COPD Educational Needs Survey (PA/NP's)


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COPD Educational Needs Survey (PA/NP's)

  1. 1. COPD Educational Needs Survey The purpose of this PA/NP survey was to identify perceived needs regarding education for managing patients with COPD.
  2. 2. Demographics Total Respondents N = 177
  3. 3. Demographics Total Respondents N = 177
  4. 4. Demographics Total Respondents N = 177
  5. 5. Demographics Approximate number of patients with COPD you manage per week. Number of Respondents N = 177
  6. 6. How confident are you with the following abilities when managing patients with COPD? Mean Response (Not at all confident, 1; Extremely confident, 5) N = 177
  7. 7. What is your preferred format for continuing education? (Check all that apply) N = 177 Number of Respondents
  8. 8. On average, how long do you prefer to spend on the Internet or a mobile device to participate in a CE activity? N = 177 Number of Respondents
  9. 9. How helpful… … is case-based education to you for managing patients with COPD? Mean Response (Not at all helpful, 1; Very Helpful, 5) N = 177
  10. 10. Please list the main challenge you face when managing patients with COPD <ul><li>addiction to nicotine </li></ul><ul><li>adequate use of maintenance inhalers and getting patients to quit smoking </li></ul><ul><li>Amount of volume compared to treatment </li></ul><ul><li>as it pertains to me, tx chemo pts with COPD is challenging </li></ul><ul><li>Comorbidities </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>Compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>Compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>Compliance </li></ul><ul><li>Compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance and inhaler use techniques </li></ul><ul><li>Compliance and lifestyle modification </li></ul><ul><li>compliance due to monetary constraints </li></ul><ul><li>compliance issues </li></ul><ul><li>Compliance of patients </li></ul><ul><li>Compliance w meds and ever changing insurance issues either w testing or starting/trials of new patients </li></ul><ul><li>compliance w/ smoking cessation </li></ul><ul><li>Compliance with lifestyle modifactions and proper use of medications. </li></ul><ul><li>compliance with medication and cost of medications </li></ul><ul><li>compliance with necesary lifestule modifiations </li></ul><ul><li>Compliance with treatment regimen </li></ul><ul><li>compliance, access to medications </li></ul><ul><li>compliance, continued smoking </li></ul><ul><li>compliance, recognition of early exacerbation </li></ul><ul><li>Compliance, Smoking cessation </li></ul><ul><li>compliance; patients continuing to smoke </li></ul><ul><li>concommitant asthma </li></ul><ul><li>Coordinating COD meds with multiple other meds. </li></ul><ul><li>cost </li></ul><ul><li>decreasing exacerbations </li></ul><ul><li>denial </li></ul><ul><li>Denial </li></ul><ul><li>Diagnosing early enough! </li></ul><ul><li>distinguishing between asthma and COPD </li></ul><ul><li>don' see it often so I don't keep up with diagnosis and tx. </li></ul><ul><li>Education </li></ul><ul><li>Financial costs of meds </li></ul><ul><li>follow up and compliance </li></ul><ul><li>formulary issues with either insurance companies or the Jail I work at. </li></ul><ul><li>frequent exacerbations </li></ul><ul><li>get them to stop smoking </li></ul>
  11. 11. (-cont-) Please list the main challenge you face when managing patients with COPD <ul><li>getting patients to accept a dx of COPD when they feel &quot;fine&quot;, and to stop smoking </li></ul><ul><li>Getting patients to be compliant long term. </li></ul><ul><li>getting patients to quit smoking. i would love to offer spirometry but haven't been able to purchase equipment yet </li></ul><ul><li>Getting pts to quit smoking </li></ul><ul><li>Getting the initial diagnosis and paitents understanding COPD </li></ul><ul><li>getting them to stop smoking, even with all the options available </li></ul><ul><li>Getting them to understand the seriousness of their disease process </li></ul><ul><li>High cost of rx, getting them to quit smokong </li></ul><ul><li>Higher risks for elective surgery, post-op complications </li></ul><ul><li>in a head and neck surgical specialty, the majority of our copd patients are presenting for trach care, and this is typically our area of concern. </li></ul><ul><li>Inability for patients to have access to all medications on the market </li></ul><ul><li>INEXPERIENCE </li></ul><ul><li>keeping up on new guidelines / medications </li></ul><ul><li>keeping up with new meds </li></ul><ul><li>lack of frequency -unfamiliarity </li></ul><ul><li>Lack of insurance, working in a medically underserved area (southeast Georgia) </li></ul><ul><li>life style changes family support </li></ul><ul><li>lifestyle </li></ul><ul><li>lifestyle modifications/ compliance </li></ul><ul><li>limitations of formulary medications and management of disease </li></ul><ul><li>listening to the patients desires and managing want they want </li></ul><ul><li>Many who smoke are still unwilling to quit smoking even after dx. </li></ul><ul><li>Medications typically used in the civilian sector are not carried at VAMC </li></ul><ul><li>motivating patient to cease smoking </li></ul><ul><li>Motivating patients to quit smoking! </li></ul><ul><li>Need more education regarding COPD </li></ul><ul><li>Nicotine addiction </li></ul><ul><li>non compliance, inhaler costs, inappropriate use of inhaler </li></ul><ul><li>noncompliance </li></ul><ul><li>Non-Compliance </li></ul><ul><li>noncompliance with treatment recommendations/smoking cessation recommendations </li></ul><ul><li>not just pts changing lifestyle risks, butother household members as well (ie, spouses who won't quit smoking) </li></ul><ul><li>not many options that make them feel significantly better; pts expecting extremely frequents antibiotics </li></ul><ul><li>often they come in with diagnosis of asthma and have been treated as such for a long time </li></ul><ul><li>Overlapping symptoms with other comorbidities such as CHF </li></ul><ul><li>patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>Patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>Patient compliance and modifing life styles </li></ul><ul><li>Patient compliance and prescription drug coverage/cost </li></ul>
  12. 12. (-cont-) Please list the main challenge you face when managing patients with COPD <ul><li>patient compliance and smoking cessation </li></ul><ul><li>Patient compliance with lifestyle as well as medication </li></ul><ul><li>patient compliance with lifestyle modifications </li></ul><ul><li>patient compliance with smoking </li></ul><ul><li>patient compliance/smoking cessation </li></ul><ul><li>Patient complicance with lifestyle modifications esp smoking cessation and correct use of medications </li></ul><ul><li>patients affording the medication </li></ul><ul><li>Patients willingness to quit smoking and maintain adherance on controler medications </li></ul><ul><li>Pt Compliance </li></ul><ul><li>pt compliance </li></ul><ul><li>pt compliance </li></ul><ul><li>Pt compliance </li></ul><ul><li>pts to follow plan </li></ul><ul><li>Recommending the approriate treatment </li></ul><ul><li>Recurring exacerbations </li></ul><ul><li>smoking </li></ul><ul><li>smoking </li></ul><ul><li>Smoking </li></ul><ul><li>smoking cessation </li></ul><ul><li>smoking cessation </li></ul><ul><li>Smoking cessation </li></ul><ul><li>Smoking cessation </li></ul><ul><li>Smoking Cessation </li></ul><ul><li>Smoking cessation </li></ul><ul><li>Smoking cessation and compliance </li></ul><ul><li>Smoking cessation and medication compliance </li></ul><ul><li>Smoking cessation and patient compliance </li></ul><ul><li>Smoking cessation compliance </li></ul><ul><li>smoking cessation/ compliance </li></ul><ul><li>The risk of surgery and post op recovery </li></ul><ul><li>They are still smoking. </li></ul><ul><li>time! </li></ul><ul><li>Tobacco cessation </li></ul><ul><li>tobacco cessation </li></ul><ul><li>tobacco cessation </li></ul><ul><li>Tobacco cessation </li></ul><ul><li>Tobbacco cessation and to always have a recue inhaler with tem </li></ul><ul><li>Transitioning from one step to the other. Deciding when to move forward with the next level of therapy. </li></ul><ul><li>treatment not optimized sometimes </li></ul><ul><li>When to initiate inhaled steroid therapy </li></ul>