Managing an Exacerbation of Your Chronic Obstructive Pulmonary Disease (COPD)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Managing an Exacerbation of Your Chronic Obstructive Pulmonary Disease (COPD)"

Transcription

1 Managing an Exacerbation of Your Chronic Obstructive Pulmonary Disease Patient held record and self-management plan Keep this in a safe place and bring it with you to GP or hospital visits, including admissions. Exceptional healthcare, personally delivered

2 Contents Page Personal details... 2 Health Care Professional Contact Details... 3 List of Medication (long term)... 4 Nebulised Medicines / Inhalers... 4 Oxygen Therapy... 4 Rescue Pack Medicines and Instructions... 4 Recognising that you have an exacerbation of COPD... 5 What action to take... 6 Signs of deterioration and what to do... 6 If you need admission to hospital what you can expect to happen... 7 Planning your discharge from hospital... 8 For advice on managing breathlessness and long term problems please see Living with a Chronic Lung Disease leaflet

3 Personal details Name: Address: Telephone: NHS Number: Hospital Number: Next of kin: Carers details: 2

4 Health care Professional Contact Details GP - Dr... Tel:... Out of Hours GP Dial 111 Community Matron... Tel:... Respiratory Specialist Team... Tel:... Ensure that you have at least, a yearly review with your GP/practice nurse and have your flu vaccination every year. It is also advisable to have the pneumococcal vaccination. Please discuss this with you GP/practice nurse. 3

5 List of Medication (Attach up to date repeat prescription list if available) Long Term Inhaled and Nebulised Medication Drug Name Inhaler / Nebuliser Frequency Reason Home Oxygen Therapy Prescription (if applicable) Long Term Oxygen Therapy (LTOT)...L/min...Hrs/day Short Burst Oxygen Therapy (SBOT)...L/min...Hrs/day Ambulatory Oxygen ( liquid / cylinders)...l/min...hrs/day Rescue Pack Medication (Kept at home, please follow instructions with pack if provided) Antiobiotic... Instructions... Oral Steroids... Instructions... 4

6 Recognising that you have an exacerbation of COPD To view a sputum colour chart, turn to the back of this leaflet. An exacerbation means a flare up or worsening of your COPD symptoms. The reason for the exacerbation may not be known. Early medical treatment will prevent it from getting worse! How to identify an exacerbation/flare-up and what to do: You may not get all of these symptoms but two or more of these symptoms below may indicate a flare-up n Increased breathlessness more breathless or more wheezy than normal causing difficulties managing your normal daily activities, such as ability to climb stairs or walking distance n Increased cough n Increased quantity of sputum (phlegm) n Change in colour of sputum (phlegm) n Fever n Swollen ankles and legs n Increased tiredness 5

7 What action to take: n Contact your GP or community matron for advice as soon as possible. n Increase the use of your short acting inhaler or nebuliser n Reduce / pace activity levels to manage your necessary activities of daily living. n Increase your breathing / chest clearance exercises. n Start your rescue medication pack as agreed / instructed. n Early intervention and treatment is important when you have worsening symptoms. n You should see an improvement within three days. n However if your condition worsens at any point, contact your GP (Out of hours if necessary by dialling 111). Inform your doctor that you have commenced treatment. Be aware of signs of deterioration (Please also discuss this with your family / carers) n Chest Pain Dial 999 n Increased shortness of breath that doesn t settle with reliever medication (inhaler or nebuliser) and pacing activities or change of position n Confusion or feeling drowsy n Unable to cope with current level of support / required level of activities of daily living n Fever / Feeling cold and shivery, flu like symptoms n Increased sputum or change in colour (becoming more green / yellow, infected looking) after starting treatment. 6

8 What to expect if your health care team feel you need admission to hospital to manage your exacerbation of COPD You may be referred to the HOT Clinic by your GP or nurse. This is a service offered at Southmead Hospital Bristol by the respiratory team Monday to Friday. If your condition is deteriorating they will see you and assess you either the same day or next day to try and avoid the need for hospital admission. You will be offered the same treatment and support as you would receive on admission. However, if you are more unwell or it is out of hours you may be admitted to hospital with an exacerbation of your COPD. Your care will be provided following national guidelines in the form of a care bundle. You can expect: A chest x-ray and ECG (heart trace) within 4 hours Your observations including oxygen levels recorded and oxygen prescribed if needed. If your oxygen levels are considered low (below 94%) you may have an arterial blood gas performed when a blood sample is taken from the artery in your wrist to assess your respiratory function and oxygen levels. If required you will be prescribed steroids, antibiotics and nebulisers within 4 hours of admission. The steroids and antibiotics may be in the form of tablets or if your condition is more severe this may be through a drip in your arm. You should see either a Respiratory Consultant or a member of the Respiratory Specialist Team within 24 hours. It will be considered at this time if you may be suitable for care under the Early Supported Discharge (ESD) Team. This is a service to enable the early supported discharge of patients with COPD by offering them care at home by a specialist team. If possible please take your inhalers to hospital with you or arrange for a friend or relative to bring them in as soon as possible. Please also take your usual medications. 7

