Clinician's Guide to Chronic Obstructive Pulmonary Disease by Timothy Q. Howes, David Bellamy

By Timothy Q. Howes, David Bellamy

Clinicians' advisor to COPD considers epidemiology, prognosis and administration, targeting how sufferers particularly current to the clinician. features of disorder prevention, together with way of life swap, relatively smoking cessation, could be mentioned intimately. Acute exacerbation of COPD, at the moment a tremendous reason for mortality and morbidity in those sufferers, can also be tested. Illustrative 'real-life' case histories could be integrated all through, and the publication also will include 'interesting asides', for instance the impression of COPD on a sufferer looking forward to surgical procedure. As with different volumes within the Clinicians' consultant sequence, the sensible concentration is going to be maintained all through. With a balanced, readable kind and transparent explanatory colour illustrations, the booklet will supply necessary suggestion for either the first care and professional clinician taking care of sufferers with COPD.

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Additional resources for Clinician's Guide to Chronic Obstructive Pulmonary Disease (Hodder Arnold Publication)

Example text

Despite good evidence, over a long period of time, of the link between smoking and the onset of serious lung complications, legislators have been very slow to address the epidemic of smoking. It is only very recently that billboard advertising for cigarettes has been stopped in the UK. Magazine advertising continued into the 1970s and at the time of writing cigarette can still be advertised on the bodies of cars in Formula One racing. The link between cigarette smoking and advertising remains a source of controversy.

G. arguments), alcohol and depressed mood. Patients can be helped to learn skills to deal with these situations by anticipation of problems and avoidance of particular stresses. A review of the data throughout the world reveals a cost of between £600 and £7500 per life-year gained. In the UK costs are lower at £212 to £873 per life-year gained. However when it is borne in mind that a single admission with an exacerbation of COPD can cost £10 000 or more to the health-care providers, increasing smoking cessation rates from 1 or 2 per cent to 10 per cent will have a huge health impact as well as 43 44 Disease prevention a financial bonus.

Flattening of the diaphragm (seen most reliably on the lateral chest X-ray), black lung fields and clipping of the pulmonary vasculature are the main signs of COPD. 1). All of these except the last one have characteristic X-ray appearances and make the performance of this test very important in the diagnostic algorithm. COMPUTERIZED TOMOGRAPHY Computerized tomography (CT) scanning has had only a secondary role in COPD. However, this is very likely to be more important in the future. 7 This chest X-ray shows a predominant diagnosis of emphysema with clipping of the pulmonary vessels, horizontal ribs and flat diaphragms.

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