Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge
Low adherence with prescribed treatments is very common in chronic diseases and represents a significant barrier to optimal management, with both clinical and economic consequences. In chronic obstructive pulmonary disease (COPD), poor adherence, also in terms of premature discontinuation of therapy...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2013-09-01
|
| Series: | Italian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.italjmed.org/index.php/ijm/article/view/411 |
| _version_ | 1797424809474260992 |
|---|---|
| author | Marco Candela Ruggero Pastorelli Antonio Sacchetta Mauro Campanini Leonardo M. Fabbri Carlo Nozzoli |
| author_facet | Marco Candela Ruggero Pastorelli Antonio Sacchetta Mauro Campanini Leonardo M. Fabbri Carlo Nozzoli |
| author_sort | Marco Candela |
| collection | DOAJ |
| description | Low adherence with prescribed treatments is very common in chronic diseases and represents a significant barrier to optimal management, with both clinical and economic consequences. In chronic obstructive pulmonary disease (COPD), poor adherence, also in terms of premature discontinuation of therapy or improper use of inhaler devices, leads to increased risk of clinical deterioration. By contrast, adherence to appropriate long-term maintenance therapy is associated with improved quality of life and significantly lower risks of hospitalization and re-hospitalization, resulting in important health benefits for the individual patient and a reduction in costs for the national health services. In considering strategies to improve adherence, three main aspects should be addressed: i) patient education; ii) pharmacological alternatives and correct use of inhalers; and iii) adherence to COPD guidelines for appropriate therapy. In this field, healthcare providers play a critical role in helping patients understand the nature of their disease and its management, explaining the potential benefits and adverse effects of treatment, and teaching or checking the correct inhalation technique. These are important issues for patient management, particularly in the immediate aftermath of hospital discharge, because the high risk of re-admission is mainly due to inadequate treatment. Thus, discharge procedure should be considered a key element in the healthcare continuum from the hospital to primary care. This implies an integrated model of care delivery by all relevant health providers. In this context, we developed a structured COPD discharge form that we hope will improve the management of COPD patients, particularly in the aftermath of hospital discharge. |
| first_indexed | 2024-03-09T08:07:13Z |
| format | Article |
| id | doaj.art-143cc7f7db7e4b70b68adbdaaeff53d4 |
| institution | Directory Open Access Journal |
| issn | 1877-9344 1877-9352 |
| language | English |
| last_indexed | 2024-03-09T08:07:13Z |
| publishDate | 2013-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Italian Journal of Medicine |
| spelling | doaj.art-143cc7f7db7e4b70b68adbdaaeff53d42023-12-02T23:45:15ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522013-09-017321823010.4081/itjm.2013.218353Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital dischargeMarco Candela0Ruggero Pastorelli1Antonio Sacchetta2Mauro Campanini3Leonardo M. Fabbri4Carlo Nozzoli5Department of Internal Medicine, Hospital E. Profili, Fabriano (AN)Department of Internal Medicine, Hospital L. Parodi Delfino, Colleferro (RM)Department of Internal Medicine, Hospital of Conegliano (TV)Department of Internal Medicine, Hospital Maggiore della Carità, NovaraDepartment of Oncology Haematology and Respiratory Diseases, University of Modena and Reggio Emilia, ModenaDepartment of Internal Medicine, AOU Careggi, FirenzeLow adherence with prescribed treatments is very common in chronic diseases and represents a significant barrier to optimal management, with both clinical and economic consequences. In chronic obstructive pulmonary disease (COPD), poor adherence, also in terms of premature discontinuation of therapy or improper use of inhaler devices, leads to increased risk of clinical deterioration. By contrast, adherence to appropriate long-term maintenance therapy is associated with improved quality of life and significantly lower risks of hospitalization and re-hospitalization, resulting in important health benefits for the individual patient and a reduction in costs for the national health services. In considering strategies to improve adherence, three main aspects should be addressed: i) patient education; ii) pharmacological alternatives and correct use of inhalers; and iii) adherence to COPD guidelines for appropriate therapy. In this field, healthcare providers play a critical role in helping patients understand the nature of their disease and its management, explaining the potential benefits and adverse effects of treatment, and teaching or checking the correct inhalation technique. These are important issues for patient management, particularly in the immediate aftermath of hospital discharge, because the high risk of re-admission is mainly due to inadequate treatment. Thus, discharge procedure should be considered a key element in the healthcare continuum from the hospital to primary care. This implies an integrated model of care delivery by all relevant health providers. In this context, we developed a structured COPD discharge form that we hope will improve the management of COPD patients, particularly in the aftermath of hospital discharge.http://www.italjmed.org/index.php/ijm/article/view/411chronic obstructive pulmonary disease management, hospital discharge, adherence. |
| spellingShingle | Marco Candela Ruggero Pastorelli Antonio Sacchetta Mauro Campanini Leonardo M. Fabbri Carlo Nozzoli Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge Italian Journal of Medicine chronic obstructive pulmonary disease management, hospital discharge, adherence. |
| title | Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge |
| title_full | Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge |
| title_fullStr | Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge |
| title_full_unstemmed | Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge |
| title_short | Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge |
| title_sort | management of chronic obstructive pulmonary disease criteria for an appropriate hospital discharge |
| topic | chronic obstructive pulmonary disease management, hospital discharge, adherence. |
| url | http://www.italjmed.org/index.php/ijm/article/view/411 |
| work_keys_str_mv | AT marcocandela managementofchronicobstructivepulmonarydiseasecriteriaforanappropriatehospitaldischarge AT ruggeropastorelli managementofchronicobstructivepulmonarydiseasecriteriaforanappropriatehospitaldischarge AT antoniosacchetta managementofchronicobstructivepulmonarydiseasecriteriaforanappropriatehospitaldischarge AT maurocampanini managementofchronicobstructivepulmonarydiseasecriteriaforanappropriatehospitaldischarge AT leonardomfabbri managementofchronicobstructivepulmonarydiseasecriteriaforanappropriatehospitaldischarge AT carlonozzoli managementofchronicobstructivepulmonarydiseasecriteriaforanappropriatehospitaldischarge |