9 If your condition deteriorates in hospital If you are very unwell the medical team may consider that you need assistance with your breathing with the use of Non Invasive Ventilation (NIV). You may also hear this referred to as BiPAP. This is a system that is used on the acute medical / respiratory wards where controlled oxygen or air can be delivered via a tight fitting mask under slight pressure. This can help significantly in the early treatment of an exacerbation and prevent the need for full ventilation in the Intensive Care Unit. It can also be used when it is not deemed appropriate for you to go to the Intensive Care Unit. This may be due to your own personal wishes or because the doctors do not feel this would be beneficial to your long term condition. These decisions would always be made with you and your family and please feel free to discuss this at any time with any member of your health care team. It can be useful to think about issues relating to your level of care and what your personal wishes and concerns are should you become very unwell. It is important that you discuss this with your family, carers and health care team so people are aware of your wishes. Discharge Planning Once you are clinically stable the staff will already be thinking about planning your discharge. This may feel unusual if you are still unwell but planning ahead can make the process much smoother and less stressful for you. They will provide you with the leaflet Planning your safe and timely hospital discharge or transfer. This may take the form of assessment by the Early Supported Discharge team for COPD or if your hospital stay has been longer you will need to consider the following. 8

10 n The Enhanced Recovery in COPD pathway will help you realise what is needed before it is safe for you to return home (or prior to discharge from the Early Supported Discharge team if you have been under their care). This includes: - A review of your medications (including ability to take them) and your inhaler technique - A rescue pack of emergency antibiotics and steroids - An Oxygen alert card if applicable - Assessment and referral for smoking cessation if applicable - Assessment and referral for Pulmonary Rehabilitation if applicable n If you will need any additional support at home please discuss this with a member of your health care team, at the earliest opportunity. Please also inform them of care services you already receive n Transport home Who will be able to collect you? Please have contact numbers available for family and friends. n Suitable clothing for the journey home. n Keys to your home. n Provision of food and drink once at home who can help with shopping and cooking? n Medications do you have a supply of your normal medicines / inhalers at home or do you need more before being discharged? n On-going support needed at home and what follow up you will receive. You will receive a follow-up phone call from a member of the respiratory specialist team within 72 hours of discharge from hospital or from the early supported discharge team. 9

11 References Chronic Obstructive Pulmonary Disease : National clinical guideline for management of COPD in adults in primary and secondary care Borg G. (1982) Psychophysical bases of perceived exertion. British Lung Foundation: COPD Self management plan Hough, A. (2000) Physiotherapy in Respiratory Care: an evidence based approach (3rd edition). Enhanced Recovery Patient Diary for an Exacerbation of COPD leaflet, NBT Living with a chronic lung condition leaflet, NBT Early Supported Discharge Team for COPD leaflet, NBT NHS Constitution. Information on your rights and responsibilities. Available at 10

12 Notes / Questions Please use this space to write down any reminders for yourself or questions you may have for your medical team. 11

13 12

14 Sputum colour chart 13

15 If you or the individual you are caring for need support reading this leaflet please ask a member of staff for advice. North Bristol NHS Trust. This edition published May Review due May NBT002295

Early Supported Discharge and Admission Avoidance Service for Chronic Obstructive Pulmonary Disease (COPD)

Early Supported Discharge and Admission Avoidance Service for Chronic Obstructive Pulmonary Disease (COPD) Early Supported Discharge and Admission Avoidance Service for Chronic Obstructive Exceptional healthcare, personally delivered 2 What is early supported discharge and admission avoidance and why do we

More information

COPD - Education for Patients and Carers Integrated Care Pathway

COPD - Education for Patients and Carers Integrated Care Pathway Patient NHS COPD - Education for Patients and Carers Integrated Care Pathway Date ICP completed:. Is the patient following another Integrated Care Pathway[s].. / If yes, record which other Integrated Care

More information

Oxford University Hospitals. NHS Trust. Pneumonia. Information for patients

Oxford University Hospitals. NHS Trust. Pneumonia. Information for patients Oxford University Hospitals NHS Trust Pneumonia Information for patients Introduction You have been admitted to hospital for treatment of pneumonia. This leaflet will give you information so that you understand

More information

Pneumonia. Chest Department Stoke Mandeville Hospital Tel: /7 or Patient information leaflet

