Summary
This resource center provides materials to improve the care of patients with chronic obstructive pulmonary disease (COPD) across their continuum of care. Improving care starts with admission and continues as they transition from the hospital to the rehabilitation/long term care setting or to home. Click on the interactive graphic below to learn more!
It was created specifically with pharmacists, physicians, nurses, and other health care professionals in mind. This site shares best practices on guidance of COPD device selection, symptom assessment, patient education and counseling, and related materials for various stages of care. The illustration below provides an overview of the transitions of care.
Managing
Transitions of Care
for COPD
First 24 hrs of admission:
- Confirm acute COPD exacerbation
- Stabilize patient
- Daily action plan
- Implement order sets
Stable patient, but prior to discharge:
- Daily action planning
- Determine patient education needs
- Consult social work
- Evaluate vaccination needs
Patient discharge:
- Determine level of care for patient's recovery
- Assess at home COPD device regimen
- Patient education
- Assess home oxygen needs
Follow-up visits:
- Medication reconciliation
- Symptom assessment
- Counsel patient on medications and devices
- Assess home health care needs See more
- Get an accurate list of medications being used prior to admission
- Determine level of acute care required
- Confirm acute exacerbation of COPD
Admission Day #1 (first 24 hours)
Stabilization & Discharge Planning
Discharge
Chronic Care Management
COPD Exacerbation