The main focus is to control, manage and prevent the acute exacerbation episode, while returning the individual to a stable level of overall health function. It has been demonstrated that with self-management there was an increased use of oral corticosteroids and antibiotics for respiratory symptoms, but a reduced need for rescue medication [87]. Other research has shown a decrease in hospital admissions and emergency visits with improved quality of life, after individuals participated in a multi-modality self-management program delivered by healthcare professionals with expertise in COPD [88]