Health, Happiness & Community Sing Your Lungs Out Study Group; Medical Research Institute of New Zealand Dr Amanda McNaughton, Dr Sarah Aldington, Gayle.

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Presentation transcript:

Health, Happiness & Community Sing Your Lungs Out Study Group; Medical Research Institute of New Zealand Dr Amanda McNaughton, Dr Sarah Aldington, Gayle Williams RN Matthew Williams, Dr William Levack

Chronic Obstructive Pulmonary Disease It’s not all about inhalers What matters for the patient Community

Early Childhood Eosinophilia Social determinants of Health

Management of COPD Treat underlying conditions Inhaled LABA, LAMA, ICS SABA, SAMA Domiciliary Oxygen Morphine / Anxiolytics Non-invasive ventilation Lung Transplant Quit smoking Influenza vaccine Pulmonary Rehabilitation Self Management

The pyramid of value for COPD interventions developed by the London Respiratory Network / LSE Estimates of cost per quality adjusted life year gained.

Pulmonary rehabilitation

Sing Your Lungs Out COPD choir Newtown October 2014

Singing group Reduce air trapping Breathing control Learning Confidence Giving Friendships Purpose Emotional benefits Relaxation Laughter Exercise Connection with others Community support

Management of COPD Evidence BasedIndividualised Treat underlying conditions Inhaled LABA, LAMA, ICS,SABA, SAMA Domiciliary Oxygen Morphine / Anxiolytics Non-invasive ventilation Lung Transplant Quit smoking Influenza vaccine Pulmonary Rehabilitation Self Management Community groups & activities

Sleep Exercise Company Good food Medication Purpose A project Autonomy What matters for them Connection with others