英文精品课件selfhelp for chronic obstructive pulmonary disease （copd）

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1、Self-helpforChronicObstructivePulmonaryDisease(COPD).AmyBlakemorePrimaryCareMentalHealthWorker.OverviewWhatisCOPD?TheeffectCOPDcanhaveonmood.ThepossibleroleofthePCGMHWandself-helpwithintheCOPDsyndrome.BuryPCTPilotproject–ADifferentApproachtoPulmonaryTherapy(ADAPT).WhatisCOPD?Achroniclungdisorder.

2、ChronicBronchitis,EmphysemaandChronicObstructiveAirwaysDisease.Progressiveanddisabling.Relatedtosmoking.ThirdleadingcauseofdeathintheUK(CMO,2004).TheImpactofCOPDonMood.AnxietyanddepressionareidentifiedasaninherentpartoftheCOPDsyndrome(GiftandMcCrone,1993).50-65%ofCOPDsufferersexperienceanxietyand

3、/ordepression(Gudmundssonetal,2006;Kuniketal,2005).TheImpactofChangesinMoodonCOPDStatus.Thelevelofphysicalabilityisoftendisproportionatetotheactuallevelofpulmonaryfunctioning(Lisansky,1996).Changestoendoflifechoices(Stapletonetal,2005;Rossenfieldetal,1996).Decreasedcompliancewithmedicationandincr

4、easedmortality(Dimatteoetal,2000).TheRoleofthePCGMHWandSelf-help.ScreeningforanxietyanddepressioninCOPDisimproving–newrolesandNICEGuidelines.Increaseddetectionmeansincreaseddemandonexistingmentalhealthservices.PCGMHW’sarewellplacedtoprovideevidencedbasedfaciliatedself-helpwithinstepstwoandthreeof

5、thesteppedcaremodel.GP,CaseManager,CommunityMatronStep1:detection,screening,reviewStep2:Mild(LowRisk)Step3:ModerateStep4:Severe/ComplexStep5:Severe/UrgentPCGMHWSeniorPCGMHWPsychiatrist/Psychologist/CBTInpatientTreatmentCOPDPrimaryMentalHealthCareinterface.WhatinterventionscanPCGMHW’soffertoCOPDpa

6、tients?Normalisetheexperienceofanxietyanddepression.ProvideanexplanationofhowphysicalandpsychologicalsymptomscaninterrelatewithinCOPD.Promoteselfmanagementskillsandconfidence.Liaisonwithhealthandsocialcareworkersandcommunityorganisations.TheADAPTPilotProject.77%ofrespondentsconsideredthatCOPDsymp

7、tomsnegativelyaffectedtheirmood.38%wereidentifiedassufferingfrommildtomoderatedepression.54%wereidentifiedassufferingfrommildtosevereanxiety.85%indicatedthattheywouldlikehelpfortheirmentalhealthdifficultiesfromatrained