16.03B · MFE 3 — Cas de liaison

MFE 3 — Liaison case

MFE - Médecine de la Famille et de l'Enfance · 47 pages

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COPD Treatment & Therapeutic Education

1COPD Treatment & Therapeutic Education 2Course Overview 3Administrative Transition 4Learning Objectives 5Pre-Test MCQ

Clinical Case: Mrs T

6Baseline Presentation 7Patient Minimizes Symptoms

Therapeutic Education Principles

8Acute vs Chronic Illness Paradigm 9Education Framework 10Therapeutic Objectives for Mrs T 11Patient Reasoning Skills 12Improving Treatment Adherence

Patient Self-Assessment

13Self-Observation Skills 14mMRC Dyspnea Scale 15CAT Questionnaire 16CAT Score Interpretation

Treatment Modalities

17Overview & Smoking Cessation 18Prevention: Vaccinations 19Prevention: Comorbidities

Clinical Case: Mrs T

20First Follow-Up Visit 21Strengthening Therapeutic Alliance 22Six-Month Follow-Up

Pharmacological Treatment of Dyspnea

23Pharmacological Treatment of Dyspnea 24Bronchial Inflammation Pathophysiology 25Drug Selection by ABE Groups

Inhaler Devices & Technique

26Direct Aerosol Inhaler 27Aerosol with Spacer 28Dry Powder Inhalers 29Anticholinergic Powder Inhaler 30Why Teach Inhaler Use 31Common Inhalation Errors 32Capsule Inhaler Step-by-Step

Pharmacological Treatment of Dyspnea

33Inhaled Corticosteroid Adverse Effects 34Choosing Treatment for Mrs T

Exacerbations & Disease Progression

35COPD Lung Function Decline 36Exacerbation Recovery & Readmission 37Personalized Action Plan 38Evidence for Action Plans

Non-Adherence & Communication

39Mrs T Stops Inhaled Treatment 40Causes of Non-Adherence 41Paternalistic Attitude 42Paternalistic vs Partnership Approach 43HUG Therapeutic Education Center

44Long-Term Follow-Up Plan 45Post-Test MCQ 46Conclusions 47References

16.03BPage 1COPD Treatment & Therapeutic Education

MFE 3 — Cas de liaison page 1

16.03BPage 2COPD Treatment & Therapeutic EducationCourse Overview

MFE 3 — Cas de liaison page 2

16.03BPage 3COPD Treatment & Therapeutic EducationAdministrative Transition

MFE 3 — Cas de liaison page 3

16.03BPage 4COPD Treatment & Therapeutic EducationLearning Objectives

MFE 3 — Cas de liaison page 4

16.03BPage 5COPD Treatment & Therapeutic EducationPre-Test MCQ

MFE 3 — Cas de liaison page 5

16.03BPage 6COPD Treatment & Therapeutic EducationClinical Case: Mrs TBaseline Presentation

MFE 3 — Cas de liaison page 6

16.03BPage 7COPD Treatment & Therapeutic EducationClinical Case: Mrs TPatient Minimizes Symptoms

MFE 3 — Cas de liaison page 7

16.03BPage 8COPD Treatment & Therapeutic EducationTherapeutic Education PrinciplesAcute vs Chronic Illness Paradigm

MFE 3 — Cas de liaison page 8

16.03BPage 9COPD Treatment & Therapeutic EducationTherapeutic Education PrinciplesEducation Framework

MFE 3 — Cas de liaison page 9

16.03BPage 10COPD Treatment & Therapeutic EducationTherapeutic Education PrinciplesTherapeutic Objectives for Mrs T

MFE 3 — Cas de liaison page 10

16.03BPage 11COPD Treatment & Therapeutic EducationTherapeutic Education PrinciplesPatient Reasoning Skills

MFE 3 — Cas de liaison page 11

16.03BPage 12COPD Treatment & Therapeutic EducationTherapeutic Education PrinciplesImproving Treatment Adherence

MFE 3 — Cas de liaison page 12

16.03BPage 13COPD Treatment & Therapeutic EducationPatient Self-AssessmentSelf-Observation Skills

MFE 3 — Cas de liaison page 13

16.03BPage 14COPD Treatment & Therapeutic EducationPatient Self-AssessmentmMRC Dyspnea Scale

MFE 3 — Cas de liaison page 14

16.03BPage 15COPD Treatment & Therapeutic EducationPatient Self-AssessmentCAT Questionnaire

MFE 3 — Cas de liaison page 15

16.03BPage 16COPD Treatment & Therapeutic EducationPatient Self-AssessmentCAT Score Interpretation

