Poor Inhaler Adherence and Techniques – How Can We Improve It?
| Autor: | Derek Nash |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Copd patients business.industry Inhaler Pain medicine medicine.disease Respir crit Obstructive lung disease Poor adherence 03 medical and health sciences 0302 clinical medicine Elderly population medicine 030212 general & internal medicine Geriatrics and Gerontology Intensive care medicine business 030217 neurology & neurosurgery Cause of death |
| Zdroj: | Current Geriatrics Reports. |
| ISSN: | 2196-7865 1630-1633 |
| DOI: | 10.1007/s13670-021-00355-9 |
| Popis: | Chronic obstructive lung disease is a leading cause of death and morbidity in the elderly. Inhaled therapy is the mainstay of treatment (Global Strategy for diagnosis, management and prevention of chronic obstructive lung disease, 2020). There has been a significant growth in the number of new inhaler devices. These devices are ever-improving and welcomed. This brings an increasing challenge of choosing the right device for the patient. Non-adherence has been shown to have a significant effect on morbidity and mortality. Recent research has shown that COPD patients with poor adherence and technique have a higher mortality and tend to be elderly, have impaired cognitive function and greater co-morbidities (Vestbo, et al., Thorax 64:939-43, 2009; Cushen, et al., Am J Respir Crit Care Med 197:1630-1633, 2018). This article is a review of inhaled therapy devices available. In particular it looks at challenges in the elderly population and approaches to same. Recent research has worked to try to understand and overcome challenges with inhaler adherence and techniques. In particular attention is turning to use of inhaler sensor technology. Improved nebulised technology including long acting pharmacological treatments are also providing new solutions to these challenges. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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