Pneumonia. Chest Department Stoke Mandeville Hospital Tel: /7 or Patient information leaflet Pneumonia Chest Department Stoke Mandeville Hospital Tel: 01296 315686/7 or 01296 315662 Patient information leaflet What is Pneumonia? Pneumonia is an inflammation of the lung tissue, normally caused

More information

Living well with COPD

Living well with COPD This factsheet aims to show people with chronic obstructive pulmonary disease (COPD) and their friends and family how they can live a full life with this disease. What is COPD? COPD is a condition that

More information

Southwark Clinical Commissioning Group Lambeth Clinical Commissioning Group

Southwark Clinical Commissioning Group Lambeth Clinical Commissioning Group Getting the Vision Right: A multi-disciplinary approach to providing integrated care for respiratory patients Dr Noel Baxter, GP NHS Southwark CCG Dr Irem Patel, Integrated Consultant Respiratory Physician

More information

Medication and Devices for Chronic Obstructive Pulmonary Disease (COPD)

Medication and Devices for Chronic Obstructive Pulmonary Disease (COPD) Medication and Devices for Chronic Obstructive Pulmonary Disease (COPD) Patients with COPD take a wide variety of medicines to manage their symptoms these include: Inhaled Short Acting Bronchodilators

More information

Sandwell Community Respiratory Service

Sandwell Community Respiratory Service Contents Page Community Respiratory Service 2 Service times and locations 3 Oxygen Service 4 Pulmonary Rehabilitation 5 Maintenance Programme 6 Occupational Therapy 7 Dietary support and advice 7 Weatherwise

More information

PLAN OF ACTION FOR. Physician Name Signature License Date

PLAN OF ACTION FOR. Physician Name Signature License Date PLAN OF ACTION FOR Patient s copy (patient s name) I Feel Well Lignes I feel short directrices of breath: I cough up sputum daily. No Yes, colour: I cough regularly. No Yes I Feel Worse I have changes

More information

Community Acquired Pneumonia

Community Acquired Pneumonia Community Acquired Pneumonia Client Education Booklet Client means patient/client/resident What is Pneumonia? Pneumonia is an inflammation of the lungs caused by infection. What Pneumonia does When you

More information

Once you go home, it is important to take all of the pills prescribed by your doctor; otherwise, the pneumonia infection may come back.

Once you go home, it is important to take all of the pills prescribed by your doctor; otherwise, the pneumonia infection may come back. Pneumonia Guide to Your Recovery www.cpmc.org/learning i learning about your health What are the Causes of Pneumonia? Pneumonia is an inflammation in one or more parts of your lungs. Pneumonia may be caused

More information

Discectomy. Information for patients Orthopaedics - Spinal Physiotherapy

Discectomy. Information for patients Orthopaedics - Spinal Physiotherapy Discectomy Information for patients Orthopaedics - Spinal Physiotherapy Introduction We have written this booklet to explain how you can prepare for your operation and to give you advice on your recovery

More information

Better Breathing with COPD

Better Breathing with COPD Better Breathing with COPD People with Chronic Obstructive Pulmonary Disease (COPD) often benefit from learning different breathing techniques. Pursed Lip Breathing Pursed Lip Breathing (PLB) can be very

More information

A lung function test is a simple procedure performed to give the doctor accurate information about your breathing.

A lung function test is a simple procedure performed to give the doctor accurate information about your breathing. What is a lung function test? A lung function test is a simple procedure performed to give the doctor accurate information about your breathing. Why do I need to have this test? Your doctor has asked that

More information

Lothian Guideline for Domiciliary Oxygen Therapy Service for COPD

Lothian Guideline for Domiciliary Oxygen Therapy Service for COPD Lothian Guideline for Domiciliary Oxygen Therapy Service for COPD This document describes the standard for clinical assessment, prescription, optimal management and follow-up of patients receiving domiciliary

More information

Community health care services Alternatives to acute admission & Facilitated discharge options. Directory

Community health care services Alternatives to acute admission & Facilitated discharge options. Directory Community health care services Alternatives to acute admission & Facilitated discharge options Directory Introduction The purpose of this directory is to provide primary and secondary health and social

More information

WHEN COPD* SYMPTOMS GET WORSE

WHEN COPD* SYMPTOMS GET WORSE WHEN COPD* SYMPTOMS GET WORSE *Includes chronic bronchitis, emphysema, or both. Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any other organization that advertises or markets

More information

PCOM Letterhead [Substitute same from participating institution and, of course, change Department, PI, and Co-Investigators]

PCOM Letterhead [Substitute same from participating institution and, of course, change Department, PI, and Co-Investigators] PCOM Letterhead [Substitute same from participating institution and, of course, change Department, PI, and Co-Investigators] Department of Neuroscience, Physiology and Pharmacology 215-871-6880 PATIENT

More information

Pneumonia. Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid.

