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From the Mailbag: Question About Batch Treatments

Mark Stuckwish sent us a note:

I am a manager w/30 yrs experience and am very concerned about “batching treatments” with masks. Most patients are nose breathers and the turbinates are giant baffling systems.I cannot find a single recommendation for delivering bronchodilators through the nose, neb or MDI.It’s like throwing pills at a patients. open mouth and hoping some make it in! How long would that practice last? Any studies/concerns from CMS, JCAHO, anybody? I could not access the GB study, just the brief article.thanks. Mark

Anyone care to answer?

Maybe this blog needs to turn into something more like a forum?

December 28, 2006 · Tags: , ,

UK Lung patients ‘getting poor treatment’

The Observer | UK News | Lung patients ‘getting poor treatment’

Thousands of patients with chronic lung disease are being misdiagnosed and receive poor hospital care, according to the Healthcare Commission.

A national study of chronic obstructive pulmonary disease (COPD), which affects up to one in 20 Britons, has revealed that many patients are receiving very sub-standard treatment. The report, to be published on Wednesday, is expected to say that this may be because of a stigma that it is a ‘smoker’s disease’ and because some people feel that little can be done for patients.

I don’t see the report on the UK Healthcare Commissions site: 

June 25, 2006 ·

MD Turbo: MDI Add-on

MD Turbo:

Improper inhaler use is very common. In fact, most asthma and COPD patients use inhalers incorrectly. The two most common errors are failure to coordinate breathing with inhaler activation, and failure to track doses. MD Turbo is a breath-activated, dose-counting companion to metered dose inhalers (MDIs). It is coming soon, so sign up and be the first to know how MD Turbo™ can help MDI users.

June 19, 2006 · Tags: ,

Pulmonary Rehab

Relearning to breathe
Kaiser’s pulmonary rehabilitation program puts patients with chronic obstructive pulmonary disease on the path to better health by teaching them to breathe as efficiently as possible. People whose breathing is compromised can take a six-week class that includes exercise and education on nutrition, breathing and medication.

June 14, 2006 · Tags:

Bird Flu Dossier

SciDev.Net: Bird Flu Resources

June 13, 2006 · Tags:

Women and COPD

Women with chronic obstructive pulmonary disease (COPD) fare worse than men
Women with chronic obstructive pulmonary disease (COPD) fare worse than men both in terms of the severity of their disease and their quality of life. These differences may play a role in the increased death rate seen among female patients with COPD, said researcher Claudia Cote, M.D., Assistant Professor of Medicine at the University of South Florida in Tampa.

The researchers studied 85 women, and compared them with 95 men who had the same levels of COPD severity according to guidelines of the Global Initiative for Chronic Lung Disease (GOLD). They found that female patients were significantly younger than male patients with the same severity of disease. The women had lower lung function, more trouble breathing, and reported a worse quality of life. The women also received a worse score on the BODE index, which looks at lung function, nutritional status, symptoms and exercise capacity in order to measure a COPD patient’s disease severity and predicted survival.

June 12, 2006 · Tags:

Variety of things can trigger asthma | Variety of things can trigger asthma
The triggers for asthma run the gamut from the obvious to the odd — not just secondhand smoke and cat fur and perfumes and pollen but vigorous laughing or a good cry. Anything that irritates the lungs can make a susceptible person wheeze or worse, explains respiratory therapist Valerie Morgan-Wallace.

June 12, 2006 · Tags:

RTs can do resuscitation – Tom Brodbeck – Crisis at Seven Oaks
But the hospital couldn’t find a qualified ER doctor to fill the shift and had to make do with a family physician instead. Because family physicians are usually unable to handle more serious ER cases, the hospital also planned last night to divert all red and amber ambulance cases to other hospitals, Winnipeg Regional Health Authority spokeswoman Heidi Graham said.

An extra ambulance was added to last night’s shift to help handle the load, said Graham.

Meanwhile, the hospital had to staff the ER with a respiratory therapist to handle resuscitation cases because family doctors don’t do resuscitation, according to the WRHA.

Score one for the RTs!

June 8, 2006 ·

Doctors Must Help COPD Patients Quit Smoking

Doctors Must Help COPD Patients Quit Smoking –
Despite the risks, more than 36 percent of patients suffering from chronic obstructive pulmonary disease (COPD)are still smoking, a new study says.

“It doesn’t look like a good part of the [COPD] population is getting the information it needs from health-care providers,” lead researcher Jeannine Schiller, a statistician with the U.S. Centers for Disease Control and Prevention, said in a prepared statement.

COPD includes chronic lung diseases like emphysema and bronchitis, and affects more than 13.5 million Americans. Symptoms include shortness of breath, coughing and productive cough. The biggest risk factor for COPD is smoking, and it will cause flare-ups and the disease to worsen.

Almost 23 percent of the smokers in the study with COPD said that their doctor did not talk to them about quitting smoking within the last year, or offer them suggestions to help them quit.

June 3, 2006 · Tags: ,

Shower-borne Nontuberculous Mycobacteria – Health – Showers May Be Giving Some Women Lung Infection
Doctors across the country are seeing an increase in a bacterial lung infection called non-tuberculous mycobacteria or NTM.

There are not enough studies out right now to show exactly how a person gets the infection but some doctors believe it is possible to get it from hot tubs or even by taking a shower.

It is a lung disease that doctors say starts from germs that reside in the water and soil. It is even possible to get it from hot, steamy showers.

One of the theories of NTM is that germs become air-born because of the mist from the hot water.

More about Nontuberculous Mycobacteria

June 1, 2006 ·