What is COPD?
Just explain the words that COPD stands for.
Chronic Obstructive Pulmonary Disease
Explain what a LABA/LAMA is and when it is used.
Controller medication
Used every day
Can't be used for symptom relief
How is COPD diagnosed? What are the 4 stages of COPD?
Lung Function Test
Stage 1: Mild.
Stage 2: Moderate.
Stage 3: Severe
Stage 4: Very Severe
Name one resource you could provide if your patient with COPD is interested in quitting smoking.
1-800-Quit-Now
Patients with COPD should be screened for two mood disorders using validated questionnaires?
Anxiety and Depression
What are the 2 types of COPD?
Chronic Bronchitis:
Emphysema:
Explain what a SABA/SAMA is and when it is used.
Rescue medication
Used for symptom relief
Explain what a CAT assessment is and how it is performed.
COPD Assessment Test. A questionnaire that can help a discuss the impact COPD has on a patient's daily life
What defines a COPD exacerbation?
Any changes in symptoms requiring additional therapy.
Breathing gets worse over a few days, aka "Flare up."
Person usually has more shortness of breath, more cough, and has more phlegm (mucus).
What type of exercise are included in Pulmonary Rehabilitation?
Endurance and Strength exercises
What are the common symptoms of COPD?
Frequent symptoms of cough, wheezing, mucus, and shortness of breath
What controller medications are used for patient with COPD?
LABA, LAMA, and ICS
Your patient's CAT score is getting better. What are some things you would discuss?
Score improvement means they are having fewer symptoms than before
Provide positive reinforcement for the individual’s progress
Ask why they are doing better, reinforce what’s working, and link their progress to their coaching goals and activities, if possible
What are 3 other comorbidities that patients with COPD should be screened for?
1. Lung Cancer
2. Frailty
3. Mood
Referral to ______ services is essential to help ensure patients with COPD are getting adequate nutrients and calories.
Nutrition
Explain the difference between the 2 types of COPD.
Chronic Bronchitis: Thick sticky mucus blocks up the airways rather than cleans. Inflammation and swelling further narrows the airway
Emphysema: Air exchange becomes difficult in the aveoli. Air becomes trapped
What are the typical steps (1-3) when adding COPD medications.
1. LABA or LAMA
2. LAMA and LABA
3. LAMA/LABA/ICS
Your patient's CAT score is staying the same. What are some things you could discuss?
They are not improving; it could be they are already at their best (no room more room for improvement) or they are not making progress
Ask why their symptoms are not getting better
Assess their progress with their coaching activities and goals
If you believe there is room for improvement, consider changing strategies
Continue to invoke their goals, and engage them in exploring new strategies to improve COPD self-management and reduce their symptoms
What are 2 reasons to quit smoking?
Health
Money
Convenience
Friends & Family
Quality of Life
What is Pulmonary Rehabilitation?
A comprehensive program of supervised exercise training and behavioral therapy, including breathing exercises, smoking cessation counseling and self-management
Explain what COPD is and what causes it.
A common, treatable illness of the Lungs which includes tightening or obstruction of airways.
Usually caused by significant exposure to tobacco smore or air pollution
Your patient is on Serevent and Albuterol. Using your Respiratory Treatment sheet explain the differences between the two and when they should use them.
Serevent: LABA - controller - taken daily to help control COPD
Albuterol: SABA - rescue - quick relief of symptoms
Explain what a COPD Action Plan is and when it is used?
When a patient has a COPD exacerbation, an action plan prescribed by the doctor can help a patient decide what to do get through an exacerbation safely.
What are the 3 levels or exacerbation and how are they typically treated?
Mild exacerbation: treated with bronchodilators only
Moderate exacerbation: treated with steroids and antibiotics
Severe exacerbation: any exacerbation requiring ED visit or hospitalization.
What are 4 barriers to eating for someone with COPD?
Poor appetite
Bloating
Lack of energy/desire to prepare meals
Shortness of Breath