Chronic Obstructive Pulmonary Disease: Acute aggravation       Introduction    There argon  soon over 900,000  state in England who have been diagnosed with chronic obstructive pulmonary   infirmity (COPD). COPD is currently the only major  affection whose incidence and prevalence is predicted to  mug up over the next twenty years. This  rear is expected to  buy the farm because COPD is a  persistent  response time disease whose symptoms become  seeming many years  aft(prenominal) the first exposure to the  motivating agent, which means the majority of  community affected are  either middle aged or elderly. However, studies by Soriano et al (2000)  draw out that COPD is under diagnosed in general  perform and the true prevalence could be as high as 1.5-3million (National Institute of clinical Excellence (NICE), 2004; British Lung Foundation (BLF), 2004). COPD is a preventable and treatable disease with some  pleonastic pulmonary effects that may  tin to the severity of disease in ind   ividual patients. Its pulmonary  fortune is characterized by  air flow limitation that is not  risey reversible,  unremarkably progressive and associated with an abnormal  seditious response of the lung to noxious particles or gases (GOLD, 2009; NICE, 2010).

    Effective management of COPD requires an incorporated  advance from several  headmaster groups, utilizing a range of  pharmacologic and non-pharmacological interventions. Using a  slick scenario from the authors own area of practice, these interventions and  workable alternative therapies will be critically appraised and evaluated with the intention of  informing current and future pr   actice developments. The author is employed !   as a community matron in a local  elementary care trust, working autonomously utilizing a case management approach with patients who have complex, chronic long term conditions (COPD, Heart  harm and Diabetes). The main functions of the community matron are outlined in the  document Supporting people with  abundant Term Conditions (DoH, 2005) (appendix 1). This paper will...If you  requirement to get a full essay, order it on our website: 
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