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Patient Education Worksheet: COPD

Patient Education Worksheet: COPD

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DATE:<strong>Patient</strong> <strong>Education</strong> <strong>Worksheet</strong>:<strong>COPD</strong>MRN:NAME:Date <strong>Education</strong> Content/ItemCondition/DiseaseKrames Sheet: <strong>COPD</strong>, What IsKrames Sheet: Emphysema, What IsKrames Sheet: Bronchitis, What IsKrames Sheet: Chronic Lung Disease: Preventing Lung Infections<strong>Patient</strong> <strong>Education</strong> Video: <strong>COPD</strong> (174)MedicationsKrames Sheet: Inhaler, using with a SpacerKrames Sheet: Inhaler, Using without a SpacerKrames Sheer: Dry-Powder Inhalers, Using (DPIs)Medications:____________________________________________________________________________________________________________________________________SAMPLETestsKrames Sheet: Pulmonary Function TestsTreatmentsKrames Sheet: Lung Disease, Chronic: If Oxygen Is PrescribedDiet/NutritionKrames Sheet: Lung Disease, Chronic: Staying Healthy with Good NutritionMobility/Activity/SafetyKrames Sheet: Breathing, Pursed-LipEquipmentKrames Sheet: Nebulizer, Using a (Adult)Form #: HFHS-59-2045MR-0610 1


DATE:<strong>Patient</strong> <strong>Education</strong> <strong>Worksheet</strong>:<strong>COPD</strong>MRN:NAME:Hygiene/Wound CareCommunity ResourcesKrames Sheet: Lung Disease, Resources for ChronicDischarge InstructionsKrames Sheet: Inhaler, Metered dose, Discharge InstructionsKrames Sheet: Oxygen, Using at HomeKrames Sheet: Pursed-Lip Breathing, Discharge InstructionsSAMPLEForm #: HFHS-59-2045MR-0610 2

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