Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

© 2016 Elsevier Ltd. All rights reserved. Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide, affecting an estimated 3 million people in the UK. The most common cause is tobacco smoke. Patients with COPD experience a high symptom burden, worsened during disease instability (termed exacerbations or 'lung attacks'), and a multidisciplinary approach should be adopted to manage this chronic lung disease. Diagnosis requires clinical and functional assessment to tailor treatments towards symptoms; the most common and debilitating of these are breathlessness, cough and sputum production. Breathlessness develops as a result of irreversible airway narrowing (obstruction), and spirometry is used alongside imaging to guide both diagnosis and treatment. To date, smoking cessation is the single most important intervention in delaying disease progression and should be a focus at every patient interaction. COPD is treated by a combination of pharmacological and non-pharmacological treatments, including pulmonary rehabilitation and self-management plans, allowing control over some of the symptom burden. Holistic management in COPD requires effective communication between all those involved in patient care, crossing secondary and primary care boundaries.

Original publication

DOI

10.1016/j.mpmed.2016.02.019

Type

Journal article

Journal

Medicine (United Kingdom)

Publication Date

01/05/2016

Volume

44

Pages

310 - 313