Pneumonia. Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. Pneumonia Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. People with mild (not so bad) pneumonia can usually be treated at

More information

Ambulatory Emergency Care Pathways. Community Acquired Pneumonia & Lower Respiratory Tract Infection

Ambulatory Emergency Care Pathways. Community Acquired Pneumonia & Lower Respiratory Tract Infection Ambulatory Emergency Care Pathways Community Acquired Pneumonia & Lower Respiratory Tract Infection Effective Date: September 2011 Content Summary Ref Title Description 1 Condition Details Identifies pathway

More information

Community-Acquired Pneumonia

Community-Acquired Pneumonia GREY BRUCE HEALTH NETWORK EVIDENCE-BASED CARE PROGRAM Community-Acquired Pneumonia Patient Education Booklet (In-Patient) 2003-2010 Grey Bruce Health Network Table of Contents What is Pneumonia?...1 What

More information

Management of exacerbations in chronic obstructive pulmonary disease in Primary Care

Management of exacerbations in chronic obstructive pulmonary disease in Primary Care Management of exacerbations in chronic obstructive pulmonary disease in Primary Care Acute exacerbations of chronic obstructive pulmonary disease (COPD) are associated with significant morbidity and mortality.

More information

Home Oxygen Therapy. Delivering the best in care. UHB is a no smoking Trust

Home Oxygen Therapy. Delivering the best in care. UHB is a no smoking Trust Home Oxygen Therapy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm What is it?

More information

Live well with COPD 1

Live well with COPD 1 Live well with COPD 1 Understanding COPD Chronic Obstructive Pulmonary Disease describes several different lung conditions that can lead to blocking the airflow out of the lungs. Breathing can become more

More information

Chronic Obstructive Pulmonary Disease (COPD) Programme

Chronic Obstructive Pulmonary Disease (COPD) Programme Integrated Care Pathway Chronic Obstructive Pulmonary Disease (COPD) Programme Patient Handbook Contents Preface... 1 What is COPD?... 3 What causes COPD?... 4 - Smoking... 4 - Air pollution... 4 - The

More information

Pneumonia Education and Discharge Instructions

Pneumonia Education and Discharge Instructions Pneumonia Education and Discharge Instructions Pneumonia Education and Discharge Instructions Definition: Pneumonia is an infection of the lungs. Many different organisms can cause it, including bacteria,

More information

Oxygen Therapy. A guide for the patient. Please bring to any outpatient appointments. Patients name. Exceptional healthcare, personally delivered

Oxygen Therapy. A guide for the patient. Please bring to any outpatient appointments. Patients name. Exceptional healthcare, personally delivered A guide for the patient Please bring to any outpatient appointments Patients name Exceptional healthcare, personally delivered Introduction This leaflet has been written for patients starting, or who have

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.

More information

POLICY FOR NON OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN

POLICY FOR NON OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN POLICY FOR N OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN Authors: LOUISA BANFIELD KAREN GARROD Version: Draft 2 Approved: 08.05.12 Review Date:01.02.13 Acknowledgements Miriam Johnson, Reader

More information

Your Go-to COPD Guide

Your Go-to COPD Guide Your Go-to COPD Guide Learning how to live with chronic obstructive pulmonary disease (COPD) Inside, you ll learn: COPD facts COPD symptoms and triggers How to talk with your doctor Different treatment

More information

Enhanced recovery programme (ERP) for patients undergoing bowel surgery

Enhanced recovery programme (ERP) for patients undergoing bowel surgery Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare

More information

Oxygen for Symptom Relief (Palliative Oxygen)

Oxygen for Symptom Relief (Palliative Oxygen) Oxygen for Symptom Relief (Palliative Oxygen) Exceptional healthcare, personally delivered This leaflet has been written for patients starting, or who have just started, oxygen therapy and answers any

More information

Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease (COPD) Chronic obstructive pulmonary disease (COPD) Chronic obstructive pulmonary disease (COPD) is the name for a group of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways

More information

Asthma. When do these symptoms arise? What triggers make asthma worse?

Asthma. When do these symptoms arise? What triggers make asthma worse? Asthma Asthma is the term which describes a specific type of breathing problem that arises due to narrowing of the airways. This narrowing is caused when certain natural chemicals within the body are released,

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE COPD 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE COPD 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE COPD 1. Aim/Purpose of this Guideline The guidance provides advice on the diagnosis of COPD and the

More information

Living with COPD. Chronic bronchitis. Emphysema

Living with COPD. Chronic bronchitis. Emphysema Living with COPD This information is for people with chronic obstructive pulmonary disease (COPD), their families, friends and carers. It provides advice and information about COPD, including what the

More information

COPD What Is It? Why is it so hard to catch my breath? What does COPD feel like? What causes COPD? What is an exacerbation (ig-zas-er-bay-shun)?

