Originally published: February 2018


Find out about Margaret, an older lady with rheumatoid arthritis and COPD who is struggling to take her inhalers correctly.

Educational objectives

After completing this activity, you should be able to:

  • Describe the effect rheumatoid arthritis may have on a patient’s ability to take their inhaler correctly
  • Review how and when to assess lung function in a COPD patient
  • Understand the role of spirometry in managing COPD patients
  • Discuss how to effectively explain pulmonary rehabilitation to patients

This patient case scenario is fictional.

Dr Azhar Saleem is a GPwSI in respiratory and respiratory lead at Lambeth CCG, UK