title: An innovative approach to respiratory management for long-term care patients.
abstract: Chronic obstructive pulmonary disease (COPD) is a condition that incapacitates a person physically, psychologically, and socially. Most of the supportive literature of respiratory care programs addresses noninstitutionalized patients. Many long-term care patients have relinquished much of their responsibility for self-care and health promotion. Patients often lack knowledge of the meaning of their disease, the role of exercise, nutrition, smoking, and medication. These factors, coupled with long-term institutionalization, contribute to progressively increasing disability. Our COPD program builds on the concepts of enablement and excess disability. A multidisciplinary team provides patients with the "tools" that allow them to take active responsibility for their health.
authors.affiliation: Division of Extended Care, Sunnybrook Health Science Centre, Scarborough, Ontario, Canada.
authors.forename: J S
authors.initials: JS
authors.lastname: Taylor
authors.forename: J
authors.initials: J
authors.lastname: Gleason
authors.forename: L
authors.initials: L
authors.lastname: Grady
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy; D006293:Health Promotion; D006801:Humans; D007400:Interprofessional Relations; D008134:Long-Term Care; D008173:Lung Diseases, Obstructive / Q000534:rehabilitation*; D008297:Male; D013781:Texas