COPD What Is It? Why is it so hard to catch my breath? What does COPD feel like? What causes COPD? What is an exacerbation (ig-zas-er-bay-shun)? Attitudes and Beliefs 4 COPD What Is It? Why is it so hard to catch my breath? COPD is a disease that damages the lungs. In a healthy lung, the airways are open and the air sacs fill up with air. Then

More information

Pneumonia. In Partnership

Pneumonia. In Partnership Pneumonia In Partnership The Lungs You have two lungs. They sit inside your chest, above your stomach and surround your heart. The lungs have a very important job inside your body. The Lungs Nose Mouth

More information

Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15

Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15 Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15 April 2015 Dr Kieron Earney & Kate Symons Acknowledgements Dr Sarah Deedat Public Health Lead for Long Term Conditions 1 1.

More information

Cough, Sputum and Airway Infection. Dr Lesley Bennett Respiratory Physician Royal Perth Hospital

Cough, Sputum and Airway Infection. Dr Lesley Bennett Respiratory Physician Royal Perth Hospital Cough, Sputum and Airway Infection Dr Lesley Bennett Respiratory Physician Royal Perth Hospital Cough, Sputum and Airway Infection Causes of productive cough What is mucus? What does it do? What goes wrong?

More information

Rib fractures and chest injury

Rib fractures and chest injury Oxford University Hospitals NHS Trust Rib fractures and chest injury Information for patients Introduction This leaflet will give you information about the injury to your chest wall, including: fractured

More information

A Patients Guide to Heart Failure

A Patients Guide to Heart Failure A Patients Guide to Heart Failure Exceptional healthcare, personally delivered Heart Failure The term heart failure means that your heart is weakened and is having difficulty in pumping as hard as it would

More information

Department of Radiology Renal tumour ablation Information for patients

Department of Radiology Renal tumour ablation Information for patients Department of Radiology Renal tumour ablation Information for patients What is ablation? Your doctor has recommended that you have ablation treatment for your renal (kidney) tumour. Ablation is a technique

More information

Understanding Relapse in Multiple Sclerosis. A guide for people with MS and their families

Understanding Relapse in Multiple Sclerosis. A guide for people with MS and their families Understanding Relapse in Multiple Sclerosis A guide for people with MS and their families Introduction You have been given this booklet because you have been diagnosed with Multiple Sclerosis (MS) and

More information

Irish Association for Emergency Medicine (IAEM) submission to the National COPD Strategy

Irish Association for Emergency Medicine (IAEM) submission to the National COPD Strategy 31 st Irish Association for Emergency Medicine (IAEM) submission to the National COPD Strategy 1 Introduction Chronic obstructive pulmonary disease (COPD) is an important disease for patients, the health

More information

Pathway for Diagnosing COPD

Pathway for Diagnosing COPD Pathway for Diagnosing Visit 1 Registry Clients at Risk Patient presents with symptoms suggestive of Exertional breathlessness Chronic cough Regular sputum production Frequent bronchitis ; wheeze Occupational

More information

TWYFORD SURGERY 0118 9346680 Minor Illness

TWYFORD SURGERY 0118 9346680  Minor Illness Minor Illness The doctors and nurses at Twyford Surgery are aware that getting an appointment can be difficult and frustrating at times. We have looked at how appointments are used and have found that

More information

Pulmonary Rehabilitation in Newark and Sherwood

Pulmonary Rehabilitation in Newark and Sherwood Pulmonary Rehabilitation in Newark and Sherwood With exception of smoking cessation pulmonary rehabilitation is the single most effective intervention for any patient with COPD. A Cochrane review published

More information

Department of Surgery

Department of Surgery What is emphysema? 2004 Regents of the University of Michigan Emphysema is a chronic disease of the lungs characterized by thinning and overexpansion of the lung-like blisters (bullae) in the lung tissue.

