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Alternative Therapy for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Moving Cupping Along Meridians
Published on: September 27, 2024
A nurse-led service for acute exacerbation of COPD
Annette Pilling1, Caroline Bassett, Roger J Wolstenholme
1Royal Albert Edward Infirmary, Wigan.
Abstract:
One in four of all hospital admissions are due to respiratory disease and half of these are due to chronic obstructive pulmonary disease (COPD). In Wigan this has been tackled using 'The Wigan Model', which incorporates acute COPD assessment and early discharge. The service, established in 1999, is specialist nurse-led with referrals from GPs, the A&E department and the medical assessment unit. Specialist nurses instigate investigations and perform a clinical assessment; suitable patients are discharged with treatment dispensed and administered by the nurse and are visited at home for two weeks. A recent survey of patient satisfaction questionnaires has shown that most patients are happy with the service and find it beneficial to have their acute episode managed at home.
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Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...