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COPD IN LONG TERM CARE

COPD IN LONG TERM CARE. Examining Emphysema and Chronic Bronchitis. Objectives. Understand the diagnostic criteria for COPD Understand the relevance of COPD exacerbations Understand the features that predict a poor prognosis in COPD Understand the treatment of COPD .

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COPD IN LONG TERM CARE

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  1. COPD IN LONG TERM CARE Examining Emphysema and Chronic Bronchitis

  2. Objectives • Understand the diagnostic criteria for COPD • Understand the relevance of COPD exacerbations • Understand the features that predict a poor prognosis in COPD • Understand the treatment of COPD

  3. COPD in Canada: Epidemiology and Costs

  4. Key Message

  5. Causes of COPD

  6. Malnutrition in COPD COPD PHENOTYPES

  7. Pathophysiology of COPD Mucous gland hyperplasia Normal terminal bronchioles & alveoli Profuse exudate in lumen Distended bronchioles communicating with each other Inflammatory infiltrate Destruction of bronchioles & capillary bed Loss of epithelium Image Source: netterimages.com/image/list.htm?s=emphysema&Submit.x=51&Submit.y=6

  8. Evidence-based Physical Examination of COPD

  9. Key Message

  10. Classification by Impairment of Lung Function

  11. Identify Patients with Possible COPD

  12. Clinical Course o COPD

  13. Assessing Disability in COPD

  14. Smoking Cessation

  15. Smoking Cessation

  16. AECOPD: Definition

  17. AECOPD Severity: Mortality

  18. AECOPD Severity: Mortality

  19. Consequences of AECOOPD

  20. Survival In COPD • Severity of disease FEV1 and Dsypnea MRC • Smoking Status • Frequency and Severity of Exacerbations • Exercise Tolerance • BMI

  21. Management of Symptomatic, Mild COPD

  22. Vaccinations

  23. Oxygen Therapy in COPD

  24. Comprehensive Management of COPD

  25. Optimal Pharmacotherapy

  26. Key Message

  27. Key Message

  28. End of Life Care in COPD

  29. Overall Causes of Death in COPD Patients

  30. End of Life Care • Relief of Dyspnea • Treatment of AECOPD • Supplemental Oxygen • Narcotics • Advanced Directive

  31. CTS Recommendations for the Management of COPD

  32. Acknowledgemnts • Dr. John Bertley - slides • CTS guidelines

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