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:
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:
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.
*or nurse practitioner
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