The document discusses COPD and the GOLD guidelines for its management. It covers the definition, pathogenesis, diagnosis and assessment of COPD. It also outlines the goals and components of COPD management, including reducing risk factors like smoking, managing stable COPD with pharmacotherapy and rehabilitation, and managing acute exacerbations. The severity of COPD is classified into four stages that determine the step-wise treatment approach.

1. COPD and the GOLD Guidelines Fiona R. Prabhu, MD Assistant Professor, Family & Community Medicine February 21, 2005

11. Diagnosis of COPD

23. COPD Management Program GOLD (Global Initiative for Chronic Obstructive Lung Disease) Guidelines

26. Assess and Monitor Disease

31. Reduce Risk Factors

34. Smoking Cessation Strategy Treating Tobacco Use and Dependence . Quick Reference Guide for Clinicians. Schedule a follow-up contact, either in person or via telephone Arrange Aid the patient in quitting e.g. quit plan, counseling, intra-treatment social support, extra-treatment social support, approved pharmacotherapy, supplementary materials Assist Determine willingness to make a quit attempt. e.g. within the next 3 days, how willing is this person to make a quit attempt Assess Strongly urge all tobacco users to quit, in a clear, strong, and personalized manner Advise Systematically identify all tobacco users at every visit Ask

38. Manage Stable COPD

56. Non-Pharmacologic Therapy

62. Manage Exacerbations