Adherence To Therapy: A Qualitative Study

I will analyse the prevalence of the condition and what the potential causes may be. My interests have been directed to pre hospital care and community lead treatment packages, which are potentially available to the patient, as this is the acute environment, which I will have contact with in my employment as a paramedic. The initial reading was to understand COPD as a chronic condition, what is COPD? and its prevalence in the population. The (World health organisation, 2000), states that one in four deaths in the world are caused by COPD. In 2010 (Vos T Flaxman etal, 2012), says globally there were approximately 329 million, which is 4.8% of the population who are affected by this chronic condition, In the UK (NICE, 2010), have estimated that 3 million people suffer from COPD, with more yet to be diagnosed. This information about the amount of people living with this condition was surprising, as I little knowledge of its existence. During the early 1960’s (Timothy Q. Howes, 2005), says the term COPD had been designated as a single term unifying all the chronic respiratory diseases. Since then the term COPD, has been sub divided in to three umbrella areas, Bronchitis, Emphysema and Chronic asthma, which are separate conditions, which I have been previously aware of as their individual conditions. The 58 year old patient who we visited,

There are no cure for this disease. However, there are different treatment to prevent further deterioration of the lungs function in order to improve the quality of life of the patient by increasing capacity of their physical activity. One of the main severe complication a patient with COPD can develop is exacerbation. Increased breathlessness, increased sputum volume and purulent sputum are the signs and symptoms of exacerbation. Early detection of the signs of exacerbation can help keep the condition of the patient from worsening. The treatments of COPD mainly aims at controlling the symptoms of exacerbation such as taking inhalers. Patients who are over the age of 35 and ex-smokers with chronic cough and bronchitis are recommended to have spirometer (NICE, 2004). This is because it is possible to delay or prevent patients from developing severe case of COPD is identified before they lose their lungs functions. Oxygen therapy is another treatment for COPD as the patients with this condition has high

Accordingly, to this information of COPD: Coping with COPD from PubMed Health, this article provides the early stages, progression, coping and emergency plan and this disease affects family and friends. It is written answering the question, what to expect from COPD and how to manage this lung disease? A team of health care professionals, scientists and editors, and experts (Chronic obstructive pulmonary disease (COPD), 2015), provides education of how this disease may affect daily lives, how to live with this disease and what causes

The study included 100 patients with COPD. All patients fulfilled the inclusion and exclusion criteria. According to its demographic and clinical parameters and treatment groups differ among themselves. Completed the study, all patients included in the study. The therapy in all patients with a clinically meaningful improvement of symptoms was observed.

Chronic obstructive pulmonary disease (COPD) is major leading cause of morbidity and mortality in United States. There are some risk factors for COPD like age and smoking and other illnesses, often leading COPD patients to present with multiple coexisting comorbidities. COPD exacerbations and comorbidities plays a major role in the overall severity in individual’s health. The management and the medical intervention in COPD patients with comorbidities need a holistic approach. All of the health care specialists in COPD management need to work together with professionals specialized in the management of the other chronic diseases in order to provide a multidisciplinary approach to COPD patients with multiple diseases. A patient M. A. 72 years

I agree with you, the patients we treat should be just as responsible in their healthcare plans as we are in rendering treatment plans; however, providing care to non-adherent patients can place everyone at certain risk if not handled appropriately. The best way to protect the clinic and your staff when dealing with non-adherent patients is to not only document non-adherence issues identified, but also be specific as to which strategies were implemented to help the high risk patient in becoming compliant with proposed medical guidelines ( CMPA, 2013). The CMPA recommends that having open communication with patients is important and providers need to assess potential obstacles ( socio-economic, education levels, language barriers, and attitudes) early on; therefore, begin to provide available resources to assist the patient in hopes to mitigate foreseeable complications. Foreseeability entails "guarding against that which is probable and likely to happen, not against that which is only remotely possible" ( Pozar, 2016, p.

