2011 OPEN FORUM Abstracts
GLOBAL CARE PROJECT'S IMPACT, FOCUSED ON COPD PATIENT, IMPLEMENTING RESPIRATORY CARE FROM ACUTE TO REHABILITATION AND HOME CARE PROGRAM.
Roberta De Carli, Francesco Tursi, Rossella Cavalli, Mariano Scozzafava, Paola Seminari, Antonia Zucca, Simona Sommariva, Sara Forlani; Respiratory Rehabilitation, Azienda Ospedaliera Provincia di Lodi, Sant'Angelo Lodigiano, Italy
BACKGROUND: Effective management of COPD includes pharmacological and non pharmacological therapies. The benefit of Pulmonary rehabilitation are evident in patient with moderate, severe and very severe COPD. To optimise the course of treatment in COPD patient our Hospital implemented, in june 2010, the Respiratory division by a Pulmonary rehabilitation division, which aim is to ensure respiratory assistance during every stage of COPD by accurate individual diagnostic e therapeutic course, centred on patient's active participation. In January started a Respiratory home care project, with the aim to create a net centred on patient, who is the target of un effective cooperation among acute, rehabilitation and territorial care team. OBJECTIVES: The aim of our work is to investigate the impact of a global care project , focused on COPD patient, implementing respiratory care, which started in acute period, by rehabilitation and home care. METHODS: 60 COPD patients, GOLD stadio II, III, and IV, with exclusion of cancer progressive disease, admitted in Pulmonary rehabilitation division between January 2010 and May 2011, participated in the study. We evaluated hospital and ambulatory admission between January 2008 and may 2010, and between June 2010 and May 2011, to prove the attended abatement of hospital admission due to opening of Rehabilitation activity. We dispense 60 questionnaire to evaluate COPD global control perception and care effectiveness by patients. RESULTS: We studied 12 female and 48 male, with COPD, 26 GOLD stadio IV, 21 GOLD stadio II, 13 GOLD stadio II. 23 used Oxygen, 12 used non invasive mechanical ventilation. In every group we founded a reduction of the hospital admission. We prove an increased in ambulatory admission and phone contact among patients and respiratory team. By the questionnaire we prove a significative increase of disease control by patient. CONCLUSIONS: Preliminary data, related on 12 months of Rehabilitation activity, and 6 months of Home respiratory care, despite require corroboration in middle and long period, attest to a positive impact of a global care respiratory project. The development of a respiratory net assure the patient's active participation, by favourite connection with doctor, respiratory therapist and nurse. We hope to implement our project by a remote patient control using telemedicine program.
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