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Updated: May 25, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Teaching inhaler use in chronic obstructive pulmonary disease patients
Suzanne C Lareau1, Richard Hodder
1College of Nursing, University of Colorado Denver, Education 2 North, 13120 East 19th Avenue, Aurora, CO 80045, USA. Suzanne.Lareau@ucdenver.edu
Incorrect inhaler use is common in chronic obstructive pulmonary disease (COPD) patients, impacting treatment effectiveness. Nurse practitioners play a key role in patient education and optimizing inhaler technique for better disease management.
Area of Science:
- Respiratory Medicine
- Nursing Practice
Background:
- Pharmacologic management of chronic obstructive pulmonary disease (COPD) relies heavily on inhaled medications.
- Incorrect inhaler technique is a prevalent issue among patients with COPD, leading to suboptimal therapeutic outcomes.
Purpose of the Study:
- To identify barriers to effective inhaler use in COPD patients.
- To explore the role of nurse practitioners (NPs) in improving inhaler technique and patient outcomes.
Main Methods:
- A comprehensive review of national and international scientific literature was conducted.
Main Results:
- Poor inhaler technique in COPD patients results in reduced medication delivery, decreased adherence, and compromised disease stability.
- These issues contribute to increased morbidity, diminished quality of life, and elevated healthcare system burden.
Conclusions:
- Patient education is crucial for correct inhaler use and maximizing inhaled medication efficacy.
- Nurse practitioners are instrumental in assessing patient learning barriers, refining inhaler technique, and enhancing medication management.
- NPs can also educate other healthcare professionals, extending the reach of optimal inhaler education.
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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...

