COPD is a progressive chronic disease affecting more than 3.5 million Italians. After each exacerbation and hospital admission, lung function deteriorates further. An integrated home care programme can significantly reduce the frequency of exacerbations and improve exercise tolerance and quality of life.
Home pulmonary rehabilitation
Pulmonary rehabilitation is the most effective non-pharmacological intervention for COPD. The home respiratory physiotherapist teaches breathing techniques (pursed lip breathing, diaphragmatic breathing), airway clearance techniques (postural drainage, assisted coughing, Flutter) and an exercise programme adapted to the patient’s remaining abilities.
Managing inhaled therapy
Inhaled therapy is the cornerstone of pharmacological treatment for COPD, but its effectiveness depends on correct inhalation technique. Repeated studies show that more than 70% of patients use their inhaler incorrectly. The home nurse checks and corrects the technique at every visit.
An action plan for exacerbations
A written action plan shared with the patient defines what to do at the first signs of an exacerbation: when to increase bronchodilators, when to start oral corticosteroids, when to call the doctor and when to go to the emergency department. Used properly, this tool reduces hospital admissions.
📚 Scientific evidence
- GOLD (2025). Global Strategy for Prevention, Diagnosis and Management of COPD. goldcopd.org.
- Spruit M.A. et al. (2013). ATS/ERS statement on key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 188(8):e13-64.
- AIPO-ITS (2022). Linee guida italiane per la gestione della BPCO. Torino.