More information

Idiopathic Pulmonary Fibrosis

Idiopathic Pulmonary Fibrosis Idiopathic Pulmonary Fibrosis What is Idiopathic Pulmonary Fibrosis? Idiopathic pulmonary fibrosis (IPF) is a condition that causes persistent and progressive scarring of the tiny air sacs (alveoli) in

More information

COPD care across Hardwick CCG

COPD care across Hardwick CCG COPD care across Hardwick CCG Putting the voice of people living with COPD at the heart of service delivery 1 The fight for breath The impact of www.blf.org.uk lung disease in the UK Contents 1. Our brief

More information

Executive Summary. Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbation Episode

Executive Summary. Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbation Episode Executive Summary Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbation Episode OVERVIEW OF A COPD ACUTE EXACERBATION EPISODE The chronic obstructive pulmonary disease (COPD) acute exacerbation

More information

Understanding Relapse in Multiple Sclerosis

Understanding Relapse in Multiple Sclerosis Understanding Relapse in Multiple Sclerosis A guide for people with MS and their families Introduction Relapses are very common in MS and largely unpredictable in terms of how often they occur, how severe

More information

RT AS PROJECT MANAGER:

RT AS PROJECT MANAGER: RT AS PROJECT MANAGER: IMPROVING CARE TRANSITIONS DECREASES UNPLANNED READMISSIONS TAMMY JARNAGIN, BHS, RRT DIRECTOR CARDIOPULMONARY SERVICES, NEURODIAGNOSTICS, HOME MEDICAL EQUIPMENT Objectives Recognize

More information

HOW MANY PATIENTS SUFFER FROM POST-OPERATIVE SEPSIS? WHAT IS SEPSIS?

HOW MANY PATIENTS SUFFER FROM POST-OPERATIVE SEPSIS? WHAT IS SEPSIS? SEPSIS: Information About Post-Operative Sepsis for Patients and Relatives WHAT IS SEPSIS? Sepsis is a life threatening condition that arises when the body s response to an infection injures its own tissues

More information

Chronic Obstructive Pulmonary Disease Patient Guidebook

Chronic Obstructive Pulmonary Disease Patient Guidebook Chronic Obstructive Pulmonary Disease Patient Guidebook The Respiratory System The respiratory system consists of the lungs and air passages. The lungs are the part of the body where gases are exchanged

More information

Pulmonary Rehabilitation. Steve Crogan RRT Pulmonary Rehabilitation, University of Washington Medical Center Seattle, Washington 10/13/07

Pulmonary Rehabilitation. Steve Crogan RRT Pulmonary Rehabilitation, University of Washington Medical Center Seattle, Washington 10/13/07 Pulmonary Rehabilitation Steve Crogan RRT Pulmonary Rehabilitation, University of Washington Medical Seattle, Washington 10/13/07 Pulmonary Rehabilitation Created in the 1970 s Initially intended for COPD

More information

Understanding COPD Questionnaire

Understanding COPD Questionnaire Further information about the UCOPD questionnaire is available from http://www.science.ulster.ac.uk/ucopd/ or by contacting Dr Brenda O Neill (b.oneill@ulster.ac.uk) Understanding COPD Questionnaire Patient

More information

Medicines Use Review Supporting Information for Asthma Patients

Medicines Use Review Supporting Information for Asthma Patients Medicines Use Review Supporting Information for Asthma Patients What is asthma? Asthma is a chronic inflammatory disorder of the airways. The inflammation causes an associated increase in airway hyper-responsiveness,

More information

There is no cure for COPD Chronic Bronchitis Emphysema

There is no cure for COPD Chronic Bronchitis Emphysema Live Well With COPD Chronic Obstructive Pulmonary Disease, or COPD is a lung disease. People with COPD have a hard time getting air in and out of their lungs. There is no cure for COPD. COPD is also commonly

More information

written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd

written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd What Is COPD? COPD stands for chronic obstructive pulmonary disease. There are two major diseases included in

More information

Service Specification

Service Specification Service Specification Spirometry in Primary Care Date: February 2011 Document Reference: Service Specification (V4.0) Contents: Section Page 1 Definition of service 3 2 Training 4 3 Reporting / Monitoring

More information

Lesson 7: Respiratory and Skeletal Systems and Tuberculosis

Lesson 7: Respiratory and Skeletal Systems and Tuberculosis Glossary 1. asthma: when the airways of the lungs narrow, making breathing difficult 2. bacteria: tiny living creatures that can only be seen with a microscope; some bacteria help the human body, and other

More information

Cardiac Rehabilitation

Cardiac Rehabilitation Cardiac Rehabilitation Questions and Answers Information for Patients Cardiac Rehabilitation Dept Phone: 01625 663083 Macclesfield District General Hospital www.eastcheshire.nhs.uk @eastcheshirenhs Ref:

More information

Stem cell transplant, you and your rehabilitation Information for patients and their carers

Stem cell transplant, you and your rehabilitation Information for patients and their carers Oxford University Hospitals NHS Trust Physiotherapy department Stem cell transplant, you and your rehabilitation Information for patients and their carers Stem cell transplant exercise handout Thank you

More information

Radiotherapy for a mesothelioma

Radiotherapy for a mesothelioma Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy for a mesothelioma Information for patients Introduction This leaflet is for people who have been recommended treatment with

