Canadian Respiratory Guidelines

Toolkit

Toolkit

The Canadian Respiratory Guidelines Committee (CRGC) has developed respiratory clinical practice guidelines (CPGs) implementation tools to reach a broad multidisciplinary cohort of physicians and other respiratory health professionals.

These tools are currently being distributed to health care professionals across Canada via the Canadian Respiratory Journal (CRJ) and Canadian Family Physician (CFP), website postings, targeted mail outs, conferences and individual shipments on request.

© 2010 Canadian Thoracic Society and its Licensors. All rights reserved.

Permission is granted to use documents in whole or in part, in hard copy or in electronic format, for non-profit professional development activities, such as teaching or in-service training, provided that the Canadian Thoracic Society (CTS) is acknowledged as the source of the information, and that the information is presented in its current format. Slides must be used as is, and contain all slide elements, including logos. For access to PowerPoint versions of slide kits, send an email to ctsinfo@lung.ca

It is prohibited to use this document in whole or in part, in hard copy or in electronic format, for any other purpose, without prior written permission of the CTS. To request permission to use this document for other purposes, send a detailed email to ctsinfo@lung.ca
 

Asthma

2015 CTS Slim Jim: Diagnosis and management of asthma in preschoolers

© 2015 Canadian Thoracic Society and its licensors. All rights reserved.
This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the Slim Jim may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

2015 CTS Slide Kit: Diagnosis and management of asthma in preschoolers

© 2015 Canadian Thoracic Society and its licensors. All rights reserved.
This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images. No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the slide deck may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

2012 CTS Slide Kits: Diagnosis and management of asthma in preschoolers, children and adults - The Specifics

  
© 2013 Canadian Thoracic Society and its licensors. All rights reserved.
This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the slide decks - or individual slides - may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca
 

2012 CTS Slide Kit: Diagnosis and management of asthma in preschoolers, children and adults - The Basics

"The Basics" slide kit was developed for family physicians and medical students.

© 2012 Canadian Thoracic Society and its licensors. All rights reserved.
No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

 

2012 CTS Slide Kit: Diagnosis and management of asthma in preschoolers, children and adults

© 2012 Canadian Thoracic Society and its licensors. All rights reserved.
No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).
  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

2012 CTS Slim Jim: Diagnosis and management of asthma in preschoolers, children and adults

© 2012 Canadian Thoracic Society and its licensors. All rights reserved.
This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the Slim Jim may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

2010 CTS Commentary on Long-acting beta-2 agonist use for Asthma in Canada

 

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  A copy of this file may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

© 2010 Canadian Thoracic Society and its Licensors. All rights reserved.

2010 CTS Slim Jim - Asthma Management Continuum - Children (6 Years and Over) and Adults

This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the Slim Jim may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

© 2010 Canadian Thoracic Society and its licensors. All rights reserved.

2010 CTS Slide Kit - Asthma Management Continuum

This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

© 2010 Canadian Thoracic Society and its licensors. All rights reserved.

Global Initiative for Asthma (GINA) Guidelines and Resources

One of GINA's most important activities is to work with international experts to produce guidelines, reports, and other resources about asthma. These materials incorporate the latest science to help improve asthma management and the lives of asthma patients around the world.
www.ginasthma.org/Guidelines/guidelines-resources.html

Chronic Obstructive Pulmonary Disease

2013 Pulmonary Rehabilitation for COPD

© 2013 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.  A copy of the file may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

Four patients with a history of acute exacerbations of COPD: implementing the CHEST/Canadian Thoracic Society guidelines for preventing exacerbations

Four patients with a history of acute exacerbations of COPD: implementing the CHEST/Canadian Thoracic Society guidelines for preventing exacerbations

Ioanna Tsiligianni, Donna Goodridge, Darcy Marciniuk, Sally Hull and Jean Bourbeau