MFE 3 — Cas de liaison page 16

16.03BPage 17COPD Treatment & Therapeutic EducationTreatment ModalitiesOverview & Smoking Cessation

MFE 3 — Cas de liaison page 17

16.03BPage 18COPD Treatment & Therapeutic EducationTreatment ModalitiesPrevention: Vaccinations

MFE 3 — Cas de liaison page 18

16.03BPage 19COPD Treatment & Therapeutic EducationTreatment ModalitiesPrevention: Comorbidities

MFE 3 — Cas de liaison page 19

16.03BPage 20COPD Treatment & Therapeutic EducationClinical Case: Mrs TFirst Follow-Up Visit

MFE 3 — Cas de liaison page 20

16.03BPage 21COPD Treatment & Therapeutic EducationClinical Case: Mrs TStrengthening Therapeutic Alliance

MFE 3 — Cas de liaison page 21

16.03BPage 22COPD Treatment & Therapeutic EducationClinical Case: Mrs TSix-Month Follow-Up

MFE 3 — Cas de liaison page 22

16.03BPage 23COPD Treatment & Therapeutic EducationPharmacological Treatment of Dyspnea

MFE 3 — Cas de liaison page 23

16.03BPage 24COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaBronchial Inflammation Pathophysiology

MFE 3 — Cas de liaison page 24

16.03BPage 25COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaDrug Selection by ABE Groups

MFE 3 — Cas de liaison page 25

16.03BPage 26COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueDirect Aerosol Inhaler

MFE 3 — Cas de liaison page 26

16.03BPage 27COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueAerosol with Spacer

MFE 3 — Cas de liaison page 27

16.03BPage 28COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueDry Powder Inhalers

MFE 3 — Cas de liaison page 28

16.03BPage 29COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueAnticholinergic Powder Inhaler

MFE 3 — Cas de liaison page 29

16.03BPage 30COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueWhy Teach Inhaler Use

MFE 3 — Cas de liaison page 30

16.03BPage 31COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueCommon Inhalation Errors

MFE 3 — Cas de liaison page 31

16.03BPage 32COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaler Devices & TechniqueCapsule Inhaler Step-by-Step

MFE 3 — Cas de liaison page 32

16.03BPage 33COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaInhaled Corticosteroid Adverse Effects

MFE 3 — Cas de liaison page 33

16.03BPage 34COPD Treatment & Therapeutic EducationPharmacological Treatment of DyspneaChoosing Treatment for Mrs T

MFE 3 — Cas de liaison page 34

16.03BPage 35COPD Treatment & Therapeutic EducationExacerbations & Disease ProgressionCOPD Lung Function Decline

MFE 3 — Cas de liaison page 35

16.03BPage 36COPD Treatment & Therapeutic EducationExacerbations & Disease ProgressionExacerbation Recovery & Readmission

MFE 3 — Cas de liaison page 36

16.03BPage 37COPD Treatment & Therapeutic EducationExacerbations & Disease ProgressionPersonalized Action Plan

MFE 3 — Cas de liaison page 37

16.03BPage 38COPD Treatment & Therapeutic EducationExacerbations & Disease ProgressionEvidence for Action Plans

MFE 3 — Cas de liaison page 38

16.03BPage 39COPD Treatment & Therapeutic EducationNon-Adherence & CommunicationMrs T Stops Inhaled Treatment

MFE 3 — Cas de liaison page 39

16.03BPage 40COPD Treatment & Therapeutic EducationNon-Adherence & CommunicationCauses of Non-Adherence

MFE 3 — Cas de liaison page 40

16.03BPage 41COPD Treatment & Therapeutic EducationNon-Adherence & CommunicationPaternalistic Attitude

MFE 3 — Cas de liaison page 41

16.03BPage 42COPD Treatment & Therapeutic EducationNon-Adherence & CommunicationPaternalistic vs Partnership Approach

MFE 3 — Cas de liaison page 42

16.03BPage 43COPD Treatment & Therapeutic EducationNon-Adherence & CommunicationHUG Therapeutic Education Center

MFE 3 — Cas de liaison page 43

16.03BPage 44COPD Treatment & Therapeutic EducationLong-Term Follow-Up Plan

MFE 3 — Cas de liaison page 44

16.03BPage 45COPD Treatment & Therapeutic EducationPost-Test MCQ

MFE 3 — Cas de liaison page 45

16.03BPage 46COPD Treatment & Therapeutic EducationConclusions

MFE 3 — Cas de liaison page 46

16.03BPage 47COPD Treatment & Therapeutic EducationReferences

MFE 3 — Cas de liaison page 47