More information

COPD It Can Take Your Breath Away www.patientedu.org

COPD It Can Take Your Breath Away www.patientedu.org written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org What Is COPD? COPD stands for chronic obstructive pulmonary disease. There are 2 major diseases included in COPD:

More information

Level 1: Hospital name. University College Hospital. Lung Tumour Ablation

Level 1: Hospital name. University College Hospital. Lung Tumour Ablation Level 1: Hospital name University College Hospital Lung Tumour Ablation Interventional Oncology Service (IOS) Imaging Department If you would like this document in another language or format, or require

More information

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease By John W. Walsh, Co-Founder and President of the COPD Foundation Breathing Easier In

More information

Used to treat tissue hypoxia Improve oxygen supply Reduce the work of breathing Potential to improve medical outcomes and save lives if used

Used to treat tissue hypoxia Improve oxygen supply Reduce the work of breathing Potential to improve medical outcomes and save lives if used Used to treat tissue hypoxia Improve oxygen supply Reduce the work of breathing Potential to improve medical outcomes and save lives if used appropriately Can cause harm if used inappropriately Main indication

More information

Femoral artery bypass graft (Including femoral crossover graft)

Femoral artery bypass graft (Including femoral crossover graft) Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to

More information

Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD)

Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD) Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD) Harvard Vanguard Medical Associates Case Study Organization Profile Founded in the 1960s, Harvard Vanguard Medical

More information

Elective Laparoscopic Cholecystectomy

Elective Laparoscopic Cholecystectomy General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the

More information

Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care

Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care Charley P. Starnes, RRT, RCP Clinical Respiratory Specialist- COPD Education Important Milestones July 2011-

More information

Physiotherapy for COPD. Chronic Obstructive Pulmonary Disease (COPD) Healthcare you can Trust. Pulmonary Rehabilitation

Physiotherapy for COPD. Chronic Obstructive Pulmonary Disease (COPD) Healthcare you can Trust. Pulmonary Rehabilitation Pulmonary Rehabilitation Pulmonary rehabilitation is a course of exercise and education designed to help people with COPD get fitter, cope with their symptoms and understand their condition better. Evidence

More information

Reducing the risk of a blood clot for patients with plaster casts Information for patients

Reducing the risk of a blood clot for patients with plaster casts Information for patients Oxford University Hospitals NHS Trust Reducing the risk of a blood clot for patients with plaster casts Information for patients page 2 What is this leaflet for? When you have your leg held in a certain

More information

Community Deep Vein Thrombosis (DVT)Service

Community Deep Vein Thrombosis (DVT)Service Community Deep Vein Thrombosis (DVT)Service Patient information guide Telephone: 01225 474273 Your scan will take place at: Combe down Branch Surgery Sulis Manor Rd Odd Down Bath BA2 2AL Date:. Time:.

More information

EUROPEAN LUNG FOUNDATION

EUROPEAN LUNG FOUNDATION PULMONARY REHABILITATION understanding the professional guidelines This guide includes information on what the European Respiratory Society and the American Thoracic Society have said about pulmonary rehabilitation.

More information

Please see the NHS Surrey Nebulised Treatment Pathway attached below.

Please see the NHS Surrey Nebulised Treatment Pathway attached below. Surrey Primary Care Trust Cedar Court Guildford Road Leatherhead KT22 9AE Tel: 01372 201700 Fax: 01372 201706 www.surreyhealth.nhs.uk November 11 th 2010 To: NHS Surrey GP s and Walk in Centre staff Re:

More information

Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL

Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT

More information

Global Strategy for the Diagnosis, Management and Prevention of COPD 2016 Clinical Practice Guideline. MedStar Health

Global Strategy for the Diagnosis, Management and Prevention of COPD 2016 Clinical Practice Guideline. MedStar Health Global Strategy f the Diagnosis, Management and Prevention of COPD 2016 Clinical Practice Guideline MedStar Health These guidelines are provided to assist physicians and other clinicians in making decisions

More information

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2 This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery

More information

Transurethral Resection of the Prostate (TURP)

Transurethral Resection of the Prostate (TURP) Transurethral Resection of the Prostate (TURP) Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Oxygen AND COPD. This fact sheet talks about home oxygen, prescribed as a medicine for some people with COPD.

