Chronic Obstructive Pulmonary Disease In Evidence

Chronic Obstructive Pulmonary Disease in Evidence-Based Practice

Chronic pulmonary obstructive disease (COPD) is a serious chronic condition among millions of Americans that is characterized by airflow blockage and various breathing-related problems. In the majority of cases, patients who are diagnosed with COPD have to be hospitalized in order to receive appropriate treatment and management of the disease (Overington et al., 2014). According to the Global Burden of Disease Study, COPD is the third leading cause of death worldwide (Welte, Vogelmeier, & Papi, 2015).

To avoid complications or predict its progression, a variety of interventions may be offered to the population. In this paper, COPD, its pathophysiology, and etiology will be discussed as a part of evidence-based practice (EBP) to understand better the effects of its alternative therapies such as acupuncture and herbal medicine.

Description of COPD

COPD is a condition that may threaten human life in a variety of ways. The pathophysiology of this disease begins with the damage of the airways and develops as a cough with or without mucus that prevents normal breathing. Emphysema (alveoli’s damage because of the fibers) and chronic bronchitis (bronchioles’ inflammation and associated mucus) are the two well-known phenotypes of COPD (Overington et al., 2014). The speed of chronic inflammation and the level of damage vary among COPD patients and are closely connected with human genetics and disease etiology.

The main causes of COPD as a chronic condition include tobacco smoking, occupational exposure to dust or some dangerous chemicals, and oxidative stress because of alpha-1 antitrypsin deficiency. Lung tissue damage is easy to achieve when a person lives in a harmful environment. It is not enough to avoid danger, and people should be ready to protect their bodies and strengthen the immune system. People who neglect precautions and continue smoking or using drugs put themselves under threat of being undiagnosed at the early stage and suffer from more severe stages of COPD (Welte et al., 2015). Such signs as shortness of breath or chest pain are hardly recognizable as a part of COPD, and many people receive treatment at the later stage.

Treatment Options

To diagnose COPD, therapists usually use special lung function tests, chest X-ray, and CT scans. These practices help detect lung damage and check the ability of the lungs to hold air. As soon as COPD is approved, patients have to receive appropriate treatment and quit smoking. Pharmacological options are considered the main part of the first-line therapy for COPD patients. Bronchodilators are frequently supported as the main medication due to their ability to relax muscles and improve airways. Short-acting beta-agonists like albuterol, salmeterol, or formoterol have to be taken from 1-2 puffs to 8 puffs per day (Fan et al., 2016).

Regarding the results of EBP guidelines and pharmacotherapy, about 27% of patients reported the cases of overuse of this type of drugs (Fan et al., 2016). Antibiotics are recommended to 70% of patients with mild or moderate COPD (Welte et al., 2015). Finally, inhaled corticosteroids aim to reduce inflammation and even control exacerbations between patients (Overington ain al., 2014). These kinds of medications can turn out to be used for the treatment of rather than protecting against purposes.

Alternative Therapies’ Exploration

Typically the global responsibility of COPD is one involving the factors behind enhanced investigations and numerous analyses of existing research studies. Typically the authors from distinct countries offer a various new and substitute ways to package with COPD. Intended for example, in a lot of Oriental countries, plant based tools are frequently employed as therapeutic real estate agents for COPD people (Liao, Hu, Chen, & Hung, 2017). Different formulas involving herbs are presented by medical doctors.

Throughout the study by simply Liao et approach. (2017), an unique sample choice was performed to identify dua puluh enam, 448 patients between a million individuals using COPD. By making use of this sort of exclusion criteria while missing data, patients’ age, along with the season of the prognosis, the participants have been divided as uses: users of classic Traditional chinese medicine (n=9, 948) and nonusers involving traditional Chinese remedies (n=9, 194) (Liao et al., 2017). For example, it absolutely was proved that many herbs like Kemudian Shen could turn out to be accustomed to potentiate typically the anticoagulation effect involving warfarin.