Within the confines of this assignment, it is the hope of the author that the reader will obtain an understanding of Chronic Obstructive Pulmonary Disease (COPD). This will be achieved by bringing the reader through the patients’ illness journey. The assignment will begin by defining COPD and briefly going through the pathophysiology and incidents of the condition. From there the reader will embark on the journey, starting with diagnosis.

An important nursing intervention for a patient with COPD is to improve functional capacity of the lungs with oxygen use (ANA, 2012). An oxygen saturation value of 90% or higher is the optimal goal for the patient (ANT, 2012). Patients should be instructed on how to use oxygen properly and safely,

Management is diverse, the objective is to relief from symptoms, delay progression, increase exercise tolerance and reduce mortality; this can be accomplished by preventing and treating complications (Nettina, 2013). Since smoking is so rampant in this patient, it is critical that the nurse translates the importance of smoking cessation to slow disease advancement and increase survival (Nettina, 2013). Another standard treatment of COPD is the use of inhaled bronchodilators that reduce dyspnea and bronchospasm (Nettina, 2013). Some of these medications are long acting, such as the anticholinergic Tiotropium or the beta adrenergic agonists Salmeterol, others are short acting, used before activity or when symptoms worsen; examples of such are Ipratropium, an anticholinergic, and the beta adrenergic agonists Albuterol (Nettina, 2013).The patient that has repeated exacerbations and is symptomatic with a FEV1 less than fifty percent is often prescribed inhaled corticosteroids (Nettina. 2013). Those experiencing an acute exacerbation are prescribed oral corticosteroids due to their anti-inflammatory attributes (Nettina, 2013). All of these inhaled medications require the nurse to provide extensive teaching on proper use of the types of inhalers, as well as, the importance of the taking as prescribed; this is also the case of the oral corticosteroid

COPD is an important disease to be informed about because it affects millions of people. This paper discusses signs and symptoms, treatments, abnormalities you may find, as well as many of interesting things about COPD. Being informed about COPD can also possibly decrease your chances of developing the disease.

The most crucial part in any treatment plan for a COPD patient is to stop smoking. By continuing to smoke after a COPD diagnosis could cause your symptoms to worsen and the treatment plan to fail. Medications are another way to treat symptoms and complications. Some of the medications are used on a regular basis or on an as needed basis (PRN). Another treatment is lung therapy, which are often used for moderate to severe cases of COPD. Surgery is also an option for people who the medication has not sufficiently helped or people with severe forms of emphysema. Surgery could be a lung transplant and lung volume reduction

Intervention for COPD is focused on managing underlying conditions. The goal is to improve airway function. Some strategies include using antibiotics to treat infection, diuretics which reduce pressure on the heart and lungs, some bronchodilators to help expanding the airways, as well as corticosteroids to reduce inflammation, and last in severe cases use of mechanical ventilation can be efficient and effective to keep oxygenation in an optimal level

Straka (2012) suggested effective HH education in basic nursing curricula may improve adherence in clinical practice. Interactive educational methods include role play, student feedback, cognitive reflection, self-assessment, or use of a fluorescent marker to demonstrate HH effectiveness. Huang et al. (2002) found increased adherence four months after an educational intervention. Hill et al. (2014) found LTCF nurses often received HH training using return demonstration and were more likely to educate residents, family members, or visitors. Ellingson et al. (2014) found having a clinical role model provide HH education helpful.

From my perspective, normative theories are appropriate methods of carrying out a task. Jim Summers (2014) describes several of these theories in our readings. While I found each one interesting, his discussion about ethical egoism intrigued me the most. He believes that ethical egoism does not qualify as normative because “It is not binding on all” and that it is more of “an ethical problem” (Summers, 2014, p. 7 ). I agree egoism is an ethical issue, however, the consequences of the theory brings justification as to why it should be recognized as a normative theory.

Therapist met with individual to discuss disrespecting his teacher and bothering his peers. Individual states his teacher makes him mad and his peers talks about him. Therapist and individual worked on decision-making skills to avoid disrespecting authority figures and avoid negative peer interactions through open discussion. Individual states he will keep his mouth close when he’s angry.