Exercise Intervention in Patients with Chronic Obstructive Pulmonary Disease (CE)☆

Abstract 

Chronic obstructive pulmonary disease (COPD) is characterized by worsening airflow obstruction. In its late stages, patients experience decreased physical function and increased incidents of pneumonia, pulmonary hypertension, cor pulmonale, and chronic respiratory failure. Patients who regularly participate in moderate exercise experience greater control of symptoms and increased functional capacity compared with those being treated by pharmacologic measures alone. Guidelines for a comprehensive exercise program are provided. The Seven Step Approach is discussed as a means of motivating older adults with COPD to incorporate physical exercise into their daily activity. Encouraging exercise in older adults with COPD will help these individuals reach and maintain their highest level of function and quality of life. (Geriatr Nurs 2003;24:90-7).