El documento explica cómo construir una matriz de datos en el programa SPSS en 3 pasos: 1) obtener el programa SPSS, 2) comenzar a introducir los datos en la matriz, y 3) agregar comentarios a la matriz para identificar los datos. El objetivo final es saber cómo crear una matriz de datos en SPSS para organizar y analizar información.
Este documento resume el reglamento estudiantil de la Universidad del Cesar (UPC). Explica que el reglamento establece deberes y derechos de los estudiantes y el personal, y cómo regular las actividades de la universidad. También detalla procedimientos como solicitar un cambio de carrera, las sanciones por fraude académico como recibir una calificación de cero, y la expulsión como sanción por agredir físicamente a otro estudiante o profesor. El estudiante concluye que el reglamento r
This document outlines Project 1 for the Elements of Natural Built Environment course. It involves students experiencing and documenting nature through a site visit to Kuala Selangor Nature Park. Students will work in groups to create an informative pop-up poster and 5-minute documentary video about the natural environment. They will also complete an individual scrapbook journal detailing their experiences and observations from the site visit. The project aims to increase awareness of natural elements and ecosystems. It assesses students' ability to recognize and describe characteristics of the natural environment.
La publicidad promueve la elección de alimentos saludables al señalar que cada persona puede marcar la diferencia para su salud eligiendo comidas saludables.
El movimiento rectilíneo uniforme se caracteriza por una trayectoria en línea recta y una velocidad constante, lo que significa que el cuerpo recorre distancias iguales en tiempos iguales.
Assisters helping people enroll in health insurance faced opposition in some states but have developed strategies to navigate this, such as customized trainings on goal-setting, planning, and coaching. Speakers from Utah, Idaho, Montana, and Georgia discussed their experiences and lessons learned. New training resources from Enroll America aim to further support assisters with in-person instruction.
El documento explica cómo construir una matriz de datos en el programa SPSS en 3 pasos: 1) obtener el programa SPSS, 2) comenzar a introducir los datos en la matriz, y 3) agregar comentarios a la matriz para identificar los datos. El objetivo final es saber cómo crear una matriz de datos en SPSS para organizar y analizar información.
Este documento resume el reglamento estudiantil de la Universidad del Cesar (UPC). Explica que el reglamento establece deberes y derechos de los estudiantes y el personal, y cómo regular las actividades de la universidad. También detalla procedimientos como solicitar un cambio de carrera, las sanciones por fraude académico como recibir una calificación de cero, y la expulsión como sanción por agredir físicamente a otro estudiante o profesor. El estudiante concluye que el reglamento r
This document outlines Project 1 for the Elements of Natural Built Environment course. It involves students experiencing and documenting nature through a site visit to Kuala Selangor Nature Park. Students will work in groups to create an informative pop-up poster and 5-minute documentary video about the natural environment. They will also complete an individual scrapbook journal detailing their experiences and observations from the site visit. The project aims to increase awareness of natural elements and ecosystems. It assesses students' ability to recognize and describe characteristics of the natural environment.
La publicidad promueve la elección de alimentos saludables al señalar que cada persona puede marcar la diferencia para su salud eligiendo comidas saludables.
El movimiento rectilíneo uniforme se caracteriza por una trayectoria en línea recta y una velocidad constante, lo que significa que el cuerpo recorre distancias iguales en tiempos iguales.
Assisters helping people enroll in health insurance faced opposition in some states but have developed strategies to navigate this, such as customized trainings on goal-setting, planning, and coaching. Speakers from Utah, Idaho, Montana, and Georgia discussed their experiences and lessons learned. New training resources from Enroll America aim to further support assisters with in-person instruction.
1. Yes, the patient meets the criteria for home oxygen therapy with a PO2 <7.3 kPa at rest.
2. Portable oxygen for mobile hypoxemic patients is intended to:
- Increase hours on oxygen
- Increase daily activity
3. Studies have found no effect of adding ambulatory oxygen to pulmonary rehabilitation programs. Ambulatory oxygen alone does not improve exercise tolerance long-term.
1) Home oxygen therapy (HOT) improves survival in patients with hypoxemia, though adherence to guidelines and follow-up is only about 50% in many countries.
