The overlay goals, tied to the ordered parameters above, are:
The patient and caregiver recognize an exacerbation early — by the three cardinal symptoms — and act on the written action plan before hospitalization becomes necessary.
Oxygenation is maintained within the ordered range on the ordered flow, without over-oxygenation.
Inhaler and oxygen technique are correct on observation, so the prescribed therapy is actually delivered.
Rescue-medication use stays within the ordered frequency, and escalation is recognized and reported.
Exacerbation frequency and hospitalizations decrease over the episode of care, with the GOLD group and exacerbation history documented and reassessed.
