Paper Topic:

Chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease HYPERLINK "http /www /sys /index .php ?rate 14 doc guide page - structure-and-definitions " \l " \t "_blank Introduction

While the COPD with patients develops , it is not important to properly manage it , but to understand that there are certain stages of development , when the patients themselves don 't understand the damage which is done to their lungs . Thus , it is the role of the doctor to persuade the patient in the necessity of close controlling and managing the disease , to make the damage minimal , as well as to prevent

further development of the disease . The role of the medical worker is also in analyzing the set of the symptoms which the patient displays for the determination of the stage of the disease development . It is clear , that the different stages of the disease have different signs of lung damage - patients may characterize it either as `chronic bronchitis ' or as the combination of mucus , cough and exercise limitation is already defined as `emphysema Evidence-based assessment of treatment strategy

The targets of the COPD management for each medical worker is similar and should be defined as follows

Reversible elements of airflow limitation

Mucosal edema /congestion

Mucus hypersecretion

Smooth muscle bronchoconstriction

Leukocyte mediated inflammation

Physiological deconditioning

Hypoxemia

Abnormal lung mechanics (Augusti , 2003

The following Table , is easily understood and represents the main components of the COPD management , which can be applied to any stage of the disease development with a patient

Smoking cessation

Bronchodilation

Beta-agonists :short-...

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