Success in Action RespiratoryCOPD

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Success in Action RespiratoryCOPD

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Success in Action Respiratory/COPD. The Pharmacist's Perspective ... Polypharmacy. Developing Relationships 'Know and be Known' Know ... – PowerPoint PPT presentation

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Title: Success in Action RespiratoryCOPD

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Success in Action Respiratory/COPD

The Pharmacists Perspective

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Caring Collaboratively for the Respiratory
Patient

Inhaler Technique
Smoking
Professional Focus

Regularly assess
Control
Triggers
Compliance
Inhaler Technique
Co-morbidity

Pred
Modify maintenance therapy
Add-on therapy
Inhaled Corticosteroids
Low
Moderate
High
Fast-acting bronchodilator on demand
Education, Environmental control, Written action
plan, and Follow-up
Severe
Very mild
Mild
Moderate
Moderately Severe
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Regularly Assess

Control
Triggers
Inhaler Technique
Compliance
Comorbidity

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ASSESSMENT OF A METERED DOSE INHALER COUNSELLING
PROGAM

Bayliff CD, Skelton L, Paterson N

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Importance of Technique(Eur Respir J 2002 19
246)
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COPD Smoking
Anthonisen N.R. et al. JAMA. 19942721497
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Chaudhuri R et al. Am J Resp Crit Care Med
20031681308
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Smoking Cessation
Prominent place in CTS Update

5 As
Ask
Assess
Advise
Assist
Arrange

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Smoking Cessation Trials vs. RW

Quist-Paulsen (BMJ 2003 327 1254)
Patients with cardiovascular morbidity
Intervention counselling (one on one, no
formalized training, f/u, fear arousal)
Quit rate 57 (1 yr)

Jorenby (JAMA 2006 296 56)
Volunteers without comorbidities
Intervention counselling (one on one, 16 x 10
min, 8 telephone calls, specialized training,
free drug)
Quit rate 25 (1 yr)

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Professional Focus