title: [Management of older adults with COPD].
abstract: In older adults, the clinical condition of COPD is complicated and treatment often becomes difficult, because of existence of multimorbidity, such as nutritional deficiencies, thinness, sarcopenia, osteoporosis, cardiovascular disease, depression and cognitive impairment. Consideration based on each of coexistence is needed in the management of older adults with COPD. In end period of COPD, sleep disorder, depressive state and decline of ADL are often shown, in addition to the respiratory symptoms, such as dyspnea, cough and sputum. Financial strain for the nursing cost and medical equipment cost tend to become big year by year, utilization of social resources (i.e. application of respiratory disabilities and an insurance of the elderly care) is need to be considered.
authors.forename: Kumiko
authors.initials: K
authors.lastname: Hattori
authors.forename: Kozui
authors.initials: K
authors.lastname: Kida
mesh_terms: D000318:Adrenergic beta-Agonists / Q000627:therapeutic use; D000368:Aged; D000369:Aged, 80 and over; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D018450:Disease Progression; D005938:Glucocorticoids / Q000627:therapeutic use; D006699:Home Care Services; D006801:Humans; D007353:Insurance, Long-Term Care; D018529:Nutritional Support; D022242:Pneumococcal Vaccines; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*; D016540:Smoking Cessation; D013727:Terminal Care
chemical_list: D000318:Adrenergic beta-Agonists; D018680:Cholinergic Antagonists; D005938:Glucocorticoids; D022242:Pneumococcal Vaccines