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The Proceedings of the American Thoracic Society 5:567-571 (2008)
© 2008 The American Thoracic Society
doi: 10.1513/pats.200708-125ET
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Multidisciplinary Care of the Patient with Chronic Obstructive Pulmonary Disease

Anne Marie Kuzma1, Yvonne Meli2, Catherine Meldrum3, Patricia Jellen4, Marianne Butler-Lebair1, Debra Koczen-Doyle1, Peter Rising1, Kim Stavrolakes4 and Frances Brogan4

1 Temple University, Philadelphia, Pennsylvania; 2 Cleveland Clinic, Cleveland, Ohio; 3 University of Michigan, Ann Arbor, Michigan; and 4 Columbia University, New York, New York

Correspondence and requests for reprints should be addressed to Anne Marie Kuzma, R.N., M.S.N., 3401 North Broad Street, Philadelphia, PA 19140. E-mail: Annemarie.kuzma{at}tuhs.temple.edu

ABSTRACT

The National Emphysema Treatment Trial used a multidisciplinary team approach to implement the maximum medical care protocol, including adjustment of medications and outpatient pulmonary rehabilitation for all patients and nutritional and psychological counseling as needed. This article discusses the benefits of such an approach in the care of the patient with chronic obstructive pulmonary disease. Team member roles complement each other and contribute to the goal of providing the highest-quality medical care. The primary focus of the team is to reinforce the medical plan and to provide patient education and support. This article reviews the elements of the initial patient assessment and the functional and nutritional assessment. Patient education focuses on medication use, recognition and management of chronic obstructive pulmonary disease exacerbation symptoms, smoking cessation, advance directives, and travel.

Key Words: multidisciplinary team • nutritional assessment • patient education • advance directives • travel with oxygen






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