Management of COPD Exacerbations

Question: Write summary of the articles on COPD. Answer: Article 1: Management of COPD Exacerbations The article research determined that 1.3 times exacerbations are increasing every year in patients with Chronic Obstructive Pulmonary Disease (COPD). Effective management of a COPD exacerbation is becoming crucial which assist in reducing symptoms and risk of subsequent exacerbations. Such patient feel difficulty in breathing and its beneficial to promote inhaled therapy for them. In order to demonstrate effectiveness of intervention a randomized controlled trails have performed. Ways are given to manage outpatient and that are to increase the dosage of inhaled short-acting bronchodilators. The article also verified that antibiotic interventions help to minimize the risk of treatment failure. The article focuses on maintaining the safe environment which is a crucial part of COPD management. Safe environment maintenance should be the top priority of the patients relatives and healthcare workers. Safety of such patient within home and outside the home is needed to preserve their health and will also assist COPD patients in carrying out their daily activities in a safe manner (Evensen, 2010). The multiple patients data is tested and conclusions made in the study of the article. Safety mechanisms provided in the article foster safety around patient at home like ensure about adequate lighting, do not allow any person to smoke near you, place safety bars inside and outside the home. Article 2: The article talks about the ways of handling the patients and managing their health that are diagnosed with the COPD. It is mandatory to deliver care with the help of multidisciplinary team. Certain functions need to be considered at the time of defining activities of the multidisciplinary team. First function is to assess the need of COPD patients about oxygen therapy and inhaled therapy, further important thing is appropriately delivering those therapies to patients (Tidy, 2014). Next function is managing COPD patients and that can be done through pulmonary rehabilitation, managing their anxiety and stress, handling their dietary problems. It is important to aware patients and their family about the nutritional diet and physical activity. The article also gives information about the different therapies and the right time when patient can undergo with those therapies. Appropriate therapy for controlling breathlessness of patient is inhaled therapy; another important therapy for pati ent with advanced COPD is oral therapy and vaccination and antiviral therapy. Evaluation Evaluation of COPD patient on initial stage should incorporate the medical and family history of the patient and their current symptoms. The information need to collect at earlier time is what limitation the person observing while dealing with daily activities. Further needful information that would help patient treatment is reports of their previous chest radiographs, spirometry results and arterial blood gas measurement. These reports can help to diagnose the baseline functioning of lung and healthcare professional would illustrate typical exacerbation. There is no scope for confusion which can create hallmark in treatment. Next requirement is the physical examination of the patient which incorporates the evaluation of psychological status and examination of their heart and lung. The patients detected with COPD need special care from their family members and healthcare professional within house and out of the house. References Evensen, A. E. (2010). Management of COPD Exacerbations, 1;81(5):607-613. (2014). Management of Stable COPD.