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post in: Beauty, News Date:08 Oct 2017, 12:17 views:3471
A clinical diagnosis of asthma copd can be considered in anyone aged over 35 years who has had long-term exposure to cigarette smoke, occupational exposure to dust, fumes or gas, or who has typical symptoms of copd,.e. Breathlessness, cough and/or sputum production.8 Symptoms such as chest tightness, wheezing, and airway irritability are also common, although wheezing is not an indication of disease severity.8. Take a focused history, many patients will be aware that they have increasing breathlessness, increasing frequency or duration of colds and limitations in their physical ability.9 However, they may not have attributed these symptoms to a respiratory augusta illness and instead consider them to be due.
Patients can often note periods where they have had significant worsening of symptoms without recognising these as exacerbations.9. For patients suspected of having copd take a focused history to identify risk factors and symptoms. A focused history includes: Exposure guidelines to copd risk factors,.e.
Cigarette smoke, occupational or environmental compounds. Previous respiratory conditions including asthma, allergies, sinusitis, nasal polyps, respiratory infections during childhood. Pattern of symptom onset,.g.
Age, gradual versus acute, triggers. Exacerbation history or prior hospitalisations for respiratory symptoms.
Co-morbidities such as heart disease, osteoporosis and musculoskeletal disorders which may further limit the patients ability to remain active.
The impact the patients symptoms are having on their life,.g.
Physical activity, ability to work or fulfil family duties, depression or anxiety, sexual activity. The amount of family and social support the patient is able to accesss.