Patient Care

Patient CareOverview

Comorbidities

Patient Care Needs

Patient Stories

Stages of COPD

Chronic Diseases

Common Disease States

Overview

Cystic Fibrosis

Asthma

Bronchiectasis

COPD

Most CommonDisease States

May Limit Activities

Require on-going medical attention

CHRONIC DISEASE

Conditions last 1+ year

• Low oxygen levels
• Constant shortness of breath. Flare up and exacerbations can be life-threatning
• Airflow- less than 30% normal

Stage 4

Stage 3

• Shortness of breath worsens.
• Frequent flare ups or exaberations leads to hospitalization
• Worsening symptoms
• Airflow = 30% to 50% of normal

Stage 2

• Frequent stops to catch breath
• Coughing or wheezing, breathlessness
• Airflow = 50% to 79% normal of normal

Stage 1

• May have no symptoms
• Winded with moderate exercise or walking up stairs
• Airflow = 80% of normal

Understanding Stages of COPD

• Pulmonary hypertension
• Heart failure and heart disease
• Osteoporosis and fractures
• Lung cancer

• Type 2 diabetes
• GERD (Gastroesophageal reflux disease )
• Increased risk of chest infections, pneumonia, and collapsed lung
• Anxiety and depression

Health Implications of COPD

How do we adjust patient care to the needs of our patients?

Adjusting to Situations

Polite Persistence

Birds Eye View

Showing Respect

Repeating Questions/Replies

Speaking Slowly,Adjusting Volume

Understanding of Moods

Compassion for Others

Patient Care

PatientFeedback

"You are always spot on and pleasantly handle all the details so I don't have to. Thanks to everyone I have ever spoken with. I appreciate you so very much. You have made my life so much easier and better!"

Treatment & lifestyle changes may help improve symptoms but there is no cure for these chronic lung diseases.

Common Symptoms

• Cough with lots of mucus and pus.
• Repeated colds.
• Bad-smelling mucus.
• Shortness of breath (dyspnea).
• Wheezing.
• Coughing up blood (hemoptysis).
• Swollen fingertips with curved nails (nail clubbing).

Common Symptoms: tiredness, fatique, chest tightness, shortness of Breath and/or frequent lung infections

• Chronic bronchitis causes inflammation in the lungs' airways and results in a frequent cough with mucus.

• Emphysema damages the walls of air sacs (alveoli) deep in the lungs, leading to shortness of breath

COMMON SYMPTOMS

• Trouble catching breath, especially during physical activities.
• Wheezing or whistling sounds when breathing.
• Ongoing cough that may bring up a lot of mucus. The mucus may be clear, white, yellow or greenish.
• Chest tightness or heaviness.
• Lack of energy or feeling very tired.
• Frequent lung infections.
• Losing weight without meaning to.
• Swelling in ankles, feet or legs.

Common Symptoms

• Shortness of breath
• Chest tightness or pain
• Wheezing when exhaling
• Trouble sleeping due to shortness of breath, coughing, or wheezing
• Coughing or wheezing attacks worsened by respiratory viruses

Common Symptoms

• Salty-tasting skin
• A persistent cough that produces thick mucus
• Wheezing and breathing problems
• Repeated lung and sinus infections
• Greasy, loose, and bulky stools
• Poor growth and weight gain
• Clubbed (enlarged) fingertips and toes