Management of COPD in Elderly

Management of COPD in Elderly

The purpose of the management of COPD are:
  1. Improving the ability of people with the symptoms not only in the acute phase, but also the chronic phase.
  2. Improving the ability of patients in performing daily activities.
  3. Reducing the rate of progression of disease when the disease can be detected early.

Management of COPD in the elderly, as follows:
  1. Eliminate etiologic factors / precipitation, for example, immediately stop smoking, avoid air pollution.
  2. Cleaning the bronchial secretions with the help of a variety of ways.
  3. Eradicate the infection with antimicrobial. In the absence of antimicrobial infection need not be given. Provision of appropriate antimicrobial should be in accordance with the germs that cause infections of appropriate sensitivity test results or empirical treatment.
  4. Overcoming bronchospasm with bronchodilator drugs. The use of corticosteroids to resolve the inflammatory process (bronchospasm) is still controversial.
  5. Symptomatic treatment.
  6. Treatment of the complications that arise.
  7. Oxygen treatment, for those who need. Oxygen should be given to slow the flow of 1-2 liters / minute.

Rehabilitation actions include:
  1. Physiotherapy, mainly aims to help spending bronchial secretions.
  2. Breathing exercises, to train people to be able to perform the most effective breathing.
  3. Exercises with weights oalh particular sport, with the aim to restore physical fitness.
  4. Vocational guidance, namely the work done on the patient to re-do the original job.

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