Table 4: Follow-Up and Regular Review of Patients with Exacerbationsa

Risk Factors
  • Assess any modifiable risk factors
  • Assess smoking behavior since index event
  • Ask if patient wants to quit smoking
Disease Progression and Patient Health Status
  • Assess dyspnea qualitatively through questions regarding ADL
  • Note patient perceptions regarding own symptoms and abilities to perform ADL
  • Note somnolence, development of new or worsening of current symptoms
  • Assess any medical care sought by patient after index event
  • Enable access to appropriate treatments and management of comorbidities
Treatment Review
  • Assess patient adherence to prescribed dosing of medication
  • Assess inhalation technique for relevant medications
  • Assess the use of alternate remedies
  • Ask about difficulties in filling prescriptions, e.g. due to cost
  • Note patient perceptions regarding treatment efficacy
  • Adjust treatments if necessary according to patient needs and preferences
  • In patients who continue to smoke, work collaboratively with the patient’s physician to assist the patient with effective, long-term cessation by prescribing effect medication, giving the patient clear, supportive message to quit, and referring the patient to community cessation programs.

ADL=activities of daily living.
a Please refer to reference [5] as cited in text.