| Score: | |
| Impact Level |
Very High
High
Medium
Low
|
| Broad clinical picture of the impact of COPD by CAT score |
Their condition stops them doing everything they want to do and they never have
any good days. If they can manage to take a bath or shower, it takes them a long
time. They cannot go out of the house for shopping or recreation, or do their housework.
Often, they cannot go far from their bed or chair. They feel as if they have become
an invalid.
COPD stops them doing most things that they want to do. They are breathless walking
around the home and when getting washed or dressed. They may be breathless when
they talk. Their cough makes them tired and their chest symptoms disturb their sleep
on most nights. They feel that exercise is not safe for them and everything they
do seems too much effort. They are afraid and panic and do not feel in control of
their chest problem.
COPD is one of the most important problems that they have. They have a few good
days a week, but cough up sputum on most days and have one or two exacerbations
a year. They are breathless on most days and usually wake up with chest tightness
or wheeze. They get breathless on bending over and can only walk up a fl ight of
stairs slowly. They either do their housework slowly or have to stop for rests.
Most days are good, but COPD causes a few problems and stops people doing one or
two things that they would like to do. They usually cough several days a week and
get breathless when playing sports and games and when carrying heavy loads. They
have to slow down or stop when walking up hills or if they hurry when walking on
level ground. They get exhausted easily.
Upper limit of normal in healthy non-smokers
|
| Possible management considerations |
Consider:
Patient has room for improvement - optimise management. In addition to the guidance
provided for patients with low impact CAT scores consider:
Patient has significant room for improvement. In addition to the guidance for patients
with low and medium impact CAT scores consider:
|