ANNUAL COPD CHECKLIST
Recommendation only for best management of COPD patients within a 12 month period, based on The Australian Lung Foundation “Stepwise Management of Stable COPD”, www.lungfoundation.com.au
Date: <<Miscellaneous:Date>>
Patient Name: <<Patient Demographics:Full Name>>	Date of Birth <<Patient Demographics:DOB>>	
6 Monthly | Date

Check lung function: perform pre and post spirometry 
(Item 11506)

Complete COPD assessment test (CAT: https://www.catestonline.org/hcp-homepage.html) |
Review frequency of exacerbations/hospitalisations |

Review and update GPMP (Item 732) & TCA (Item 732):
•	Review smoking status
•	Measure height, weight and calculate BMI
•	Review medications, check inhaler device technique
•	Review diet/healthy eating plan
•	Review level of physical activity and exercise tolerance
•	Check mental health status and social support systems
•	Review use of long term oxygen therapy, if applicable
•	Provide self-care education
•	Check co-morbidities & complications (eg. osteoporosis, heart failure, CAD, sleep apnoea, aspiration, GORD (reflux/aspiration), hypertension, lipidaemia)

Review and update written self management plan |
Yearly | Date
Check vaccination status (influenza, pneumococcal) |
Assess need to commence long term oxygen therapy |
Assess need for Pulmonary Rehabilitation |

General Practice Management Plan (Item 721) 
& TCA (Item 723)

Date commenced: | New plan due:

ANNUAL COPD CHECKLIST MD for  <<Patient Demographics:Full Name>>  DoB   <<Patient Demographics:DOB>>   Reviewed February 2020