Med Student Medical News about Aged Pulmonary Disease, Chronic Obstructive

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Chronic Obstructive Pulmonary Disease: An Update on Diagnosis and Management Issues in Older Adults
Drugs & Aging, 09/21/09

Nazir SA et al. – The management of elderly patients with COPD should encompass a multidisciplinary approach. An evaluation of patients' nutritional status and mental health should be undertaken, in addition to assessing their lung function and functional impairment. Significant underlying co–morbidities should be evaluated and treated to derive the maximal benefit of therapy. Specific therapy for COPD should start with cessation of exposure to the most important risk factor, tobacco smoke. Smoking cessation rates in the elderly have not declined, and this may reflect an underlying reluctance by physicians to counsel and offer smoking cessation therapies to the elderly. Unlike oxygen therapy in hypoxaemic patients, bronchodilators and corticosteroids do not decrease mortality in COPD patients and they are primarily directed towards symptom relief. However, they do have a positive effect on QOL and exacerbation rates.

Evaluation of psychological and physiological predictors of fatigue in patients with COPD
BMC Pulmonary Medicine, 10/22/09 Relevance Score: 92%

Higher fiber intake tied to better lung function
Internet Source, 10/20/09 Relevance Score: 92%

Quality of Spirometry in Primary Care for Case Finding of Airway Obstruction in Smokers
Respiration, 10/14/09 Relevance Score: 92%

Increased relative mortality in women with severe oxygen-dependent chronic obstructive pulmonary disease
Chest, 10/07/09 Relevance Score: 90%

Increased relative mortality in women with severe oxygen-dependent chronic obstructive pulmonary disease
Chest, 10/05/09 Relevance Score: 90%