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The COPD National Action Plan and its Impact on Patients in Rural America

Posted on April 19, 2018   |   
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Rural physician

By Bret Denning, COPD Foundation Staff

Several COPD Foundation staff members recently attended a workshop on how the COPD National Action Plan can be used to advocate for better treatment options in rural America. Here is one analysis of the workshop and the common themes that emerged from the day.

On Monday, March 19, 2018, I attended a workshop at the National Heart, Blood and Lung Institute (NHLBI), COPD & Rural Health: A Dialogue on the National Action Plan. It was a fascinating conversation on how the different components of the COPD National Action Plan can be transformed from theory into actual practice in rural America.

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Tags: rural health

A PRAXIS Case Study: Meg S.

Posted on March 13, 2018   |   
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COPD case study

Read our latest PRAXIS Nexus case study! Today, we will learn more about Meg S., age 62.

Meg S. was referred to pulmonary rehabilitation following a visit with her primary care provider. Here is some of the information shared in the pulmonary rehab intake interview.

Past utilization: Meg has been seen in the ER x 3 over the last three months for extreme shortness of breath, rib pain and intractable cough, feeling as if she’s “choking on my phlegm.” On the second visit, she refused an overnight admission to acute care due to obligations at home. One week later, on her third visit, in addition to nebulizer treatments, low flow O2, and smoking cessation counseling, she was provided with an Acapella device for secretion mobilization.

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Tags: case study

National Institutes of Health Seeks Your Input for Research Priorities

Posted on February 09, 2018   |   
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Do you have a great research idea for Chronic Obstructive Pulmonary Disease (COPD)? The National Institutes of Health (NIH) wants to hear from you! COPD remains the country’s third leading chronic disease cause of death. Although COPD is a significant public health problem in the United States, awareness of COPD remains low at all levels and significant gaps in clinical care, research, and treatments still exist. To increase the Country’s investment in COPD research, we have to ensure that the patient, clinical and scientific communities come together to articulate the areas where research is most needed, what research holds the most immediate promise and the long-term vision for COPD research.

The All of Us Research Program is a part of the National Institutes of Health’s Precision Medicine Initiative, a large, multi-year effort that will lead to advances in how we determine what treatments are right for each individual and how their unique genetic and environmental factors play a role in disease development and treatment. All of Us has a goal of gathering data from at least a million volunteers nationwide and now they are seeking ideas for important data elements and research questions the program might address using this data.

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Tags: NIH research
Categories: Policy News

Rude2Respect: A Summit on Facing – and Challenging – Health Stigma

Posted on January 09, 2018   |   
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Last November, the COPD Foundation's Jane Martin had the honor of attending the first Rude2Respect Summit in Evanston, Illinois. The summit was a gathering of individuals representing more than 40 chronic health conditions or disabilities – disorders often confronted with the burden of health-related stigma. Read about her experience attending and reflecting on this important event.

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A COPD Case Study: Susan M.

Posted on December 05, 2017   |   
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COPD case study

Meet Susan M! Share your impressions in our latest COPD case study.

Summary of in-patient admission: Susan M. is being discharged today following a 6-day ICU and step-down admission for acute exacerbation of COPD with bacterial pneumonia requiring intubation and mechanical ventilation for a period of 32 hours. Subsequent to her extubation and transfer to the step down unit she was treated with oral antibiotics and Albuterol and Ipratropium nebulizer q 4 hrs. and prn at noc.

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Tags: case study
Categories: Promising Practices

“Breathe At Ease” Program Surpasses Goals for Readmission Prevention

Posted on December 01, 2017   |   
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At the recent annual conference of the American Association for Cardiovascular and Pulmonary Rehabilitation (AACVPR) in Charleston, South Carolina, the COPD Foundation's Jane Martin met Robyn West, a representative of the Breathe at Ease program. She was impressed not only with the Breathe at Ease program outcomes but with Robyn’s enthusiasm. Over the following weeks Robyn and her colleagues talked with members of the COPD Foundation's Care Delivery Team about this exciting new COPD management program. Here is a summary of that conversation.

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Categories: Promising Practices

A COPD Case Study: Jim B.

Posted on September 21, 2017   |   
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Case study COPD

We're interested in your thoughts on our latest COPD case study: Jim B., a 68-year-old man here for his Phase II Pulmonary Rehabilitation intake interview.

A bit more about Jim:

Medical history: COPD, FEV1 six weeks ago was 38% of normal predicted, recent CXR shows flattened diaphragm with increased AP diameter, appendectomy age 34, broken nose and broken right arm as a child.

