Optimising inhaler technique in chronic obstructive pulmonary disease: a complex issue.

Abstract

Inhaled therapies play a central role in the management of chronic obstructive pulmonary disease (COPD); however, studies indicate that many patients do not use their inhaled medication as directed, resulting in decreased medication delivery and suboptimal disease control. Key factors that should be considered when evaluating whether patients are achieving optimal outcomes with inhaled therapies are: if patients are using a correct inhalation technique; if patients have adequate dexterity to use the prescribed inhaler; if patients have sufficient inspiratory flow rate to achieve adequate lung deposition (for dry powder inhalers); and if the inhaler is accepted by the patient. There are many different types of dry powder inhalers available for COPD medications and their specific features can affect ease of use and suitability and acceptability for individual patients and patients' preferences.

• Authors: Jo Riley, Phillip Krüger
• Journal: British journal of nursing (Mark Allen Publishing) (Br J Nurs) Vol. 26 Issue 7 Pg. 391-397 (Apr 13 2017) ISSN: 0966-0461 [Print] England
• PMID: 28410043 (Publication Type: Journal Article)

Topics

• Administration, Inhalation
• Humans
• Nebulizers and Vaporizers
• Patient Education as Topic
• Patient Preference
• Pulmonary Disease, Chronic Obstructive (drug therapy)