Medical Book from C.H.I.P.S.

Chronic Obstructive Pulmonary Disease in Primary Care
by Margaret Barnett

Chronic Obstructive Pulmonary Disease in Primary Care looks at the treatment of COPD in primary care: in the GP surgery, in outpatient clinics, and through district and community nursing.


  • Helps nurses and other healthcare professionals to support these patients
  • Details how much can be done to help these patients from a psychological, social and holistic perspective to cope with their everyday activities


The Background to COPD

  • The prevalence of COPD
  • Definition of COPD
  • Pathophysiology of COPD
  • Chronic bronchitis
  • Emphysema
  • Chronic asthma
  • Comparison of infl ammation in COPD and asthma
  • The risk factors for COPD
  • Primary risk factors
  • Associated risk factors

Presentation of COPD

  • Progression of COPD
  • Clinical symptoms
  • Breathlessness.
  • Scales to measure breathlessness
  • Cough and sputum production
  • Wheeze
  • Chest pain
  • Frequent chest infections
  • Ankle oedema
  • Anorexia
  • Weight loss
  • Fatigue and depression
  • Disability
  • Complications of COPD
  • Corpulmonale
  • Anaemia
  • Polycythaemia
  • Pneumothorax
  • Respiratory failure

Diagnosis and Patient Assessment

  • Clinical history
  • Patient assessment
  • Patient history
  • Risk factors
  • Medical history
  • Family history
  • Drug history
  • Known allergies/drug reactions
  • Social history
  • Impact of the disease on daily living
  • Respiratory examination of the patient
  • General examination fi rst impressions
  • Physical examination of the chest

Investigations to Diagnose COPD

  • Lung function testing
  • What is spirometry
  • Types of spirometers
  • Volume displacement spirometers
  • Flow-sensing spirometers
  • Spirometry measurements used to diagnose COPD
  • Complications and contraindications to performing spirometry
  • Preparation of the patient for spirometry
  • Procedure for spirometry
  • Common reasons for inconsistent spirometry results
  • Interpreting the results of spirometry
  • Normal spirometry
  • Obstructive pattern
  • Restrictive pattern
  • Mixed pattern
  • Reversibility testing
  • Other useful investigations
  • Chest X-ray
  • Computerised tomography scan
  • Haematology
  • Electrocardiogram
  • Sputum culture
  • Alpha-1 antitrypsin defi ciency screening
  • Pulse oximetry
  • Arterial blood gas analysis

Nonpharmacological Management of Patients with COPD

  • Smoking cessation
  • Cigarette smoking and COPD
  • Role of the health professional in helping smokers quit
  • Intervention steps for health professionals to take
  • Withdrawal symptoms
  • Nicotine replacement products
  • Other nonpharmacological management
  • The importance of exercise
  • Management of breathlessness
  • Nutrition in COPD
  • Dietary requirements for patients with COPD
  • Dietary advice for patients

Pharmacological Management of Patients with Stable COPD

  • Inhaled bronchodilator therapy
  • Short-acting beta-2 agonists
  • Long-acting beta-2 agonists
  • Short-acting anticholinergics
  • Long-acting anticholinergics
  • Combined short-acting inhaled therapy
  • Theophylline
  • Inhaled corticosteroid therapy
  • Long-term clinical trials of inhaled corticosteroids in COPD
  • NICE guidelines advice on inhaled corticosteroids in COPD
  • Oral steroids
  • Inhaler devices
  • Pressurised metered-dose inhalers
  • Breath-actuated inhalers
  • Dry powder inhalers
  • Nebuliser therapy
  • Indications for nebuliser therapy
  • Nebuliser trials
  • Miscellaneous COPD therapy
  • Influenza vaccination
  • Pneumococcus vaccination
  • Mucolytic therapy
  • Prophylactic antibiotic therapy
  • Short-burst oxygen therapy

Management of Acute Exacerbations of COPD

  • Definition of an exacerbation
  • Causes of an exacerbation
  • Management of an acute exacerbation
  • Treatment of an exacerbation at home
  • Antibiotics
  • Oral corticosteroids
  • Bronchodilators
  • Diuretics
  • Nursing interventions
  • Management of an exacerbation in hospital
  • Investigations
  • Treatment
  • Discharge planning from hospital
  • Self-management education

Other Treatments in the Management of COPD

  • Pulmonary rehabilitation
  • Programme content
  • Patient selection
  • Long-term oxygen therapy
  • Domiciliary oxygen concentrators
  • Indications for LTOT
  • Methods of oxygen delivery
  • Care and management of patients using LTOT
  • Travel and fl ying for patients using LTOT
  • Noninvasive ventilation
  • Care and management of patients with NIV
  • Lung surgical interventions
  • Bullectomy
  • Lung volume reduction surgery
  • Lung transplant

COPD and Its Effects on Activities of Living

  • Difficulties with daily living
  • Assessing quality-of-life issues
  • Coping strategies
  • Cognitive behavioural therapy
  • Adapting daily activities of living
  • What is palliative care
  • When to implement palliative care
  • Patient choice
  • Advance directives
  • Strategies for improving symptom control
  • Breathlessness
  • Cough
  • Fatigue
  • Carers
  • Complementary therapies

Specialist Support within Primary Care for Patients with COPD

  • The role of the specialist nurse
  • The role of the consultant respiratory nurse
  • The role the community matron
  • The role of the practice nurse
  • The role of the physiotherapist
  • The role of the occupational therapis


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Chronic Obstructive Pulmonary Disease
in Primary Care

by Margaret Barnett
2006 228 pages $54.00 + shipping
Texas residents please add 6.75 % sales tax

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