Potential problems and solutions with inhaler use in elderly COPD patients.

With the number of elderly people increasing each year, the potential problems of treating chronic obstructive pulmonary disease (COPD) in elderly patients is likely to become more prevalent. Naturally occurring changes during aging may lead to a change in treatment needs. Mental and dexterity decline can lead to increased difficulty operating the inhalers that are a staple of COPD treatment. Decreased respiratory strength can make it difficult for patients to achieve an adequate peak inspiratory force, which may prevent maximum benefit from inhaler use. Pharmacists have the unique opportunity of interacting with patients at the point of care and can make a significant impact by ensuring that these barriers are not affecting their patients.