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Related Concept Videos

Chronic Obstructive Pulmonary Disease01:24

Chronic 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...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations01:19

Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations

Chronic Obstructive Pulmonary Disease, or COPD, is a long-term condition marked by persistent and only partially reversible airflow limitation. It involves two overlapping conditions—chronic bronchitis and emphysema—which often co-appear but differ in dominant symptoms and underlying mechanisms.Chronic Bronchitis FeaturesChronic bronchitis presents with a persistent productive cough and thick, sometimes purulent mucus due to airway inflammation, enlarged mucus glands, and goblet cell...
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic 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
Chronic Obstructive Pulmonary Disease-I: Introduction01:20

Chronic 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.
Chronic Obstructive Pulmonary Disease I: Introduction01:23

Chronic 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...

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Alternative Therapy for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Moving Cupping Along Meridians
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Chronic cough from the patient's perspective.

Tomasz J Kuzniar1, Timothy I Morgenthaler, Bekele Afessa

  • 1Sleep Disorders Center, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA.

Mayo Clinic Proceedings
|February 9, 2007
PubMed
Summary

Patients with chronic cough are most concerned about emotional distress and frequent medical visits, not just the cough itself. Understanding these patient-reported outcomes is crucial for improving chronic cough management.

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Area of Science:

  • Pulmonology
  • Patient-Reported Outcomes
  • Health Psychology

Background:

  • Chronic cough significantly impacts patients' quality of life.
  • Current management strategies often prioritize clinical efficacy over patient experience.

Purpose of the Study:

  • To identify the primary concerns of patients experiencing chronic cough.
  • To understand the patient perspective on the burden of chronic cough.

Main Methods:

  • Prospective survey of 136 patients with chronic cough using an 18-item questionnaire.
  • Analysis of response frequencies and patterns.
  • Examination of correlations between patient concerns and demographic factors (age, sex, cough duration).

Main Results:

  • The most prevalent concerns were frustration/irritability/anger (43%), frequent physician visits/testing (41%), and sleep disturbances (38%).
  • Anxiety about underlying serious illness remained a significant concern.
  • Patient concerns were not significantly related to age, sex, or cough duration.

Conclusions:

  • Emotional distress (frustration, anger, anxiety) is the leading patient concern regarding chronic cough.
  • Frequent healthcare utilization emerged as a significant, unexpected patient burden.
  • Future chronic cough guidelines should incorporate patient satisfaction and perceived disease burden as key outcome measures.