2) Continuous oxygen therapy (COT) given for over 15 hours daily increases survival by 2-4 years in COPD patients with low oxygen levels. Portable oxygen allows more activity but devices are still heavy.
3) International guidelines recommend COT for patients with oxygen levels below 7.3 kPa, but adherence varies, from 35-81% of eligible patients receiving treatment across different countries. Follow-up after starting COT is also inconsistent.
This document discusses home oxygen therapy (HOT) in various countries. It provides an overview of the types of HOT, including continuous oxygen therapy (COT), short-term oxygen therapy (STOT), and nocturnal oxygen therapy (NOT). Clinical trials show that COT improves survival in COPD patients with low oxygen levels. Guidelines for COT recommend a minimum daily usage of 15 hours and follow-up every 3-6 months. Adherence to HOT varies significantly between countries, from 60% in Denmark to rates as low as 27% in some studies. Portable oxygen improves mobility and activity levels but is underutilized in many patients.
This document summarizes findings from the Danish Oxygen Register regarding long-term oxygen therapy (LTOT) in Denmark from 1994-2000. Some key findings include:
- The prevalence and incidence of COPD patients on LTOT increased and reached a plateau around 25 and 40 per 100,000 respectively.
- There was an increase in the proportion of cancer patients, older patients, and those using mobile oxygen units starting LTOT. The percentage treated over 15 hours daily and after hospital admission also rose.
- Around 20-25% of COPD patients on LTOT were still smoking despite the therapy.
- Survival rates improved over the period, however remained lower than other countries due to higher 6-
This document discusses home oxygen treatment. It provides an overview of the scientific evidence for indications and effects of oxygen therapy. It also reviews prevalence, devices, side effects, and practical considerations for home oxygen treatment in Denmark. A case study is presented on whether a 65-year-old woman with COPD exacerbation should start chronic oxygen therapy. Guidelines for initiating oxygen are outlined. Survival rates on oxygen are compared between countries.
This document discusses long-term oxygen therapy (LTOT) and home oxygen therapy. It provides an overview of the terminology, scientific background, equipment, indications, and practical considerations of LTOT. It also includes two case studies examining whether a patient should start or continue LTOT. The document summarizes the effects of LTOT including improved survival, decreased hospitalizations, and improved quality of life for COPD patients. It addresses portable oxygen therapy and the prevalence of home oxygen therapy in different countries.
This document discusses long-term oxygen therapy (LTOT). It provides an overview of the terminology, scientific background, equipment, indications, and quality of LTOT treatment. Specifically:
1) It defines various types of home oxygen therapy including LTOT, short-term oxygen therapy (STOT), ambulatory oxygen therapy, and oxygen used for palliation of attacks of dyspnea.
2) It reviews studies showing the effects of LTOT on survival, health outcomes, and hospitalizations for COPD patients. LTOT is shown to increase survival by 2-4 years and decrease hospitalizations by 25% for qualifying patients.
3) It discusses considerations for starting, controlling, and ensuring quality of LT
The document discusses the impact of Denmark's national oxygen register on adherence to guidelines for long-term oxygen therapy (LTOT) in COPD patients. Some key findings from 1994-2000 include an increase in the prevalence and incidence of COPD patients on LTOT, more patients receiving mobile oxygen and starting LTOT after hospitalization. Documentation of hypoxemia improved but only about half of patients received follow-up and 20-25% still smoked. Survival rates increased over time but remained lower than other countries. The register data was not optimally utilized and direct feedback to doctors may help further improve LTOT guideline adherence.
1. Yes, the patient meets the criteria for home oxygen therapy with a PO2 <7.3 kPa at rest.
2. Portable oxygen for mobile hypoxemic patients is intended to:
- Increase hours on oxygen
- Increase daily activity
3. Studies have found no effect of adding ambulatory oxygen to pulmonary rehabilitation programs. Ambulatory oxygen alone does not improve exercise tolerance long-term.
1) Home oxygen therapy (HOT) improves survival in patients with hypoxemia, though adherence to guidelines and follow-up is only about 50% in many countries.
