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Table 5 Actions for the GP to perform

From: The AIMAR recommendations for early diagnosis of chronic obstructive respiratory disease based on the WHO/GARD model*

1) Indicate on the clinical record the status of smoker, ex-smoker, never smoker;
2) indicate on the clinical record occupational risk factors (e.g. welding, zinc workers, etc.);
3) train oneself and nursing staff in the use of risk cards, questionnaires, simple spirometry, and how to perform one;
4) use the computerized risk card;
5) administer the questionnaire to subjects at risk;
6) perform a simple spirometry (see below) for initial identification of disease;
7) perform a global spirometry on subjects with altered spirometry;
8) refer patients who present alterations to the pulmonary specialist for diagnostic confirmation, staging, and therapy prescription;
9) monitor subjects at risk who are still without manifest disease, and try to enroll them in a smoking cessation project;
10) refer to the pulmonary specialist subjects with negative results on spirometry but persistent diagnostic suspicion of chronic respiratory disease.
  The GP should be assisted by:
    - a secretary (point 1, 2);
    - a nurse under the GP’s supervision (point 3, 4, 5, 6, 7).