Chinese medicine in addition introduces acupuncture among the possible non-pharmacological tactics for COPD patients. Feng, Wang, Li, Zhao, and Xu (2016) suggested this approach as being a chance to be able to reduce dyspnea of which is observed inside of COPD patients. Seventy-two patients were aimlessly split up into 2 teams with one class really receiving needling three times during 6 weeks, and one other group fictitiously acquiring needling in the identical time (Feng ain al., 2016). Acupuncture treatment was explained as being an effective means to be able to increase the health-related good quality of COPD patient’s life.

Non-Pharmacological Treatment

Regarding typically the information gathered by research studies along with the results demonstrated by participants from distinct countries, alternative remedy in the web form of herbal remedies and acupuncture could possibly be offered to COPD patients. COPD is definitely a chronic shape with which a lot of people have to are living (Welte et approach., 2015). Pharmacological remedy may not be neglected, and even there is to be able to improve the good quality of life using non-pharmacological approaches. As being a nurse practitioner the treatment of someone with COPD, I want to advise acupuncture and plant based medicine. These strategies can hardly turn out to be damaging to adult people. The outcome show of which certain improvements will be observed shortly. This kind of approach is the possibility to recover and even influence COPD issues among different people.

Instructions and Conclusion

Doing this kind of paper, I managed to get some sort of chance to boost my knowledge concerning COPD along with the issues that many men and women have because involving tobacco smoking along with the necessity to in real time in the hazardous environment. Human advancement has its outcomes on health, and even COPD is probably the causes harm to that replace the fashion of life. Substitute interventions should by no means be chosen intended for granted. Deep exploration and evidence-based training are required to be able to make sure results may be reached.

This kind of work shows of which alternative medicine similar to herbs or acupuncture treatment has already recently been used by distinct nations. People of varied occupations, ages, and even both genders get their pros and negative aspects to support substitute treatment. After typically the research conducted, My partner and i believe that substitute medicine is best suited for COPD affected individuals under certain situations and thorough correction.

To be able to conclude, you need to declare that COPD is definitely a dangerous serious condition that is definitely seen as a quantity of signs and even complications. The examination of its pathophysiology and etiology testifies not many men and women are aware involving effective preventive approaches whilst they know of which COPD may get rid of. Treatment for COPD patients may vary, relying on people’s personal preferences, health conditions, and even other issues. Substitute medicine is a possiblity to look at remedy coming from a new perspective, plus its recommended certainly not to neglect this kind of step in current medicine.


Fan, V. S i9000., Gylys-Colwell, I., Locke, E., Sumino, T., Nguyen, H. Queen., Thomas, R. Michael., & Magzamen, S i9000. (2016). Overuse involving short-acting beta-agonist bronchodilators in COPD in the course of periods of specialized medical stability. Respiratory Medicine , 116 , 100-106. Website.

Feng, J., Wang, A., Li, X., Zhao, D., & Xu, J. (2016). Acupuncture treatment for chronic obstructive pulmonary disease (COPD): A multicenter, randomized, sham-controlled trial. Medicine , 96 (40). Website.

Liao, Y. N., Hu, W. L., Chen, H. J., & Hung, Y. G. (2017). The work with of Chinese plant based medicine inside the remedy of chronic obstructive pulmonary disease (COPD). Typically the American Journal involving Chinese Medicine , forty-five (2), 225-238. Web.

Overington, J. G., Huang, Y. G., Abramson, M. T., Brown, J. M., Goddard, J. 3rd there’s r., Bowman, R. Sixth v., … Yang, My partner and i. A. (2014). Putting into action clinical guidelines intended for chronic obstructive pulmonary disease: Barriers and even solutions. Journal of Thoracic Disease , 6 (11), 1586-1596. Website.

Welte, T., Vogelmeier, G., & Papi, Some sort of. (2015). COPD: Early on diagnosis and remedy to slow disorder progression. International Journal involving Clinical Practice , 69 (3), 33

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