Monday Memo  

Weekly update from...
Athena Forum logo

Monday, January 21, 2013
  Clinical Accuracy Spoken Here  

COPD: A Progressive Disease

COPD is typically a progressive disease and even with the best care, lung function can be expected to worsen over time. Continual monitoring of symptoms and measurement of airflow limitation should be implemented to:

  • Watch for development of complications
  • Determine when to adjust therapy

As COPD progresses, visits to health care facilities and providers will increase in frequency. Ongoing monitoring and assessment of the patient ensures the goals of treatment are being met.

[Reference: Revised COPD Course, Module B, Assessment and Management]

  Excellence in Case Mgmt  

COPD: Ask the Same
Questions at Every Visit

The best way to detect changes in COPD symptoms and overall health status is to ask the same questions at each encounter.

Every visit should include evaluation of:

  • Exposure to risk factors, especially tobacco smoke
  • Disease progression and development of complications
  • Pharmacotherapy and other medical treatment
  • Exacerbation history
  • Co-morbidities

[Reference: Revised COPD course, Module B, Assessment and Management]

  Improving Patient Care...  

COPD: Airway Inflammation

Airway inflammation plays a central role in the pathophysiology of chronic obstructive pulmonary disease. Patients who develop COPD seem to lose their normal, protective inflammatory response in exchange for an exaggerated, harmful one.

It is known that cigarette smoking activates the inflammatory response in the lungs of smokers even without a diagnosis of COPD. Smoking is a damaging process which may be a factor in oxidative stress. Increased oxidative stress which occurs in the lungs and systemically in COPD plays a role in the pathogenic mechanisms seen in COPD.

[Reference: COPD, Module A, Pathophysiology]


Tom RasmussenTom Rasmussen
Athena Forum


NEW courses in Development

» Sepsis & LOS
» Professional Identity
» Ethics in Case Management
» Depression Care
» Breast Cancer Care
» Improving Outcomes in ESRD



Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum




Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Excellence® Series
» Asthma
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» Diabetes
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Women's Health
» Wound Care & Payments

CM Excellence® Series

» Principles of Hospital CM
» Patient Advocacy
» Utilization Management
» Discharge Planning
» Hospital Revenue Cycle
» Population Health



Athena Forum Help Desk
Mon-Fri 9am-5pm ET

Recommend to a friend
Tom Rasmussen, Publisher

Enrollment & passwords
Janice Graham, Registrar

  Monday Memo Archives
Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use. Click here.

Athena Forum, LLC awards CE for ANCC - NASW - CCMC

Athena Forum is a world wide service mark in nursing education
by the U.S. Office of Trademarks and Patents.

Copyright 2012 All rights reserved | Headquarters in Boca Raton, FL | 800-583-2506 | www.athenaforum.com