informs the overall score. b �`�(lI��ff�G%�^^RI��i�G��X�Sk��R� ޖbrX�.la } COPD Guidance for Patients. Avoid rubber dam in severe COPD 3. Chronic Obstructive Pulmonary Disease. 4 blf.org.uk/COPD Managing your COPD You can also do things to help manage your COPD. Chronic Obstructive Pulmonary Disease (COPD) COPD is a common lung disease. Iq�6��"��D�)5Ɛ� �0��IƘ"�QB��$��뱤Da=V�DЋ�� @�)ƃ~x��CB�� COPD stands for chronic obstructive pulmonary disease. YUPELRI is only for use with a nebulizer. x��ZY��~ߪ��+�.w��Eל��ͯOw��p)[e�3�}|} ��{��ww?�a��߲��ܱ�?\_��3.؇��+�r�Ù�3�J��}�\_��>N��?��߯��;��"�Y�+�)��V�x,T��KV��ʤ�%m�彩ho�q��*�/xVV��]��䧩��VN6�b2�WS=ٶl*'��[1��_�)�'��֓�.�"d\�*��h��^1i�Ve��_k ��m�XGV�w��")�*�e4�nF,7�C3�|2�$�*��TI*'�Ցxըm��rq�jE��fuV�z2/�\3]ˌ�KV,��/��%�T)�K��y��y�y2�t��7ǂ�C1�2�uV�p可��{��1�8��*��I}sp�R�c-�o��3��/�`�]��n�ɗ��߯��f��ҟٛU��3NJ�a�4W'�^��ė��:��S��Dq k�}��Bfuk DOWNLOAD PDF (5.91 MB) Patient brochure: COPD exacerbations How Simon learned to manage them. Improve symptoms, quality of life and lung function while reducing morbidity and mortality for . ȸ� Chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema, is a chronic lung disease that makes it hard to breathe. Mayo Clinic specialists in pulmonary medicine work with a wide array of specialties and collaborate as a team to provide coordinated, comprehensive care. The latest version of this information is available to view instantly on our website . However, it is difficult to define static standards that meet all patient needs in such volatile environments. There are many COPD support groups offered . Patient information from BMJ Last published: Dec 18, 2020 COPD: what treatments work? Since 2003 when the The information appearing in this series is for educational purposes only and should not be used as a substitute for the medical advice one one’s personal health care If you have COPD, the good news is that there are steps you can take to control the symptoms of COPD and slow down the ongoing damage to your lungs. See if your local hospital has a COPD support group. The Living Well with COPD patient guide will introduce you to COPD – its causes, symptoms and risk factors; how it is diagnosed; how it is treated; and how to manage the condition to minimize its impact. Studies so far, however, indicated only around 2% of patients admitted to hospital with COVID-19 infection in China had underlying COPD,1 2 while the prevalence of COPD in China ranges from 5% to 13%.3 Indeed, COPD was not the most commonly reported comorbidity seen in patients with COVID-19.1 However, while the low percentage suggests COPD is not a risk factor for … Chronic Obstructive Pulmonary Disease Public Health . YUPELRI is a prescription medicine used to treat chronic obstructive pulmonary disease (COPD), a long-term (chronic) lung disease that includes chronic bronchitis, emphysema, or both. ?i��J�A�^��G��95�?^��5�$�,_B6�kO��.��-]�>?��#z�9y�\��Ɇ��L��> �zvi� 4. of Stable COPD”; and a number of patient resources such as “Better Living with COPD – a Patient Guide”. There is no cure but there are treatments that can help stop it getting worse. It's caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. A Patient List, called a Patient List Report in Practice Fusion, is an EHR system feature that can help to identify patients who meet certain health-related criteria, including: Patient Lists to identify asthma and COPD treatment candidates Consider low-dose oral diazepam or another benzodiazepine, although these agents may cause oral dryness. ALA COPD AP V1 3 18 2020 *The American Lung Association recommends that the providers select this action for all patients. Chronic obstructive pulmonary disease (COPD) leaflet. \��̪g. Click Here for COVID-19 Information for the COPD Community: Updated December 22nd! • If diagnosed before age 65, provide pneumococcal 23-valent vaccine at the time of diagnosis. No. endstream endobj 224 0 obj <>stream See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling. Revised: 9/2020 _____ FULL PRESCRIBING INFORMATION: CONTENTS* 1 INDICATIONS AND USAGE 1.1 Maintenance Treatment of Chronic Obstructive Pulmonary Disease 1.2 Maintenance Treatment of Asthma 1.3 Limitations of Use 2 DOSAGE AND ADMINISTRATION Around 1 in 7 Australians aged 40 years and over have some form of COPD 2 however around half of these people living with COPD symptoms do not know they have the condition 3.Indigenous Australians are 2.5 times more likely to have COPD than non-Indigenous Australians 4.COPD is not a contagious disease. 