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Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease

Though the guidelines for the optimal management of chronic obstructive pulmonary disease (COPD) following an acute exacerbation (AE) are well established, issues associated with poor adherence to nonpharmacological interventions such as self-management advice and pulmonary rehabilitation will impac...

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Autores principales: Harrison, Samantha L, Goldstein, Roger, Desveaux, Laura, Tulloch, Verity, Brooks, Dina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4218896/
https://www.ncbi.nlm.nih.gov/pubmed/25378920
http://dx.doi.org/10.2147/COPD.S41938
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author Harrison, Samantha L
Goldstein, Roger
Desveaux, Laura
Tulloch, Verity
Brooks, Dina
author_facet Harrison, Samantha L
Goldstein, Roger
Desveaux, Laura
Tulloch, Verity
Brooks, Dina
author_sort Harrison, Samantha L
collection PubMed
description Though the guidelines for the optimal management of chronic obstructive pulmonary disease (COPD) following an acute exacerbation (AE) are well established, issues associated with poor adherence to nonpharmacological interventions such as self-management advice and pulmonary rehabilitation will impact on hospital readmission rates and health care costs. Systems developed for clinically stable patients with COPD may not be sufficient for those who are post-exacerbation. A redesign of the manner in which such interventions are delivered to patients following an AECOPD is necessary. Addressing two or more components of the chronic care model is effective in reducing health care utilization in patients with COPD, with self-management support contributing a key role. By refining self-management support to incorporate the identification and treatment of psychological symptoms and by providing health care professionals adequate time and training to deliver respiratory-specific advice and self-management strategies, adherence to nonpharmacological therapies following an AE may be enhanced. Furthermore, following up patients in their own homes allows for the tailoring of advice and for the delivery of consistent health care messages which may enable knowledge to be retained. By refining the delivery of nonpharmacological therapies following an AECOPD according to components of the chronic care model, adherence may be improved, resulting in better disease management and possibly reducing health care utilization.
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spelling pubmed-42188962014-11-06 Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease Harrison, Samantha L Goldstein, Roger Desveaux, Laura Tulloch, Verity Brooks, Dina Int J Chron Obstruct Pulmon Dis Review Though the guidelines for the optimal management of chronic obstructive pulmonary disease (COPD) following an acute exacerbation (AE) are well established, issues associated with poor adherence to nonpharmacological interventions such as self-management advice and pulmonary rehabilitation will impact on hospital readmission rates and health care costs. Systems developed for clinically stable patients with COPD may not be sufficient for those who are post-exacerbation. A redesign of the manner in which such interventions are delivered to patients following an AECOPD is necessary. Addressing two or more components of the chronic care model is effective in reducing health care utilization in patients with COPD, with self-management support contributing a key role. By refining self-management support to incorporate the identification and treatment of psychological symptoms and by providing health care professionals adequate time and training to deliver respiratory-specific advice and self-management strategies, adherence to nonpharmacological therapies following an AE may be enhanced. Furthermore, following up patients in their own homes allows for the tailoring of advice and for the delivery of consistent health care messages which may enable knowledge to be retained. By refining the delivery of nonpharmacological therapies following an AECOPD according to components of the chronic care model, adherence may be improved, resulting in better disease management and possibly reducing health care utilization. Dove Medical Press 2014-10-29 /pmc/articles/PMC4218896/ /pubmed/25378920 http://dx.doi.org/10.2147/COPD.S41938 Text en © 2014 Harrison et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Harrison, Samantha L
Goldstein, Roger
Desveaux, Laura
Tulloch, Verity
Brooks, Dina
Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
title Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
title_full Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
title_fullStr Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
title_full_unstemmed Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
title_short Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
title_sort optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4218896/
https://www.ncbi.nlm.nih.gov/pubmed/25378920
http://dx.doi.org/10.2147/COPD.S41938
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