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A COPD Case Study: Susan M.

Posted on October 19, 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

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

Resource of the Month: New Pneumonia Fact Sheet

Posted on February 09, 2017   |   
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 pneumonia fact sheet

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. It is the eighth leading cause of death in the United States.

In order to raise awareness about pneumonia and the ways people with COPD can decrease their chances of infection, the COPD Foundation has developed a new educational one-pager.

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Tags: fact sheet pneumonia
Categories: Resource of the Month

"You Have COPD."

Posted on January 20, 2017   |   
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 COPD diagnosis

The doctor looked at his patient, and said, “Joe, you have COPD.”

Normally a friendly guy, a talker, Joe was speechless. He was stunned, then began to feel anxious, making him short of breath– even more so than usual. His doctor went on, explaining what COPD is and what could – and couldn’t – be done about it. Maybe Joe heard that. Maybe he didn’t.

“You’re going to have this for the rest of your life. It’s not going to go away.”

There’s no doubt that you, a health care professional, are all too familiar with this scenario. How should we talk to a patient who has just been told he has COPD? Here are some thoughts on starting that conversation.

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Tags: newly diagnosed
Categories: Promising Practices

Harmonicas for Health (and Happiness)

Posted on January 09, 2017   |   
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 Michelle Collins, BSRT, RRT

Michelle Collins, BSRT, RRT is a respiratory therapist who has been in healthcare for almost 26 years; 13 of those have been spent working in respiratory care. A woman wearing many hats, she has also been the COPD Foundation Advocacy Captain in Maine for the past two years. She’s passionate about improving the lives of the patients in Maine with whom she works. You can hear it in her voice and as she talks about her efforts to make life easier for those with COPD, no matter how far in Maine they might be from her front door.

Michelle saw a need for an engaging group activity that would promote better lung health in her COPD patients. So she worked diligently to bring the COPD Foundation's Harmonicas for Health, the first nationwide harmonica program created especially for individuals with COPD and other chronic lung diseases, to more than one group in her area. Learn more about the program and its benefits -- and its impact on Michelle's patients with COPD in Maine -- in this latest PRAXIS Nexus post!

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Tags: H4H Harmonicas for Health Maine
Categories: Promising Practices

PEP Webinar -- Update on Pulmonary Rehabilitation Reimbursement and Audits

Posted on December 19, 2016   |   
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The goal of the Pulmonary Empowerment Program -- or PEP -- is to support pulmonary rehabilitation healthcare professionals so they may help individuals with COPD have the best possible pulmonary rehabilitation experience through optimal physical conditioning, education in effective health-management and ongoing engagement to stay as healthy, active and independent as possible. An “Update on Pulmonary Rehabilitation Reimbursement and Audits” was presented at the PEP Webinar on Tuesday, December 13, 2016. Our special guest speaker was Gerilynn Connors, RRT, FACVPR, FAARC, the Director of the Pulmonary Rehab program at Inova Fairfax Medical Campus in Fairfax, Virginia. Read this PRAXIS Nexus summary of this webinar and join the Q&A!

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Tags: PEP pulmonary rehabilitation

Real Change – or How to Talk with Your COPD Patients about New Year’s Resolutions

Posted on December 15, 2016   |   
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New Year’s resolutions – we all have them – or even if we don’t, we hear about them. It’s no different for your patients with COPD. But, something else we all know is that saying, “I’ll take better care of my health in the coming year” is far too general for most of us, let alone a person with COPD who may have six or more co-morbidities. Furthermore, “I’ll take better care of my health” is more than likely too overwhelming for the already overwhelmed person with COPD.

How can you help your patients with COPD to achieve their health and life goals in 2017? Read more in this latest PRAXIS Nexus post!

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Categories: Promising Practices

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