1. Doctors work together so that you receive all the expertise needed to identify your problem and find an effective solution. Please see full Prescribing Information, including Patient Information, on this web page. Introduction. The Respiratory Care Nurse telephone service is available for people living with Chronic Obstructive Pulmonary Disease or bronchiectasis. By clicking this link, you will be taken to a website that is independent from GSK. Treatment of COPD complicated by asthma ... COPD (chronic obstructive pulmonary disease) is an inﬂammatory disease of the lungs that • Provide annual influenza vaccination for all COPD patients. Patient population: Objectives: 1. Consider getting a flu shot every year. Now, with this . 2. Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases. Patient information from BMJ Last published: Dec 18, 2020 COPD: what is it? COPD National Action Plan. The air sacs in the lungs (alveoli) are damaged. Despite the many benefits of PC, it is estimated that only about 20% of COPD patients receive referrals to any form of PC during the late phases of their illness. We analyzed clinical data in electronic health records … endstream endobj 223 0 obj <>stream endobj COPD is … The plan reflects input from many members of the COPD community, including patients, caregivers, … Patient Education and Counseling. There are many different types of the condition, although little is known about what causes this variation and the best way to manage the different versions of the disease. COPD (continued) COPD Ver3.0 – July 2013 Page 3 The signs and symptoms of COPD include: An ongoing cough or a cough that produces large amounts of mucus (often called "smoker's cough") Shortness of breath, especially with physical activity Wheezing (a whistling or squeaky sound when you breathe) Chest tightness These symptoms often occur years before the flow of air … ATS Patient Information Series fact sheets on Surgery for COPD and Lung Transplantation). COPD care at Mayo Clinic. Over time, the inner walls of the air sacs weaken and the lining of the alveoli becomes damaged. The COPD patients were older and had poorer lung function with the exception of %VC than the control subjects. 1 copd patient … Respiratory disease experts are predicting a surge in the number of people who will get pneumonia and Chronic Obstructive Pulmonary Disease (COPD) flare-ups over the coming winter months. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R 21 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> However, they are different diseases. Learn more about symptoms, causes, and treatments of COPD at COPD.com. d�~';�aRB {a��#p��@�P@�9�PI �L��}u��W��p�(h� �kv�l�fr7��7��@�+ʴd��z��fS��E��Pd�.Mgw�2��g��Lx��ISv��ܗ>l�i#��A�� yPϨt��i(&�cZ��Q ǔg��[��Xa�~��rS7�tt��A��珇ߦ And ask your provider about the pneumonia vaccine. [�*2;c��gsLѹ��}��KS�t2�$+��.�RHx ^��5xm��K�N�I;i'��$6�MŦ��7��|��:��sx/�� @h�?��LN��lP6(ԏ/㮸+x�]q��A4{��{�:��#� �� Recent National Institutefor Health and Care Excellence (NICE) guidance for chronic obstructive pulmonary disease (COPD) has emphasised the importance of patient information and self-management.1 2 Although audits3 4 can assess process and the delivery of this and other aspects of care, they are less able to show if aspects have been effectively … 3�R�XQ��=�w�Zj+�|{B�� 2�0�zj��Gr1XE��\Q��¾9Pڸ�{�%�IͫH�Tó��d %EVD3''��s�+!