Skip to main content

Main menu

  • Home
  • Current issue
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Peer reviewer login
  • Journal club
  • Alerts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Peer reviewer login
  • Journal club
  • Alerts
  • Subscriptions

Integrated care of the COPD patient: a pulmonary rehabilitation perspective

R. ZuWallack, L. Nici
Breathe 2010 6: 313-319; DOI: 10.1183/18106838.0604.313
R. ZuWallack
1St Francis Hospital, Hartford, CT,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
L. Nici
2Providence VA Medical Center, Providence, RI, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

Abstract

Educational aims

  1. To demonstrate that the current care system for chronic obstructive pulmonary disease (COPD) patients often falls short of desired outcomes.

  2. To describe the concepts of the chronic care model and integrated care.

  3. To emphasise the positioning of pulmonary rehabilitation and self-management and self management strategies within integrated care.

Summary The current acute care model for COPD is, in general, insufficient for optimal management of the disease. Single disease guidelines often fall short for diseases such as COPD that have prominent systemic manifestations and frequent comorbidities contributing to disease burden. Coordination of services is often inadequate, especially at the time of the COPD exacerbation, which is characterised by high morbidity, increased healthcare utilisation and increased mortality risk. The integrated care model for COPD may reduce some of these inefficiencies. On one level, integrated care means giving the right patient the right therapy at the right time. This can include smoking cessation therapies, the promotion of a healthy lifestyle, including regular exercise and increased activity, optimal pharmacotherapy, collaborative self-management strategies, palliative therapy and end-of-life care. Additionally, integrated care improves access to care and reduces fragmentation of care through partnering, communication and coordination among healthcare professionals, patients and their families. Integration at the time of the exacerbation includes a comprehensive assessment of the patient at the time of hospital discharge, proper discharge planning, early discharge services, a self-management plan, sharing this plan with all pertinent healthcare providers, utilisation of a professional for case management and facilitation of the exchange of information with modern information technology. Pulmonary rehabilitation provides many of these services and can be considered a component of integrated care.

  • ©ERS 2010
PreviousNext
Back to top
Vol 6 Issue 4 Table of Contents
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Integrated care of the COPD patient: a pulmonary rehabilitation perspective
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Integrated care of the COPD patient: a pulmonary rehabilitation perspective
R. ZuWallack, L. Nici
Breathe Jun 2010, 6 (4) 313-319; DOI: 10.1183/18106838.0604.313

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Integrated care of the COPD patient: a pulmonary rehabilitation perspective
R. ZuWallack, L. Nici
Breathe Jun 2010, 6 (4) 313-319; DOI: 10.1183/18106838.0604.313
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
Full Text (PDF)

Jump To

  • Article
  • Info & Metrics
  • PDF

Subjects

  • COPD and smoking
  • Pulmonary pharmacology and therapeutics
  • Respiratory clinical practice
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

  • A clinicians’ review of the respiratory microbiome
  • The problems of cohort studies
  • Breathing exercises for asthma
Show more Review

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About Breathe

  • Journal information
  • Editorial board
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Intructions for authors
  • Publication ethics and malpractice
  • Submit a manuscript

For readers

  • Alerts
  • Subjects
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Print ISSN: 1810-6838
Online ISSN: 2073-4735

Copyright © 2023 by the European Respiratory Society