The American College of Chest Physicians and Canadian Thoracic Society have jointly produced evidence-based guidelines for the prevention of exacerbations in chronic obstructive pulmonary disease (COPD). This educational article gives four perspectives on how these guidelines apply to the practical management of people with COPD. A current smoker with frequent exacerbations will benefit from support to quit, and from optimisation of his inhaled treatment. For a man with very severe COPD and multiple co-morbidities living in a remote community, tele-health care may enable provision of multidisciplinary care. A woman who is admitted for the third time in a year needs a structured assessment of her care with a view to stepping up pharmacological and non-pharmacological treatment as required. The overlap between asthma and COPD challenges both diagnostic and management strategies for a lady smoker with a history of asthma since childhood. Common threads in all these cases are the importance of advising on smoking cessation, offering (and encouraging people to attend) pulmonary rehabilitation, and the importance of self-management, including an action plan supported by multidisciplinary teams.

Primary Care Respiratory Medicine (2015) 25, 15023; doi:10.1038/npjpcrm.2015.23; published online 7 May 2015

Access the article here.

2013 CTS Slide Kit: COPD Action Plan

© 2013 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

2013 CTS COPD Action Plan

COPD Action Plan Instructions for Fillable PDF

English Version: Updated CTS COPD Action Plan

La version française: Mise à jour: Plan d'action MPOC

 

The goal of a COPD Action Plan is to help those with COPD prevent and manage exacerbations in conjunction with the healthcare professional team (the physician*, the certified respiratory educator and the pharmacist), i.e., collaborative self-management. The healthcare professional team should complete/review the following information with the patient:

  • a list of persons to contact when he/she needs help
  • a list of baseline symptoms and the actions to be taken to stay well (green zone)
  • the symptoms indicating worsening COPD and the actions to be taken to manage the exacerbation (yellow zone)
  • the symptoms which require urgent treatment (red zone)

Early and appropriate intervention may help to prevent or minimize the impact of an exacerbation.

REMEMBER: The COPD Action Plan is a tool to facilitate communication between the COPD patient and his/her healthcare professional team. Once completed, the Action Plan should be brought to each follow-up visit, reviewed regularly and modified as necessary. Follow up should include a discussion on past exacerbations and how the patient used their Action Plan and managed flare-ups. 

A certified respiratory educator or other qualified member of the healthcare professional team should discuss and review the document with the COPD patient to ensure he/she:

  • has a clear understanding of how to recognize worsening COPD symptoms; and
  • is confident in knowing when and what actions are to be taken based on the severity of symptoms, including when to fill the prescription for additional medications and when to seek urgent/emergent medical attention.

CAUTION:  To be successful, the COPD patient must achieve behavioral change through collaborative self-management, although this is not without risk. Recently, it has been shown in a large clinical trial that patients engaged in a collaborative self-management program, which included the use of an Action Plan, could have unexpected negative outcomes, including increased risk of death.

The COPD Action Plan consists of two parts:

Part I includes written instructions on what actions should be taken by the person with COPD based on symptoms (sputum and shortness of breath) in the green, yellow and red zones. It includes three copies, a copy for the patient, the physician and the respiratory educator. Any member of the healthcare professional team can begin the process for completing the Action Plan.

Part II includes a prescription for medications to be initiated in the case of sustained worsening symptoms. It is completed by a physician. It also includes three copies, a copy for the patient, the physician and the pharmacist.

WARNING:

  1. Completing the first page of Part I of the Action Plan will automatically populate the physician and educator copies. The first page of Part II will automatically populate the physician and pharmacist copies.
  2. Please ensure the physician signs the pharmacist’s copy of the Action Plan. In order for the prescription to be accepted by the pharmacist, an original signature from the physician is required on the pharmacist’s copy of the Action Plan.

*or nurse practitioner

Ordering Information 

Due to high demand, we are currently out of stock of the English COPD Action Plan. We should receive more stock within the next few months. Ordering information will be updated as it becomes available. Please check back periodically. Thank you for your patience and sorry for the inconvenience.   ttp

© 2013 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS).  

