Chronic obstructive pulmonary disease a literature review

Chronic disease is a concern to rural healthcare systems and rural residents due to its impact on quality of life, mortality, and healthcare costs. Rural communities have fewer resources to prevent and treat chronic diseases and conditions than urban communities, while facing higher rates of multiple chronic conditions, which are difficult and expensive to treat. This guide will discuss the impact of chronic disease on rural America, how providers and communities can help patients with chronic diseases, and where to look for funding and opportunities to establish programs to address chronic conditions. Specific chronic diseases highlighted on this guide include:. For a more in-depth look at differences in health status for rural residents and contributing rural risk factors, see the Rural Health Disparities topic guide. Rural areas face higher rates of chronic disease and related mortality rates.
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Chronic obstructive pulmonary disease

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Chronic Kidney Disease | Chronic Kidney Disease | JAMA | JAMA Network

Written and peer-reviewed by physicians—but use at your own risk. Read our disclaimer. None of the individuals in control of the content for this article a continuing medical education activity reported relevant financial relationships with commercial interests. Acute exacerbation of chronic obstructive pulmonary disease AECOPD is defined as the acute worsening of respiratory symptoms in a patient with COPD that necessitates additional therapy. AECOPD is a clinical diagnosis and the diagnostic workup serves primarily to assess the level of severity and evaluate for any underlying trigger and coexisting comorbidities. Management of AECOPD consists primarily of respiratory support, inhaled bronchodilator therapy, and systemic corticosteroids. Testing should not delay urgent treatment in patients presenting with signs of respiratory failure or distress if clinical criteria of AECOPD are met.
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Chronic Kidney Disease

A chronic condition is a human health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term chronic is often applied when the course of the disease lasts for more than three months. Common chronic diseases include arthritis , asthma , cancer , chronic obstructive pulmonary disease , diabetes , Lyme disease , autoimmune diseases , genetic disorders and some viral diseases such as hepatitis C and acquired immunodeficiency syndrome. An illness which is lifelong because it ends in death is a terminal illness.
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Background: Transitions in care can increase patients' vulnerability to adverse events. In particular, patients admitted for heart failure or chronic obstructive pulmonary disorder COPD have high rates of readmission and return emergency department visits. Heart failure patients have the highest day readmission rates in Canada, and COPD patients comprise the highest volume of readmissions. Combined, these two conditions account for the largest number of emergency department returns.
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