2) Continuous oxygen therapy (COT) given for over 15 hours daily increases survival by 2-4 years in COPD patients with low oxygen levels. Portable oxygen allows more activity but devices are still heavy.
3) International guidelines recommend COT for patients with oxygen levels below 7.3 kPa, but adherence varies, from 35-81% of eligible patients receiving treatment across different countries. Follow-up after starting COT is also inconsistent.
This document discusses home oxygen therapy (HOT) in various countries. It provides an overview of the types of HOT, including continuous oxygen therapy (COT), short-term oxygen therapy (STOT), and nocturnal oxygen therapy (NOT). Clinical trials show that COT improves survival in COPD patients with low oxygen levels. Guidelines for COT recommend a minimum daily usage of 15 hours and follow-up every 3-6 months. Adherence to HOT varies significantly between countries, from 60% in Denmark to rates as low as 27% in some studies. Portable oxygen improves mobility and activity levels but is underutilized in many patients.
This document summarizes findings from the Danish Oxygen Register regarding long-term oxygen therapy (LTOT) in Denmark from 1994-2000. Some key findings include:
- The prevalence and incidence of COPD patients on LTOT increased and reached a plateau around 25 and 40 per 100,000 respectively.
- There was an increase in the proportion of cancer patients, older patients, and those using mobile oxygen units starting LTOT. The percentage treated over 15 hours daily and after hospital admission also rose.
- Around 20-25% of COPD patients on LTOT were still smoking despite the therapy.
- Survival rates improved over the period, however remained lower than other countries due to higher 6-
This document discusses home oxygen treatment. It provides an overview of the scientific evidence for indications and effects of oxygen therapy. It also reviews prevalence, devices, side effects, and practical considerations for home oxygen treatment in Denmark. A case study is presented on whether a 65-year-old woman with COPD exacerbation should start chronic oxygen therapy. Guidelines for initiating oxygen are outlined. Survival rates on oxygen are compared between countries.
This document discusses long-term oxygen therapy (LTOT) and home oxygen therapy. It provides an overview of the terminology, scientific background, equipment, indications, and practical considerations of LTOT. It also includes two case studies examining whether a patient should start or continue LTOT. The document summarizes the effects of LTOT including improved survival, decreased hospitalizations, and improved quality of life for COPD patients. It addresses portable oxygen therapy and the prevalence of home oxygen therapy in different countries.
This document discusses long-term oxygen therapy (LTOT). It provides an overview of the terminology, scientific background, equipment, indications, and quality of LTOT treatment. Specifically:
1) It defines various types of home oxygen therapy including LTOT, short-term oxygen therapy (STOT), ambulatory oxygen therapy, and oxygen used for palliation of attacks of dyspnea.
2) It reviews studies showing the effects of LTOT on survival, health outcomes, and hospitalizations for COPD patients. LTOT is shown to increase survival by 2-4 years and decrease hospitalizations by 25% for qualifying patients.
3) It discusses considerations for starting, controlling, and ensuring quality of LT
The document discusses the impact of Denmark's national oxygen register on adherence to guidelines for long-term oxygen therapy (LTOT) in COPD patients. Some key findings from 1994-2000 include an increase in the prevalence and incidence of COPD patients on LTOT, more patients receiving mobile oxygen and starting LTOT after hospitalization. Documentation of hypoxemia improved but only about half of patients received follow-up and 20-25% still smoked. Survival rates increased over time but remained lower than other countries. The register data was not optimally utilized and direct feedback to doctors may help further improve LTOT guideline adherence.
1. Hjemmeiltbehandling
kriterier & iltsystemer
PO2 <7.3 kPa (Sat. 88%)
Post-PO2 >8.6 kPa
Stabil & optimalt beh.
Ikke-rygere
>15 timer/dag
Kontrol efter 1-3 mdr. og
derefter ½ årligt
2. Effekten af iltterapi
↑overlevelse: 2 → 4 år
↓hospitalisering: 25%
↑subjektivt (QoL, dyspnø mv)
↑fysisk kapacitet
↓ventilatorisk arbejde
↑hæmodynamik ↓PAP
↑nyrefunktion (↓ødem)
3. Iltpatienter på Hvidovre Hospital
Ca. 110 patienter:
-50 KOL
-40 Cancer
-20 Andre
Ca. 30% stopper pga. bedring
Ca. 70% dør indenfor få år – nogle inden
for nogle uger.