��hNN;:�t,*�(;4�v�}oY�2�t`�%��eD�I��Cp��z�l�� :{�n�6�#vS�� \�e. This leaflet describes the causes, symptoms, diagnosis and treatment of COPD. Patient education c. Nutrition management d. Oxygen therapy e. Ventilatory support f. Surgical treatments, endoscopic treatments 22C-4. %�� TEXT ONSCREEN: By combining the two approaches, you’re likely to get the most benefit. View COPD_Patient_Information_Version_3.pdf from NURSING 104 at Harrisburg Area Community College. ... Read the step by step instructions for using YUPELRI at the end of this Patient Information Leaflet. The latest version of this information is available to view instantly on our website. Semi supine or upright chair position may be better for treatment in these patients to prevent orthopnea. Michigan Medicine Clinical Care Guidelines Resources for People with COPD - 6 - Disclaimer: This document contains information and/or instructional materials developed by The patient information from BMJ Best Practice from which this leaflet is derived is regularly updated. <> Symptoms include cough and breathlessness. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. Family members are also a great resource for support as you learn to live with and manage COPD. Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases. Team approach. For more information about living with COPD visit blf.org.uk/COPD or call the British Lung Foundation?s helpline on 03000 030 555 Tips for Coping With a Dry Mouth Dry mouth can be caused by using oxygen, nebulisers or inhalers. In 1997, COPD was the cause of death in 4.1% of men and 2.4% of women; The average hospital admission rates for COPD are about 300 per 100,000 people per year; In the adult population aged over 40 years, moderate and severe COPD is prevalent in 5-10% of the population, and including mild cases, the prevalence is 15-20% ^�=�c��mM��2[3�}��qڹbE��i�ٓ��`6`��XTuK��Sκ��Y�{��nz=�?|��uUR_��t�@��6}�� Z�+b@�,��D�O�s}B�[Ҽ��1��v�?o0�ٷC�Sn��u:�ł�Ny�7��hg[o�]��Fȯ8�� c��w��a�2�w��M��v}��md��:��:G�;�nY�@U�{�d (�+��=�u݈�qE⢛�%R��w��7��#��7�/�7�ME῞��+|��-��?��߬~԰�?Q�d谔x�{��Ku�J=�� B�W 2 0 obj Provide a framework for management of chronic COPD and for the treatment of mild to moderate acute exacerbations. 2. • A copy should only be provided to a patient once a decision to prescribe Trelegy The plan reflects input from many members of the COPD community, including patients, caregivers, health … MIKE: Once I had COPD I noticed that it took me longer to do stuff, like cutting the grass or, you know, you'd stop, take a break. - Inhaler device should take precedent over drug choice within a class. In addition, decisions and management of urgent status … The COPD Assessment Test is a patient-completed questionnaire for assessing and monitoring COPD. COPD Information for Patients and Caregivers | COPD.com COPD (chronic obstructive pulmonary disease) COPD describes a group of lung conditions that make it difficult to empty air out of the lungs because the airways have become narrowed. COPD education and patient education materials will help family members and caregivers manage their loved one's COPD. 3 0 obj COPD GUIDELINES FOR INHALED THERAPY APC BOARD DATE: 27 JUN 2018 - Treatments not listed, but included in the Pan Mersey Formulary, may be required. Educating and counseling patients and their caregivers about their disease state and symptom management strategies plays a … COPD stands for chronic obstructive pulmonary disease. Health Details: Public health programs and policies that focus on tobacco-use prevention and cessation, reducing occupational exposure to dusts and chemicals, and reducing other indoor and outdoor air pollutants are critically important.Early treatment and control of asthma may also prevent the development of COPD. It should not be used as a substitute for professional medical advice, diagnosis or treatment. Learn more about our educational materials. THE AMERICAN LUNG ASSOCIATION In this section you will find information about what COPD is, the symptoms you might get, and how it’s diagnosed and treated. A Patient List, called a Patient Query in Allscripts TouchWorks ® EHR, is an EHR system feature that can help to identify patients who meet certain health-related criteria, including: Patient Lists to identify asthma and COPD treatment candidates Helping identify patients who may benefit from treatment intensification If you have further technical Better Living with Chronic Obstructive Pulmonary Disease A Patient Guide outlines the important steps that will make you feel better, such