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Chronic obstructive pulmonary disease, Part II

LTC Nursing Assistant Trainer, October 14, 2004

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Chronic obstructive pulmonary disease (COPD) is a term used for two closely related respiratory diseases: emphysema and chronic bronchitis. COPD affects the ability of the lungs to function properly and may affect the heart in later stages. Most people with COPD are eventually disabled by repeated bouts of coughing and sputum production. Those with severe lung damage sleep in a semi-sitting position because they are unable to breathe when they lie down.

People with COPD must also help themselves by living a healthy lifestyle, including eating well, exercising, pacing themselves, and avoiding cigarette smoke and other air pollutants.

Healthcare workers can help residents with COPD live a more comfortable life. Last week, LTC Nursing Assistant Trainer listed six measures CNAs can take to help residents suffering from COPD. Here are five more, as follows:

 Help residents avoid grooming aerosols and sprays such as hair sprays and deodorants. Suggest unscented liquid or gel products instead.
 Provide a small utility cart, walker, or wheelchair equipped with a storage basket for personal items, including oxygen, for residents who have difficulty walking.
 Ensure that everything a resident might need during the night is within easy reach. Provide a nightlight to prevent the resident from becoming disoriented.
 Remind residents who use an aerosol inhaler prescribed by their physicians never to use more than the prescribed amount.
 Tell residents who use oxygen and are being discharged home to ask the oxygen supplier how to operate the equipment. Refer questions about the amount and use of oxygen to the residents' physicians.

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