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Updated: Jun 26, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Improving COPD management in the nursing home--part 2.
Nancy Beecham1, Dennis E Doherty
1Council of Long Term Care Nurses of California, San Diego, CA, USA.
Chronic obstructive pulmonary disease (COPD) significantly impacts nursing facility residents. Early diagnosis and nursing staff training are crucial for managing COPD, improving residents' quality of life.
Area of Science:
- Gerontology
- Pulmonology
- Nursing
Background:
- Chronic obstructive pulmonary disease (COPD) is prevalent in nursing facility residents.
- Disease severity and impact vary among individuals.
- Nursing staff play a vital role in resident care.
Purpose of the Study:
- To highlight the significance of nursing staff in managing COPD in long-term care.
- To emphasize the importance of early diagnosis and intervention.
- To underscore the benefits of appropriate management strategies.
Main Methods:
- Review of current literature on COPD management in nursing facilities.
- Analysis of the nursing staff's role in identification, assessment, and intervention.
- Discussion of pharmacological and non-pharmacological treatment modalities.
Main Results:
- COPD is a significant health issue in nursing facilities.
- Early diagnosis and intervention can lead to partially reversible disease.
- Nursing staff require specific training for effective COPD management.
Conclusions:
- Effective COPD management in nursing facilities relies on well-trained nursing staff.
- A combination of non-pharmacological and pharmacological approaches can improve resident outcomes.
- Interventions can slow disease progression and enhance activities of daily living (ADLs) and quality of life (QOL).
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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: