Study Shows That Patients with COPD Struggle to Identify and Set GoalsBackground: Health care professionals generally treat those with various chronic diseases according to guidelines that are developed for the specific condition. For example, the 2017 Global Initiative for Obstructive Lung Disease (called GOLD) Strategy emphasizes two goals of treatment for COPD: 1. Improve symptoms, which is mainly shortness of breath; and 2. Reduce the risk of a flare-up (called an exacerbation). However, individuals who have COPD may have other interests related to their breathing. Hopefully, your health care professional will ask, “What are your goals for improvement?” Study: Dr. Boeckxstaens and colleagues at Ghent University in Belgium interviewed 19 patients diagnosed with COPD who had other medical conditions (called comorbidities) like diabetes, high blood pressure, or heart disease. The interviewers asked patients about their goals and how to identify them. The study results were published in the November 2016 issue of the Journal of Comorbidity (volume 6: pages 120-126). Results: In general, the investigators found that patients do not naturally state or express their personal goals even when different interviewing techniques are used. The authors suggested that there were four main reasons for this: 1. Patients may find it difficult with the concept of goal setting; 2. Patients may accept their situation or limitations rather than set goals; 3. Various stresses (like family issues or fear to having a breathing attack) may be of greater concern than setting goals. 4. Some patients may consider their own goals as being selfish. Conclusions: The authors suggest that health care professionals help patients identify their personal goals rather simply accept what guidelines recommend. My Comments: At your first visit or interview for starting pulmonary rehabilitation, the nurse or therapist will ask, “What are you goals for improving? What do you want to do that is difficult now?” The response may be as simple as being able to play with grandchildren or to go to lunch/shopping with friends. This process in intended to help the person“set goals” in order to improve. I encourage anyone with a health problem, such as COPD, to consider and to ask yourself, “What are my goals?” Then, set a plan with your health care professional because
“A goal without a plan is just a wish” by Antoine de Saint-Exupéry.