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Monday, July 28, 2014
  Clinical Accuracy Spoken Here  

COPD: Co-Infections

As both bacterial and viral infections are common in COPD, co-infections are also likely to exist. When a causative organism can be identified, important considerations in the selection of an antibiotic include:

  • Individual, local and regional antibiotic-resistance patterns
  • Drug availability
  • Side effects
  • Treatment duration
Antibiotics are generally utilized for exacerbations associated with changes in expectorated sputum.

[Reference: COPD, Module C, Pharma Treatment]
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  Excellence in Case Mgmt  

COPD: Health Literacy Influence

Health literacy is a complex phenomenon. It involves skills, knowledge, and the expectations that health professionals have regarding the public's interest in and understanding of health information and services.

Even for people with higher levels of education, health information and services are often unfamiliar, complicated and technical. Limited health literacy affects people of all:

  • Ages
  • Races
  • Incomes
  • Education levels
However, the impact of limited health literacy disproportionately affects lower socioeconomic and minority groups.

[Reference: COPD, Module E, CM Role]
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  Improving Patient Care...  

COPD: End-Stage Care

End-stage COPD is a burdensome, debilitating and life limiting condition. A palliative approach is appropriate for patients with end-stage COPD yet currently few interventions embrace its philosophy.

Currently, people with end-stage COPD are unlikely to receive end-of-life care which meets their needs or those of their caregivers.

Neither pulmonary nor palliative care services alone can adequately fulfill the needs of people with end-stage COPD. What is needed to achieve the best care is an integrated transdisciplinary palliative care approach within a chronic disease management strategy.

[Reference: COPD, Module D, Non-Pharma Treatment]
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Tom RasmussenTom Rasmussen
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