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CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

What is COPD?
COPD is a term now used to describe Chronic Bronchitis and Emphysema. It causes progressive narrowing of the airways making it difficult to get air in and out of the lungs efficiently. COPD also causes progressive destruction to areas of the lungs, which are responsible for moving oxygen from the air into the blood stream and taking the waste gas back from the blood stream so it can be breathed out.

COPD is generally a direct result of smoking. However other factors such as dust and fume exposure may occasionally add to the effects of smoking, but on there own are rarely the only reason for COPD development. The exception to this is a rare inherited problem and there is usually a very strong family history. COPD cannot be cured, but modern treatment is able to improve symptoms and keep you active and help prevent bad attacks.

If COPD is suspected, the GP/Nurse can refer you to the COPD clinic for assessment.

Initial or newly registered patient assessment: what to expect

• Height and weight (BMI)
• Recording of daily symptoms
• Smoking status
• Smoking cessation advice
• Occupational history
• Exacerbation and hospital admissions
• Inhaler use and technique
• Breathlessness score
• Diet and exercise education
• Discuss inhaler therapies
• Pulmonary rehabilitation discussed (if appropriate)
• Offer flu/pneumococcal vaccines
• Management plan
• Spirometry and if needed reversibility

Spirometry – gives a measurement of lung function / Reversibility – which is a repeat spirometry following nebuliser therapy

Clinics appointments usually last for 60 minutes and are performed by a specialised practice nurse.

Second follow up: what to expect

• Recording of symptoms
• Smoking status
• Smoking cessation advice
• Inhaler use and benefit
• Breathless score
• Exercise and diet reinforced
• Management plan reinforced

Spirometry will be carried out every one or two years depending on severity of disease. Patients will be invited to the clinic either by post or telephone invitation.

Clinics for COPD checks are held at both Arbroath House and William Brown Centre.