2012 CTS Slide Kit: Alpha-1 Antitrypsin Deficiency Targeted Testing And Augmentation Therapy

© 2012 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

2012 CTS Fact Sheet: Pulmonary Rehabilitation

© 2012 Canadian Thoracic Society and its Licensors. All rights reserved.
All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  If you use this publication in your professional development or educational activities, please reference CTS as the source.

2008 CTS Slide Kit: Recommendations for the Management of Chronic Obstructive Pulmonary Disease

© 2011 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

 

2011 CTS Slide Kit - Optimizing Pulmonary Rehabilitation in COPD

© 2011 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

2011 CTS Slide Kit - COPD Dyspnea Management

© 2011 Canadian Thoracic Society and its licensors

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.  CTS.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

COPD Fact Sheet

The Human and Economic Burden of COPD - A Leading Cause of Hospital Admission in Canada

The report examines recent Canadian COPD data and reveals that COPD exacerbations result in more hospitalizations than other major chronic diseases, including heart failure, angina and diabetes. These hospitalizations place a great burden on patients, reducing their quality of life, and place strain on the Canadian healthcare system.

COPD Toolkit Website

The COPD Toolkit© website is a Canadian on-line repository where all health care professionals involved in COPD management can access, share, evaluate, develop and refine resources for COPD management.  The Tools are currently used in the LiveWell™ Chronic Disease Management Program conducted in the Saskatoon Health Region and range from PowerPoint presentations for patient education to referral forms to flow sheets for COPD management. http://www.copdtoolkit.org

CTS COPD Exam Room Poster

This poster was designed as a tool to initiate discussion between physician and patient about treatment options and management of COPD.

© 2008 Canadian Thoracic Society and its Licensors. All rights reserved.
All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.  A copy of this file may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

2008 CTS Slide Kit - COPD

© 2008 Canadian Thoracic Society and its licensors
All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.  A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

2008 CTS Slim Jim - COPD

Simplified algorithms and treatment recommendations for the treatment of COPD based on published guidelines.

© 2008 Canadian Thoracic Society and its Licensors. All rights reserved.

All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.  A copy of this file may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

 

Infectious Respiratory Diseases

2013 CTS Slide Kit: Canadian Tuberculosis Standards, 7th Edition

© 2013 Canadian Thoracic Society and its licensors. All rights reserved.

This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of the slide decks - or individual slides - may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca   

Other CTS Respiratory Disease Guidelines

2013 CTS Slide Kit: Spirometry in Primary Care

© 2013 Canadian Thoracic Society and its licensors. All rights reserved.
No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

Cough: Etiology, evaluation and treatments

Sleep Apnea

2011 CTS Slide Kit: Diagnosis and Treatment of Sleep Disordered Breathing

© 2011 Canadian Thoracic Society and its licensors
All rights reserved. No parts of this publication may be modified, posted on-line or used for any commercial purposes without the prior written permission of the Canadian Thoracic Society (CTS).  This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   A copy of the slide deck – or individual slides – may be requested from CTS for educational purposes.  Kindly send an email request to guidelines@lung.ca.

2011 Sleep Apnea Update – Slim Jim - Recommendations for the Diagnosis and Treatment of Sleep Apnea

This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of this file may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

© 2011 Canadian Thoracic Society and its licensors. All rights reserved.

2008 CTS Slim Jim - Sleep Apnea

This file is the intellectual property of the Canadian Thoracic Society (CTS) and has been protected from editing and copying any of the text and images.   No parts of this publication may be modified, posted on-line or used for any purpose without the prior written permission of the CTS.   A copy of this file may be requested from CTS for educational purposes. Kindly send an email request to guidelines@lung.ca.

© 2008 Canadian Thoracic Society and its licensors. All rights reserved.