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Tags: case study pulmonary rehabilitation
Categories: Promising Practices

On the ROAD to better COPD outcomes

Posted on September 12, 2017   |   
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Dr. Samuel Louie

Samuel Louie, MD directs the UC Davis Asthma Network (UCAN) and the ROAD Center. ROAD (Reversible Obstructive Airway Diseases) includes COPD and the Asthma-COPD Overlap Syndrome. He currently serves as Director, Department of Respiratory Care at UC Davis Medical Center and is Medical Director for the California Society for Respiratory Care. His research interests include asthma, COPD, pulmonary rehabilitation and clinical outcomes in chronic disease management. From his personal philosophy of care: “Empathy is not an occupational hazard for me. The treatment of my patients’ diseases may be impersonal, but the education and care of every patient I have is completely personal. When you can’t breathe, nothing else matters.” Read our conversation with him here!

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Tags: pulmonary rehabilitation treatment
Categories: Promising Practices

The COPD and Pneumonia Study (CAP Study): Uncovering a Hidden Risk

Posted on July 05, 2017   |   
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COPD and the flu

Pneumonia is a critical health concern for people with COPD. The incidence of pneumonia has been shown to be six to eight times higher in older adults with COPD as compared to their cohorts without pulmonary disease. People with COPD who develop these lung infections are also more likely to bear significant negative health outcomes related to their pneumonia. The following new research – the COPD and Pneumonia Study (CAP study) – aims to document the burden of pneumonia in the COPD community.

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Tags: pneumonia

An Interview with COPD10usa's Organizers

Posted on June 20, 2017   |   
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 COPD10usa

We recently sat down with COPD10usa’s top planners, the COPD Foundation’s Jason Moury and Stephanie Williams, both respiratory therapists with the Foundation. They are part of the team working to ensure attendees have the best possible experience. Here’s what they had to say about the Foundation's biennial national conference!

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Tags: COPD10usa

Developing an Effective ITP and Plan of Care

Posted on June 08, 2017   |   
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 Pulmonary rehabilitation

This PRAXIS Nexus post contains the highlights from the webinar "Developing an Effective ITP and Plan of Care During Pulmonary Rehabilitation." This event's main speaker was Gerilynn Connors, RRT, BS, MFAACVPR, FAARC, who works as Clinical Manager Pulmonary Rehabilitation at Virginia's INOVA Health System. In this post, she outlines the essential components of the Individualized Treatment Plan (ITP) and her approach to the assessment that is the foundation of the plan.

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Tags: behavioral health individualized treatment plan pulmonary rehabilitation
Categories: Promising Practices

Our First PRAXIS Case Study

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 COPD case study

At the COPD Foundation's March 2017 Readmissions Institute for Connecticut healthcare providers held in New Haven, participants teamed up to discuss several distinct pulmonary case studies. The following is one of these, along with the questions and recommendations of the group who discussed the case. After you take a few minutes to read about this patient and the thoughts of the group, let us know: do you agree with their assessment and approach?

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Tags: alpha-1 anxiety case studies comorbidities
Categories: The PRAXIS Nexus Brainstorm

Identifying the Alpha-1 Patient

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 Alpha-1 screening and testing

In this post from the COPD Foundation's Jane Martin, BA, LRT, CRT, learn more about "atypical and typical" COPD patients and testing for Alpha-1 antitrypsin deficiency, a genetic condition that can lead to serious lung and liver disease.

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An Interview with Dr. Robert Sandhaus: the latest Alpha-1 Clinical Practice Guidelines

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 Dr. Robert Sandhaus

In this latest PRAXIS Nexus post, read our interview with National Jewish Health's Dr. Robert Sandhaus, co-author of the latest Alpha-1 Antitrypsin Deficiency Clinical Practice Guidelines.

Dr. Sandhaus speaks to us about differences between the newest and former guidelines, their importance for those in primary care settings as well as the current and future Alpha-1 Antitrypsin Deficiency research landscape.

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Motivating your Patients to Change Behavior

Posted on February 21, 2017   |   
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 Garwick presentation

This article is based upon the recent Pulmonary Empowerment Program webinar, “Motivating the Pulmonary Rehabilitation Patient to Lifestyle Modification: Achieving positive results by incorporating coaching techniques” given by Tammy Garwick, MA, RCEP, FAACVPR.

Health coaching is a patient-centered process that involves supporting patients toward their goals and achieving behavior change that match the individual’s values and needs. Rather than employing the paternalistic approach, in which practitioners dictate desired outcomes and the strategies involved in achieving them, in coaching, providers guide individuals toward their goals. This is “giving healthcare back to the patient.” Coaching supports the population health management approach toward which we as a healthcare community now strive; we are managing patients earlier in the disease process and being more proactive in our care. Rather than look at this set of tools as an additional step in our process, we should embrace this – coaching can only heighten our care delivery.

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Tags: health coaching
Categories: Promising Practices

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