Functional status measures for the COPD patient: A practical categorization
Suzanne Claire Lareau1, Felicity Clair Blackstock2
11 College of Nursing, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Chronic Respiratory Disease
|February 22, 2019
Summary
This review categorizes functional status measures (FSMs) for chronic obstructive pulmonary disease (COPD) patients. A framework helps clinicians select appropriate FSMs based on evaluation goals and patient characteristics.
Area of Science:
- Pulmonary Medicine
- Rehabilitation Science
- Clinical Measurement
Background:
- Chronic obstructive pulmonary disease (COPD) management requires accurate assessment of functional status.
- Numerous functional status measures (FSMs) exist, potentially overwhelming clinicians.
- A structured approach is needed to guide FSM selection in COPD.
Purpose of the Study:
- To review validated FSMs for the COPD population.
- To categorize these measures thematically.
- To develop a framework supporting clinical selection and application of FSMs.
Main Methods:
- Conducted a literature review to identify valid and reliable FSMs for COPD.
- Thematically analyzed and categorized identified measures.
- Developed a categorical framework for clinical use.
Main Results:
- Identified 35 FSMs for COPD patients.
- Categorized measures into five types: daily activity, impact, surrogate, performance-based, and disability-based.
- Presented a framework to aid clinicians in FSM selection.
Conclusions:
- Clinicians face a wide array of FSMs for COPD, necessitating careful selection.
- FSM choice should align with patient characteristics and evaluation objectives.
- Understanding psychometric properties (reliability, validity, responsiveness) and contextual factors is crucial for effective FSM use.
Related Concept Videos
01:20COPD: Pathogenesis and Clinical Features
1.8K
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
1.8K
01:26COPD: Management Using Bronchodilators and Corticosteroids
793
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
793
01:11How Data are Classified: Categorical Data
44.2K
A variable, usually notated by capital letters such as X and Y, is a characteristic or measurement that can be determined for each member of a population. Data are the actual values of variables. They may be numbers, or they may be words. Datum is a single value.
Data are classified based on whether they are measurable or not. Categorical data cannot be measured; instead, it can be divided into categories. For example, if Y denotes a person's party affiliation, some examples of Y include...
Data are classified based on whether they are measurable or not. Categorical data cannot be measured; instead, it can be divided into categories. For example, if Y denotes a person's party affiliation, some examples of Y include...
44.2K
01:26Marcia's Theory of Identity Status
1.6K
James Marcia's identity status model provides a framework for understanding how adolescents navigate identity formation through varying degrees of exploration and commitment. Marcia's model builds on Erik Erikson's theories of psychosocial development, focusing specifically on how adolescents reconcile individual aspirations with societal expectations. His model describes identity formation as a dynamic process where adolescents move between different states depending on their level...
1.6K
01:16Characteristics of Practical Op Amps
859
A difference amplifier, a crucial component in numerous electronic devices, ideally amplifies only the difference-mode signal, which is the difference between two input signals. However, in practical circuits, the output voltage depends on both the differential gain and the common-mode gain.
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
859
01:30Theoretical Foundations of Nursing Practice
17.4K
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
17.4K