60-year-old female with smoking induced COPD!!

[Dimple]

Hello, my neighbor is a 60-year-old white female has acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping and has requested to use this in the emergency department due to shortness of breath and wanting to sleep. She denies fever, chills, cough, wheezing, sputum production, chest pain, palpitations, pressure, abdominal pain, abdominal distension, nausea, vomiting, and diarrhea. She reports difficulty breathing at rest, forgetfulness, mild fatigue, feeling chilled, requiring blankets, increased urinary frequency, incontinence, and swelling in her bilateral lower extremities that are new-onset and worsening. Subsequently, she has not ambulated from bed for several days except to use the restroom due to feeling weak, fatigued, and short of breath. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies. Doctor diagnosed it as smoking induced COPD. How to cure this condition?

[Ajmal]

@dimple Nonpharmacologic cessation strategies include brief interventions, such as patient education and advice, behavioral therapy, self-help materials, and telephone counseling. A review of randomized or quasi-randomized trials of individual behavioral counseling for smoking cessation by trained therapists with 6 months or longer follow-up indicated that individual counseling was more effective than no intervention at all. Counseling usually consists of one or more face-to-face sessions, often accompanied by telephone contact for support. Evidence shows that group counseling is more effective than self-help and other less intensive intervention methods for smoking cessation. It is unclear if group counseling is more effective than individual counseling, but it is more effective than no intervention. Self-help materials might improve quit rates among smokers compared with those who receive no intervention, but the effect is generally small. Proactive telephone counseling, in which the counselor initiates client contact, enhances the benefit of telephone counseling in comparison to reactive counseling, in which the client initiates contact. Multiple sessions of telephone counseling improve quit rates