5. Pseudomonas Registrering
eller CPR:_________________
Dato for aflev. ekspektorat: ____________ Væksten: Tæt _____
Moderat _____
Sparsom _____
Bronkiektasi: _____Påvist ved CT; ____CT negativ; ____Ikke undersøgt
Forstøverapparat i hjemmet: ____Ja; ____Nej
CRP (før evt. specifik AB-behandling): ______
Nyt infiltrat ved rtg. thorax: ____Ja; ____Nej
Årstal for 1. påvisning af pseudomonas i exp.:_______
Iværksat antibiotika intravenøst: ____Ja; ____Nej
Iværksat antibiotika p.o.
(evt. konkurrerende bakterie) : ____Ja; ____Nej
Kontrol efter pseudomonasbehandling
Ekspektorat for pseudomonas
1. gang 3 dage efter beh. (indsendt prøve) 2. gang 14-28 dage efter beh.
(blot indsendt prøve) (fremmøde)
Væksten: Tæt _____ Tæt _____
Moderat _____ Moderat _____
Sparsom _____ Sparsom _____
Ikke tilstede_____ Ikke tilstede_____
Kunne ikke _____ Kunne ikke _____
CRP ("2.gang")_______
Lungemæssigt (åndenød/hoste/opspyt):
Bedring _____
Uændret _____
Forværring _____
Label
6. Henvisninger fra 220
Sted/opgave
Henvisnings-
måde
Afd. 220
"Ilt-lotte" 226
Alle iltpatienter
Kopi af epikrise i
"iltkasse" på 220
Daghosp. 224
Infektioner (absces, empyem,
pneum. bronkiektasi)
Pleuravæske & pneumothorax
Infiltrater & C. pulm
Astma & KOL u. forløb i 253
Interstitielle lungelidelser
Lungeemboli m. AK-beh.
Jette Booker. Husk oplæg.
Ved tvivl, mundtlig aftale med
sygeplejersken i 224.
Hvad skal kontrolleres?
Er det en opgave for daghosp.?
Holde øje med CT-tid?
Amb. 253
Astma og KOL
m. forløb i 253.
Booker selv
via GS
Udgående
Hosp. 226
KOLexac. uden
komplikationer
Mundtlig aftale
med Hanna/Lotte
Gerne på
morgenmøde
ellers telefon:
26320318
Omsorgs-besøg
226
Kontrol kræver
ligg.transport.
Ikke behov for
rtg.
Mundtlig aftale
med Hanna
Gerne på
morgenmøde
ellers telefon:
26320318
Rehab. 233
FEV1<50%
& MRC≥ 3
(Sættes evt.
på KOL-
skole af
Jane/Gerd)
Label
på ark.
sendes
hver
mdr.
Rygestop-
cafeen
2173
Label????
7. FLYTEST
Dato: Label:
Diagnose:
FEV1:
SAT:
Gangdistance, ubesværet:
Medicin:
Saturation:
Saturation Anbefaling Risikofaktorer:
> 95% Ingen ilt
92-95% uden risikofaktorer Ingen ilt
92-95% med risikofaktorer Hypoxitest
< 92% Hypoxitest
Patienter i iltbehandling Iltflow øges med 2 l/min under flyrejse
• FEV1 < 50%
• Gangdistance < 50 m
• Interstitiel eller restriktiv
lungesygdom
Hypoxi provokationstest: (resultat & anbefaling)
SAT> 87% Ingen ilt eller a-punktur
SAT15%= SAT≤ 87% A-punktur: PaO2 = kPa
PaO2 > 7,4 kPa Intet iltbehov
PaO2 6.6-7,4 kPa Grænseområde. Hvis risikofaktorer tilrådes ilt.
PaO2 < 6,6 kPa 2 liters ilttilskud under flyrejse
Konklusion:
Pt. anbefales ikke ilt under flyturen
Pt. anbefales ilt under flyturen sv.t. l/min
Sygeplejerske: Læge: