Related Experiment Video
Updated: Jul 19, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Perspectives that influence action plans for chronic obstructive pulmonary disease.
S Costi1, D Brooks, R S Goldstein
1West Park Healthcare Centre, Toronto, Ontario M6M 2J5.
Canadian Respiratory Journal
|October 13, 2006
Summary
Prompt treatment of acute exacerbations (AEs) in chronic obstructive pulmonary disease (COPD) is crucial. Understanding patient experiences with AEs is key to designing effective individualized action plans (APs) for better self-management.
Area of Science:
- Pulmonary Medicine
- Patient Self-Management
- Chronic Disease Management
Background:
- Prompt treatment of acute exacerbations (AEs) in chronic obstructive pulmonary disease (COPD) improves patient outcomes and reduces healthcare utilization.
- Patient self-management via individualized action plans (APs) is effective but relies on accurate recognition of AEs.
Purpose of the Study:
- To explore COPD patients' experiences with AEs.
- To understand healthcare professionals' (HCPs') views on providing APs for COPD self-management.
Main Methods:
- Interviews were conducted with 32 patients with moderate to severe COPD who had experienced recent AEs.
- Interviews were also conducted with 22 HCPs experienced in managing COPD.
Main Results:
- Common AE symptoms include dyspnea, fatigue, and changes in sputum. Environmental triggers and infections were primary precipitants.
- Patients and HCPs favored individualized APs, emphasizing symptom/trigger personalization and inclusion of anxiety/depression management strategies.
- Patients utilized medication adjustments, rest, trigger avoidance, and breathing exercises for dyspnea relief.
Conclusions:
- Patient experiences of AEs may differ from standard medical definitions, highlighting the need for individualized APs.
- HCPs endorse APs that promote self-management of both AEs and overall COPD care.
- Understanding patient perspectives is vital for designing effective, individualized COPD action plans.
Related Concept Videos
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
01:29Chronic Obstructive Pulmonary Disease-V: Management
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
01:24Chronic Obstructive Pulmonary Disease
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
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...
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...
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
01:23Chronic Obstructive Pulmonary Disease I: Introduction
Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...