Logistics of Treating COPD
A pulmonary COPD
exacerbation is a worsening of symptoms and described as ďan
event in the natural course of the disease characterized by a change in the
patient's baseline symptoms and a change in medication and a pulmonary
rehabilitation program by a physician specializing in pulmonary problems." A COPD
exacerbation can easily be due to not following a pulmonary specialistís
instructions, a need to change medication, or a more qualified pulmonary
specialist. Lack of competency by a physician, or one without a strong feeling
to help a COPD patient, can easily bring about a preventable breathing crisis.
People with COPD often have exacerbations, or temporary worsening
of their symptoms. Glenda had breathing difficulties and hospital trips
for years. These exacerbations can be caused by many different facts. A lung
infection, improper use of an inhaler, failure to take prescribed drugs, failure
to follow a doctorís instructions, and may require either a change in drugs or
entry in a common pulmonary rehabilitation program.
It is important that a knowledgeable caregiver knows the
treatment the doctor is providing. Some doctors are far behind on available
treatments; some are too busy to either keep up or to focus on a particular
patient during an otherwise busy schedule. Whether Glenda fell victim under one
of these scenarios, in addition to the other problems, is unknown, since
Rodneyís attempts to get this information was repeatedly ignored. Among the
treatments to improve COPD or any other breathing problem are the
A pulmonary rehabilitation program, available at skilled
nursing facilities and other facilities.
Weeks or months of treatment, variation
of treatment, changing of physicians, are often necessary. And the informed
patient, or caregiver, must be constantly informed of the treatment being
prescribed and do internet research that many physicians have no time or
interest to do, which is necessary to stay informed on current medical progress.
for possible infection, and requires treatment with antimicrobials, such as
ampicillin, tetracycline, or a
Different types of bronchodilators are usually needed. These
include Albuterol, Atrovent, Combivent, Spiriva, Tebutaline, Theophylline,
Xopenex, Formoterol, or Salmetero. Many doctors wonít take the time, or
donít know about the various available products, or just have no initiative
to try others, or think out of the box.
Corticosteroids play a key role in improving COPD. They are
beneficial in acute exacerbation of COPD and shorten the recovery time while
improving lung function.
Examples of these corticosteroids include Prednisone, Solumedrol, and
Different skilled nursing facilities (SNF) specialize in
different types of rehabilitation, so it is vitally important that a patient
goes to one that has medical facilities focusing on that type of condition in
order to obtain improvement in the condition. There is considered
no cure for COPD, but there are facilities that can usually bring about an improvement in
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