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COPD Management
COPD Management is specialist medical care that optimises lung function, reduces exacerbation frequency, improves exercise tolerance, and enhances quality of life in patients with Chronic Obstructive Pulmonary Disease -- using evidence-based inhaler therapy, pulmonary rehabilitation, and oxygen therapy tailored to disease severity.
Overview
Key Benefits
Discover the advantages of choosing our copd management services.
GOLD group-guided inhaler selection matches therapy to the specific COPD phenotype
Correct inhaler technique dramatically improves drug delivery and symptom control
Pulmonary rehabilitation improves 6-minute walk distance by 50 metres on average
Exacerbation action plan reduces the delay from exacerbation onset to treatment
Smoking cessation is the only intervention that slows the progressive lung function decline of COPD
Clinical Features
The technology, techniques and clinical approach behind our copd management.
Post-bronchodilator spirometry is the diagnostic gold standard for COPD
Inhaler technique assessed and corrected at every single clinic appointment
Pulmonary rehabilitation provides greater functional improvement than any inhaler combination
Written exacerbation action plan enables immediate self-management reducing hospitalisation
LTOT assessment in patients with SpO2 consistently below 92% -- the only therapy proven to extend survival
Preparation Instructions
Stop smoking immediately and permanently -- this is the only intervention that significantly slows COPD progression. Use all inhalers exactly as prescribed both reliever and preventer. Take a short course of prednisolone and antibiotics at the start of any exacerbation as directed in your written action plan. Attend pulmonary rehabilitation consistently. Contact your team urgently for increased breathlessness not responding to increased inhaler use.
The Procedure
Step-by-step guide to what you can expect during your copd management procedure.
Spirometry Confirmation and GOLD Staging
Post-bronchodilator spirometry confirming FEV1/FVC below 0.7 is required for COPD diagnosis. GOLD staging (1 to 4 by FEV1%) combined with symptom burden (CAT or mMRC) and exacerbation history (group A to D) drives inhaler therapy selection.
Inhaler Therapy Initiation and Optimisation
LAMA or LABA is initiated for Group A and B patients. Dual LABA/LAMA therapy for symptomatic patients not adequately controlled on monotherapy. Triple LABA/LAMA/ICS therapy is added for Group D patients with frequent exacerbations.
Inhaler Technique Assessment
Every appointment includes demonstration and assessment of inhaler technique -- the most common and correctable cause of suboptimal COPD control. Device change to a more patient-compatible inhaler type is made when technique cannot be reliably achieved.
Pulmonary Rehabilitation Referral
All patients with MRC breathlessness grade 3 or above are referred to supervised pulmonary rehabilitation -- 6 to 8 weeks of structured exercise and education that improves exercise capacity and quality of life more than any medication.
Vaccination and Exacerbation Management
Annual influenza vaccination and one-time pneumococcal vaccination are administered. A written personalised action plan with prednisolone and antibiotic prescriptions is provided for patients to start within 24 hours of exacerbation onset.
Oxygen Assessment and Smoking Cessation
Ambulatory oxygen saturation is measured. Home long-term oxygen therapy (LTOT) is assessed in patients with SpO2 consistently below 92% -- improving survival in severe hypoxaemic COPD. Smoking cessation support is offered at every appointment without judgment.
What to Expect
Your physician reviews your spirometry, oxygen saturation, current inhaler regimen, and exacerbation history. Inhaler technique is assessed and corrected -- poor technique is the most common cause of suboptimal COPD control. Medication changes are made based on GOLD group and response. Pulmonary rehabilitation referral, influenza and pneumococcal vaccination, and oxygen assessment are all reviewed.
Frequently Asked Questions
Common questions about copd management.
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Explore other services in our General Medicine department.
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Ready to Get Started?
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