TABLE 1.

COMPREHENSIVE PLAN OF CARE FOR THE PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

1. Patient assessment

Respiratory assessment

History of previous hospitalizations

Degree of dyspnea

Smoking history

Patient's coping skills

Depression/anxiety

Functional abilities

History of pulmonary rehabilitation

Learning needs

Nutritional status

Comorbidities

Influenza and pneumococcal vaccinations

2. Goals and plan of action

Individualized for each patient

Maximal medical therapy

Patient education

Symptoms of chronic obstructive pulmonary disease exacerbation

Medication schedule and use of devices

Smoking cessation education

Lung volume reduction surgery education

Nutritional strategies

3. Evaluation

Plan is continued or revised based on evaluation of outcomes