Customizing inhaled therapy to meet the needs of COPD patients

Authors, Primary Fromer,L.;Goodwin,E.;Walsh,J.
Title Primary Customizing inhaled therapy to meet the needs of COPD patients
Periodical Full Postgraduate Medicine
Pub Year 2010
Volume 122
issue 2
Start Page 83-93
Abstract Chronic obstructive pulmonary disease (COPD) is a progressive disease characterized by airflow limitation resulting from emphysema and chronic bronchitis. Inhaled therapy is the major therapeutic approach for treating COPD. Multiple inhaler medications are available in the United States and are delivered by a variety of different devices: metered-dose inhalers, dry powdered inhalers, and nebulizers. Each inhaler device has unique requirements for use that must be correctly performed by the patient for successful drug delivery. Patients with COPD represent a medically diverse population, with each patient having distinct characteristics, such as lung function, comorbidities, cognitive functions, hand strength, and lifestyle. These characteristics impact the patient's ability to properly use specific inhaler devices and therefore affect adherence to therapy, therapeutic outcomes, and quality of life. It is estimated that between 28% to 68% of patients do not use metered-dose inhalers or dry powder inhalers correctly. Worsening symptoms or increased frequency of exacerbations may not always indicate disease progression but may indicate a patient's inability to use their inhaler device properly. This review discusses the patient- and device-specific factors to be considered when choosing an inhaled therapy, which will be concordant with the patient's medical needs, preferences, and lifestyle. The review also considers how the ideas underlying the patient-centered medical home model can be incorporated into the choice and use of inhaler device for a given patient with COPD to improve treatment outcomes.
Publisher Not Available
Place of Publication United States
Author/Address Department of Family Medicine, UCLA School of Medicine, Los Angeles, CA 90077, USA. mdwelby@aol.com
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Patient-Centered Care
Special Population(s) Individuals with Multiple Chronic Conditions
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review Yes
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