Tutorials
The Clinical Assessment
National Welsh Standard
Making a diagnosis of COPD
The aim of this programme is to help instil correct COPD diagnosis in practice, identify patients on COPD registers that may not have the condition, and to identify the missing patients who may be living with undiagnosed COPD.
Check out the All Wales guideline, TV show and tutorials on the diagnosis of COPD in practice. When you are ready, navigate to the assessment to achieve the certificate.
NICE Quality standards [QS10]:
- People aged over 35 years who present with a risk factor and one or more symptoms of chronic obstructive pulmonary disease (COPD) have post‑bronchodilator spirometry.
TV Show: Making a diagnosis of COPD
The publication of the National COPD audit has highlighted some of the key issues in respiratory care. Anonymised routine data extracted from the records of almost 50,000 patients on COPD registers in Welsh general practices highlight that there are serious concerns about the diagnosis of COPD; one in four patients on COPD registers in Wales do not have a record of post-bronchodilator spirometry, and therefore could be mis-diagnosed.
The All-Wales COPD Management and Prescribing guideline is a simple, one-page guideline, providing specific guidance for anyone making a diagnosis of COPD across Wales. It standardises the diagnostic process, and provides a consistent approach to care in Wales.
In this TV show, Natalie Janes, Respiratory Nurse Specialist, explores the problem further and introduces the Guideline.
Mark as Understood
Sub-tutorials
The breathlessness pathway
Subjective clinical impression of COPD
Screening or case finding?
Pre and post bronchodilator spirometry
Spirometry and COPD diagnosis
Consider a differential diagnosis
Asthma COPD Overlap Syndrome (ACOS)
The impact of misdiagnosis
Guidelines
All-Wales COPD Management and Prescribing Guideline |
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Resources
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Global Strategy for the Diagnosis, Management and Prevention of COPD
The GOLD report has been used worldwide as a “strategy document” for healthcare professionals to use as a tool to implement effective management programmes based on local healthcare systems. The ABCD assessment tool has been used by many to structure their assessment of COPD symptom burden and create treatment plans.
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Quality Assured Diagnostic Spirometry for Chronic Obstructive Pulmonary Disease
The aim of this article is to provide an overview of the role of Quality Assured Diagnostic Spirometry in ensuring the appropriate diagnosis of COPD.
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NICE Quality Standard: Chronic obstructive pulmonary disease in adults
This quality standard covers the assessment, diagnosis and management of chronic obstructive
pulmonary disease (COPD). It does not cover prevention, screening or case finding.
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Opportunities to diagnose COPD in routine care in the UK: a retrospective study of a clinical cohort
Patterns of health-care use and comorbidities present in patients in the period before diagnosis of chronic obstructive pulmonary disease (COPD) are unknown. We investigated these factors to inform future case-finding strategies.
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Diagnosis and management of COPD in primary care
A guide for those working in primary care, produced by PCRS-UK, is endorsed by the Royal College of General Practitioners and the British Lung Foundation.
Assessments
Making a Diagnosis of COPD
45-minute case-based assessment
25 multiple choice questions
80% pass mark (20 out of 25)
Unlimited retakes
On successful completion, your certificate will appear under this tab.
Undertake Assessment
QI Projects
Getting the diagnosis right for patients on the COPD register
Fixing the COPD register (Project ONE of TWO)
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completed
completed
Overview of the project
This is the first of two projects, with the aim to review the COPD register and ensure all patients have an accurate diagnosis of COPD.
Why is it important?
Data collected from GP practices across Wales suggest that only 11.5% patients on the COPD registers have evidence to support their diagnosis of COPD.
Getting the diagnosis right for patients on the COPD register
The COPD Diagnostic Review (Project TWO of TWO)
0%
completed
completed
Overview of the project
This is the second of two projects, which involves inviting a patient in for a review of their COPD diagnosis and coding them correctly.
Why is it important?
Data collected from GP practices across Wales suggest that only 11.5% patients on the COPD registers have evidence to support their diagnosis of COPD.