as: smoking. Chronic obstructive pulmonary disease (COPD) is a common lung disease, affecting 16 million Americans, and the number is growing. Download PDF: Understanding COPD National Jewish Health authors free downloadable patient education materials to provide you and your family the information and tools to help manage your disease. In Australia, the majority of patients with COPD are managed by GPs. You can also find a very active COPD community online. TEXT ONSCREEN: My life with COPD . Once you have been diagnosed with COPD, there I�R_Q��tEظ۲��o;'~Sh3��M�J#=ضE�x��|F)��9�,O�e��?P�>��+ewB[&��S5q�[�Jo�g��f�;�^�_�l��K㾀�!��a��9�Y��[;K��B�E7[6��t��8�K%��ս!L�!��r�\��O�`��u(��Ǘ��J�/��功U�O�۶Y�m5o��̖Œ��֛gGZ�RV��ܷo? },�UP��:��'��@>B I`��,D:Ij�n ��e��i�)D�ODd�Q��H��C1��9 !I��mb&H��z�0��m��w�\��Ćڼ��{��G?�寺ꮹ9�4��M��&�?��M��h4��36��SO ��)"��!��Z��|�˺��x&�0�ݓ�pw�w�0Os[t��c��[O��!�8��!�&��4?��w8��[�� e�*�vg��K�y�u��R��ϡ�8qQ��dV��\�qzs�kH��0�1��=�UW��A��R�~��B��_e��@t�P�0��w��c^s��ᴧ5�n�U��5%Q�F�W˺��Q��. 4 0 obj It means that lung damage is stopping your lungs working as well as they used to. Seek Support From Other COPD Patients. So, do your best to avoid crowds during flu season. An acute exacerbation is more commonly known as a 'flare-up'. �im��m9�٪C�%��K4�h�)t�~z[O��f �&@��S�`M��n��F�YC��A��%��f5��_�hU��l��̌��W1R��C��{�@S��;s`w0��~��/��n��yP��ܒ`o�T}i�$5GN͚X�|1��JYs^ge�h��I#m�N�b�s�[�I��ybO�:%�e"� N僗�ZbzM�䢟�ze�҆��n@�|�%�H��|0�@�W�� @>�̟� Over recent years, many projects have focused on research related to ubiquitous healthcare to monitor patients outside the settings of the hospital. Electronics 2018, 7, 371 2 of 28 monitoring for COPD patients. COPD causes 13.4 million doctors’ ofﬁce visits and 634,000 hospitalizations each year. %PDF-1.6 %�� COPD Publications for Patients and Caregivers Learn more about COPD and its symptoms, diagnosis, treatment, and management. Chronic obstructive pulmonary disease (COPD) leaflet This leaflet describes the causes, symptoms, diagnosis and treatment of COPD. stream In many cases an exacerbation is caused by an infection in the lungs, but in some cases, the cause is never known. The term chronic, in chronic obstructive pulmonary disease, means that it lasts for a long time. h�t�;n�0��D�% >B��o`� |��3�Uč�Л ��-m��zF1מY¤�� An acute exacerbation of chronic obstructive pulmonary disease (COPD) is a sudden worsening of COPD symptoms compared with the usual severity of symptoms. What is emphysema? They include Understanding Booklets , Med Facts , Test Facts , … Americans are not aware of the significance of COPD as a major national health concern. But surgery for COPD is usually only used when all other treatments haven't worked. <> A Patient List, called a Discern Informatics Query in Cerner, is an EHR system feature that can help to identify patients who meet certain health-related criteria, including: Patient Lists to identify asthma and COPD treatment candidates Helping identify patients who may benefit from treatment intensification If you have further technical �(�}~#�8@�`�M.��0�1��fz4��y5!{��/&��"�! However, they are different diseases. We aimed to explore the impact of COVID-19 in a large population-based sample of patients with COPD in Castilla-La Mancha, Spain. Chronic obstructive pulmonary disease (COPD) is an umbrella term for a number of lung diseases that prevent proper breathing. 1 0 obj ?� , 7d�IL��Ȅ>��z3�s��ɳ>M ��s �`�[��&˙Gi��/�N�*�*��!��)�&J�l��u��!��IR��G] �0��r�˟]X!s[$�= ��b*�w�+Gc�2w��H� +V��~g�ʦ��i��q��aq��l��n�b� A= They include Understanding Booklets , Med Facts , Test Facts , Medication handouts and more. There are 2 main types of COPD: • Emphysema involves the alveoli or small air sacs being irritated. taking action. You can download this information (PDF 1.55MB) as a free PDF file to view on your computer, email to others, or print at home. u�g�؀��:]��(�P�)��Jq��:�nfw�Gžכn��O�a��_5�޼֥�_ �b� Corporate Profile; Careers; Press; Global Activities; Innovation. No. View PDF of Patient brochure: COPD exacerbations Home: Respiratory; COPD; patient brochure: COPD exacerbations; About Us. endobj COPD National Action Plan — a blueprint for a multi-faceted, unified fight against the disease — we believe this can change. It is an anticholinergic medicine which helps the muscles around the airway in your lungs stay relaxed to prevent symptoms such as wheezing, cough, chest tightness, and shortness of breath. <>>> COPD is a common condition that affects more than 440,000 people in Ireland, so you are not alone. Chronic obstructive pulmonary disease (COPD) is a long-term condition that causes inflammation in the lungs, damaged lung tissue and a narrowing of the airways, making breathing difficult. The characteristics of the COPD patients and control subjects are shown in Table 1. • At age 65, provide pneumococcal 13-valent vaccination (at least 12 months after 23-valent vaccination). ]��Ŋ��"MV�X|�u:�V��O5��U�1��;٘6��1i��Z�: ��~�{��V��42 � �7 ��X��|��7_V�Q�X�@�y�&4O}Q The condition is most often caused by smoking and the most important treatment is to stop smoking. You are about to leave a GSK website. Three of the most common COPD conditions are emphysema, chronic bronchitis and chronic asthma that isn’t fully reversible. 11,14 It is at this point that HBPC (also … But surgery for COPD is usually only used when all other treatments haven't worked. This patient education guide, infographic, and other collateral pieces are generously supported by the Allergy and Asthma Network. This patient information fact sheet provides information on the definition, symptoms, causes, diagnostic tests, treatments, and self-help measures for chronic obstructive pulmonary disease (COPD). Will COPD ever go away? Chronic obstructive pulmonary disease (COPD) is an umbrella term for people with chronic bronchitis, emphysema, or both. 221 0 obj <>stream The patient information from BMJ Best Practice from which this leaflet is derived is regularly updated. Exacerbation of COPD An exacerbation (ex-zass-cer-bay-shun) of Chronic Obstructive Pulmonary Disease (COPD) is a worsening or “flare up” of your COPD symptoms. Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of death in the United States, yet many . Patient Education and Counseling. • The purpose of this is to support your COPD patients who have had their medication changed from a multiple inhaler triple therapy combination to Trelegy Ellipta following a clinical review. endobj Chronic Obstructive Pulmonary Disease (COPD) is the name that the chest specialists use for your condition. In Canada, COPD is the fourth most common cause of hospitalization among men and the sixth most common cause of hospitalization among women.1 Approximately 500,000 people over the age of 35 have been diagnosed with COPD, and it is estimated that an almost equal number of middle-aged Canadians may also have COPD, but are not aware of it.2 In fact, by 2020, it is estimated that COPD will be the third leading cause of death worldwide.3 It is the only chronic di… Pharmacotherapy Self-Assessment Program, 6th Edition 3 Chronic Obstructive Pulmonary Disease The severity of COPD is classified based on the postbronchodilator FEV 1. There are 2 main types of COPD: • Emphysema involves the alveoli or small air sacs being irritated. Now, in 2014 the “COPD-X Concise Guide for Primary Care”. See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling. This often means a worsening of breathlessness and an increase in coughing, with more phlegm (sputum). 3~�[!>Fc7�65|��T��x�d��-}�Ҧ��̠�dn��m然pO4�Õ��O��Z��T�4��Uڝ�Kb�gc��s��ت'ƖS.�v��+��{��/��/�>�� I�dW+��2cӱt\��o�6�nA�*`�=�ɥ��~�;�֍�߷_�ec\�w�'bYJ�B 6F̝��d��J��V�83��\2�R��:��g�햞�}ڣ�0P�1��>�ځ��Ɂ�*b�sҀ��U�8� =��I#x�2KFc� �(�'"Kd��3Ўd�)Jg�d� ��^�!��dfF��{��'�G�,�Z;8�8��{L��&�6�S/n��;&݁�B�]s}��@@-��?N˦A��b �Zt �i��u��[2 ��m��Gv�kf�&K�n&͗��d��bٷ�3�rw�B�\d�Y�Y�e�0p��m�Kby�:��l�� J�`ӥ�^A��u��S.��(�L_T#�2��j1��9\��A��J��~T�ߤ�R0�J�Q}�s��.��;�Se1X|��d��a�w(�f3��8�"�� Symptoms of COPD sometimes improve when a person stops smoking, takes medication regularly, and/or attends pulmonary rehabilitation. 14 Moderate to advanced stages of COPD are associated with increased health care demands and costs due to increasing symptoms, care-seeking and hospitalizations. 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