Chronic Obstructive Pulmonary Disease ( Copd )

1166 Words Jun 23rd, 2016 5 Pages
Chronic Obstructive Pulmonary Disease (COPD) is moving to the forefront of public health problems. It is projected to rank third in mortality rates by 2020.6 COPD is a lung disease that is treatable and preventative.6 The patient has toxic particles or gases that cause an enhanced chronic inflammatory response in the airways and lungs as well as progressive airflow limitation.5 Other causes for COPD include emphysema, chronic bronchitis, chronic asthma, and some forms of bronchiectasis.6 Occupation and exposure to external vapors, chemicals, irritants, and fumes cause ten to twenty percent of COPD cases in the United States.3 The onset tends to be ages 55-60 years old with COPD occurring in men more than women.5 The disease is a long term process lasting for twenty years.5 The purpose of this essay is to describe COPD’s disease process, clinical manifestations, diagnosis, prognosis, and medical management and show how physical therapists can help treat patients with COPD. Airflow limitation and gas trapping, gas exchange abnormalities, mucus hyper secretion, pulmonary hypertension, exacerbations, and comorbidities are involved with the physiological process of COPD.6 The peripheral airways become inflamed and narrowed which causes a decreased volume of air expelled from the lungs after the first second of expiration (FEV1) as well as increased airway resistance.6 Hyperinflation raises total lung capacity levels.5 Gas trapping can occur from parenchyma destruction, which…
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