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Mona Bafadhel

@monabafadhel.bsky.social

NIHR Research Professor | Professor of Respiratory Medicine - King's College London | Consultant Respiratory Physician - Guy's and St Thomas' NHS Foundation Trust

3 Posts50 Follower 19 Folgt

Karolina Kuberska @kkuberska.bsky.social · last yr.

Our paper highlighted the awareness of multiple risks that colours hospital-based respiratory clinicians’ views on offering rescue packs on hospital discharge to patients with #COPD exacerbation. Read our paper to find out more! doi.org/10.1080/1541... @asthmaandlung.org.uk #rescuepacks #AMR

Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study

“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, r...

doi.org

Karolina Kuberska @kkuberska.bsky.social · last yr.

📢New publication📢 Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study doi.org/10.1080/1541... @instagraham.bsky.social @profhurst.bsky.social @monabafadhel.bsky.social

A diagram of clinicians’ considerations around offering rescue packs to patients discharged following COPD exacerbation
There are three nested ovals depicting different levels of considerations, with text inside.
The largest oval has the heading “Macro-level considerations” and includes three text boxes: antibiotic stewardship; preventing hospital admissions; and pressures in the NHS.
The middle oval has the heading “Meso-level considerations” and includes three text boxes: following national guidance and audit requirements; hospital clinicians’ access to patients’ primary care records; and local access to primary care.
The smallest oval has the heading “Micro-level considerations” and includes two text-boxes: patient’s self-management skills and empowering patients.

Screenshot of the paper's pdf.
Title: Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study
Authors: Karolina Kuberska, Graham Martin, John R. Hurst, Mona Bafadhel
Abstract
“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, rescue packs are guideline-recommended but not routinely offered on hospital discharge. They are, however, commonly prescribed by primary care teams. This study examined hospital-based respiratory clinicians’ views on offering patients rescue packs following hospitalisation for COPD exacerbations. We conducted 24 individual and joint semi-structured interviews via telephone or videocall with 30 clinicians (respiratory consultants, respiratory registrars and specialist nurses) in 20 UK hospitals to understand variation in practice around, and views on, offering rescue packs to discharged COPD patients. Interview data were analysed using the constant comparative method. Clinicians’ views on offering rescue packs were a mixture of concerns and recognition of potential benefits. Concerns included antimicrobial resistance, individual overuse of antibiotics, and potential side effects of steroids, especially in patients with poorer understanding of their own condition, with lower self-management skills, or who found it difficult to access primary care. Recognised benefits included the potential to prevent future exacerbations, empowering patients by supporting COPD self-management, and circumventing the difficulties of securing an urgent primary care appointment. There was a consensus that supporting patients in self-management of COPD was key to effective care. Given the increasing role of self-management for patients living with COPD, it is vital to ensure that patients are able to appropriately use rescue packs.

King's College London @kingscollegelondon.bsky.social · last yr.

A new report has found that people with chronic obstructive pulmonary disease (COPD) feel like ‘second class citizens’. Launched today at the House of Commons, the report sets out the stark reality people with COPD face in securing diagnosis & accessing care. www.kcl.ac.uk/news/people-...

People with COPD feel like 'second class citizens', finds new report

A report from King’s College London sets out the stark reality people with chronic obstructive pulmonary disease (COPD) face in securing diagnosis and accessing care.

kcl.ac.uk

Nikki Smallcombe @nikkismallcombe.bsky.social · last yr.

What a powerful and humbling day today launching the #COPDVoices campaign. Patients and carers have spoken and we need to listen. Time to focus on getting early diagnosis, equitable access and management right. It’s a matter of life and breath.

Chris @chrismwasuku.bsky.social · last yr.

#COPDvoices the patients and carers have spoken. It’s our duty to listen. @monabafadhel.bsky.social @nikkismallcombe.bsky.social @thomassue.bsky.social

Mona Bafadhel @monabafadhel.bsky.social · last yr.

Thank you to everyone who attended the #COPDVoices launch at Parliament today! 🗣️ Great opportunity to highlight the needs, challenges and reality of people living with COPD and their carers. Special thanks to @thomassue.bsky.social for organising 🎉

Chris @chrismwasuku.bsky.social · last yr.

What a great turn out and a fantastic day of interactions with @nikkismallcombe.bsky.social at the Houses of Parliament today launching the “COPD voices report” led by @monabafadhel.bsky.social @thomassue.bsky.social

Mona Bafadhel @monabafadhel.bsky.social · last yr.

Thrilled to launch “COPD Voices: A Matter of Life and Breath” today, highlighting the lived experience of people living with COPD and their carers. #COPDVoices 🫁

Chris @chrismwasuku.bsky.social · last yr.

As someone working in COPD research, I’m thrilled to be part of the the launch of COPD Voices: A Matter of Life & Breath. Behind every stat, like “a COPD exacerbation every 20 seconds in the UK” is a real person, a real story. It’s time to listen and push for change. #COPDVoices #TimeForChange

Nikki Smallcombe @nikkismallcombe.bsky.social · last yr.

A big day today with the launch of the “COPD Voices: A matter of life & breath” detailing the lived experiences of people w COPD 🫁