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Clinical Accuracy Spoken Here
Symptoms in Severe COPD

The regular production of sputum for three or more months in two consecutive years is a hallmark of the epidemiological definition of COPD. The true hallmark symptom of COPD is dyspnea. Breathlessness associated with COPD is usually persistent and progressive. Weight loss and anorexia are common problems in advanced COPD due to the effort required to eat. Hemoptysis may occur. Coughing spells might fracture ribs or cause cough syncope. Depression and/or anxiety are common during advanced COPD. Ankle swelling may be the only symptom of developing cor pulmonale.

COPD: Module B, Complications www.athenaforum.com

Dyspnea, Edema Common in HF

The most common symptoms of heart failure are:

  • Dyspnea

  • Fatigue

  • Edema

  • Weight gain

  • Frequent urination

  • Worsening nocturnal cough

When the heart cannot pump enough oxygen-rich blood into the systemic circulation, back-up occurs behind the left ventricle (LV) and results in fluid accumulation in the lungs. The result is a lack of oxygen and nutrition to organs causing damage and reduced function.

Heart Failure: Module A, Prevalence and Pathophysiology
Excellence in Case Mgmnt
ACMA Defines CM

The ACMA's official CM definition: Case Management is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Case Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination.

[Reference: Principles of Case Management. Module A, Principles]

In the Headlines . . .
NSAID Use Increases HA Risk

Heart attack survivors taking a nonsteroidal anti-inflammatory drug or a selective Cox-2 inhibitor for a week have a 45% higher overall risk of death or recurrence, and using the medicine for three months increases the risk to 55%, according to a Danish study in Circulation: Journal of the American Heart Association. The findings reinforce "that NSAID use should be avoided and if unavoidable should be used at the smallest doses for the shortest time possible," said Elliott Antman, who wrote the advisory. One NSAID, naproxen, was not linked to increased risk. WebMD (5/9)

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jefferson logo
JSPH & Athena Forum – Partners in Chronic Care

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Chronic Care Management

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The look of confidence
  CM Excellence® Series: 
  » Principles of Case
  » Patient Advocacy
  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
  » Colorectal Cancer
  » COPD
  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
  » Pain Management
  » Rheumatoid Arthritis
  » Women’s Health



Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum


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