COPD review

COPD review.

Since last seen:
MRC dyspnoea scale [1 to 5], previously []
CAT score [], previously []
Exacerbations treated at home: []
Exacerbations needing admission: []
Any ventilatory support: []
Exercise tolerance: [metres on the flat]

Treatment:
Current inhalers: [drug, device, dose, doses per day]
Inhaler technique observed today: [adequate, or the specific error seen]
Prescription collections in the last 12 months: []
Rescue pack: [held, used how many times, and appropriately or not]
Nebuliser or home oxygen: []
Mucolytic: []

Fundamentals:
Smoking status: [current with pack-years, or ex with quit date]
Very brief advice and treatment offered: []
Pulmonary rehabilitation: [completed and when, on the waiting list, declined,
or due a repeat]
Vaccination: [influenza, pneumococcal, COVID-19, RSV]
Physical activity: []
Weight [] kg, BMI [], any unintentional weight loss []
Anxiety or depression screened: []

Measurements:
SpO2 []% on air, at rest
Post-bronchodilator FEV1 [] L ([]% predicted)
Blood eosinophils [] x10^9/L
[walk test result if done]

Assessments due:
Long-term oxygen assessment indicated: [yes if resting SpO2 92% or less on
air when stable, or no]
Referral for lung volume reduction or valve assessment considered: [yes or no]
Alpha-1 antitrypsin checked at least once: [yes or no]
Anticipatory care and treatment escalation discussed: [yes or not yet]

Impression:
[stable, deteriorating, or frequent exacerbator], MRC [], FEV1 []% predicted,
[] exacerbations in the last 12 months.

Plan:
1. []
2. Self-management plan reviewed and reissued: []
3. Review in [] months, and sooner if [specific trigger to come back]