Oxygen AND COPD. This fact sheet talks about home oxygen, prescribed as a medicine for some people with COPD. Oxygen AND COPD This fact sheet talks about home oxygen, prescribed as a medicine for some people with COPD. For more information on COPD, phone 1-866-717-COPD (2673) or visit us online at www.lung.ca/copd

More information

Conservative Kidney Management

Conservative Kidney Management Conservative Kidney Management Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Breathing Exercises and Clearing Your Chest

Breathing Exercises and Clearing Your Chest Information for patients Breathing Exercises and Clearing Your Chest Physiotherapy Department Tel: 01473 702073 DMI ref: 1898-08.indd(RP) Issue 1: October 2008 The Ipswich Hospital NHS Trust, 2008. All

More information

STROKE SERIES SS10. Understanding thrombolysis treatment For stroke

STROKE SERIES SS10. Understanding thrombolysis treatment For stroke STROKE SERIES SS10 Understanding thrombolysis treatment For stroke Chest Heart & Stroke Scotland improves the quality of life for people in Scotland affected by chest, heart and stroke illness, through

More information

Help Yourself Breathe. Tender Loving Care for Your Lungs. Department of Physiotherapy. PD 1359 (Rev 06-2009) File: peyles

Help Yourself Breathe. Tender Loving Care for Your Lungs. Department of Physiotherapy. PD 1359 (Rev 06-2009) File: peyles Help Yourself Breathe Tender Loving Care for Your Lungs PD 1359 (Rev 06-2009) File: peyles Department of Physiotherapy Why are you breathless? Chronic Airflow Limitation or Obstruction is a decrease in

More information

EMPHYSEMA THERAPY. Information brochure for valve therapy in the treatment of emphysema.

EMPHYSEMA THERAPY. Information brochure for valve therapy in the treatment of emphysema. EMPHYSEMA THERAPY Information brochure for valve therapy in the treatment of emphysema. PATIENTS WITH EMPHYSEMA With every breath, lungs deliver oxygen to the rest of the body to perform essential life

More information

COPD Intervention. Components:

COPD Intervention. Components: COPD Intervention 1. Primary disease education Member will have an increased understanding of chronic obstructive pulmonary disease, the causes, risks and complications. Explain COPD Explain how COPD is

More information

ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE)

ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE) ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE) Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet has

More information

Transcatheter Aortic Valve Implantation (TAVI) A patient s guide

Transcatheter Aortic Valve Implantation (TAVI) A patient s guide Transcatheter Aortic Valve Implantation (TAVI) A patient s guide Valvular heart disease The heart is a muscle which pumps blood to your lungs and around the body. There are four valves within the heart.

More information

Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy)

Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Date of admission Date of surgery Expected Length of Stay in hospital We will aim to discharge you

More information

Rapid Access Chest Pain Clinic (RACPC)

Rapid Access Chest Pain Clinic (RACPC) Patient Information Leaflet Rapid Access Chest Pain Clinic (RACPC) Produced by: Coronary Care Unit May 2014 Review due May 2017 1 If you require this leaflet in another language, large print or another

More information

COPD. Information brochure for chronic obstructive pulmonary disease.

COPD. Information brochure for chronic obstructive pulmonary disease. COPD Information brochure for chronic obstructive pulmonary disease. CONTENTS What does COPD mean?...04 What are the symptoms of COPD?...06 What causes COPD?...09 Treating COPD...10 Valve therapy in COPD...12

More information

Measuring Peak Flow. More on next page. Learn more about your health care.

Measuring Peak Flow. More on next page. Learn more about your health care. Measuring Peak Flow Peak flow meters are used to check your asthma the way that blood pressure cuffs are used to check high blood pressure. A peak flow meter is a device that measures how well (how fast)

More information

IN-HOME QUALITY IMPROVEMENT. BEST PRACTICE: DISEASE MANAGEMENT Chronic Obstructive Pulmonary Disease NURSE TRACK

IN-HOME QUALITY IMPROVEMENT. BEST PRACTICE: DISEASE MANAGEMENT Chronic Obstructive Pulmonary Disease NURSE TRACK IN-HOME QUALITY IMPROVEMENT BEST PRACTICE: DISEASE MANAGEMENT Chronic Obstructive Pulmonary Disease NURSE TRACK Best Practice Intervention Packages were designed for use by any In-Home Provider Agency

More information

The British Thoracic Society Pilot Care Bundle Project:

The British Thoracic Society Pilot Care Bundle Project: British Thoracic Society The British Thoracic Society Pilot Care Bundle Project: A Care Bundles-Based Approach to Improving Standards of Care in Chronic Obstructive Pulmonary Disease and Community Acquired

More information

Waterloo Wellington Rehabilitative Care System Integrated Care Pathway for COPD Stream of Care (short version)

Waterloo Wellington Rehabilitative Care System Integrated Care Pathway for COPD Stream of Care (short version) Waterloo Wellington Rehabilitative Care System Integrated Care Pathway for COPD Stream of Care (short version) Care Setting ACUTE Activity Confirmation of COPD diagnoses: If time and the patient s condition

More information