A Review of Quality of Life in the Older Adult Population While chronic obstructive pulmonary disease (COPD) cannot be cured, quality of life (QOL) for those diagnosed with this disease can be improved, thus enhancing patients’ physical experiences, as well as their emotional progress. Spending time with my grandfather, who has COPD, has inspired me to translate my experience with him into better care for my future patients. Analyzation of relevant medical literature regarding the health-related quality of care (HRQOL) for older adults (over the age of 50) with COPD provides a broad picture upon which to base my understanding and execution of ideal care techniques. Review of Literature Two disciplines were used to analyze and explore the concept of health-related quality of life in the older COPD adult. The discipline of nursing and psychology …show more content…
The impact of knowledge and education on coping strategies, disease management, symptoms to report, and mental health have been shown to improve HRQOL in the older adult COPD patient. Especially in a disease that is not curable, it is incumbent on medical professionals to understand how to positively impact HRQOL. Addressing patients’ needs from a physical perspective, while taking into account the psychological aspects, allows for a more potent, effective, holistic impact. Most often, the St. George’s Respiratory Questionnaire (SGRQ) will be used to measure HRQOL in older patients with COPD. Theoretical Definition HRQOL includes a multidimensional awareness of one’s physical, social, emotional and mental impact and the perception of his or her actions on health-related goals. HRQOL can be influenced by disease severity, gender, coping strategies, knowledge, and functional and physical impairment. Operational
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,
The topic is Chronic Obstructive Pulmonary Disease (COPD). It is an umbrella term used for respiratory disorders such as chronic asthma, chronic bronchitis and emphysema. It is a serious condition that restricts airflow to the lungs and is not fully reversible. It is a major cause of morbidity and mortality in Australia. More than 1 in 20 Australians over 55 have COPD and is also the fifth leading cause of death. There is also a rate of 1,008 per 100,000 of the population aged 55 and over being hospitalized for the condition. The rates among Aboriginal and Torres Strait Islanders compared with non-indigenous Australians are 2.5 times as high (Australian Institute of Health and Welfare, 2016). There is no cure however; the management can slow the disease progression and is therefore crucial to the quality of life of patients.
The answer is yes. In regards to the settings of data collection, a convenient group of English speaking, community dwelling people, who were diagnosed with COPD within the last 18 years, were selected for the interview. The data was collected with the help of “semi structured interview guide developed by the interviewer and the entire interview were audio taped”. The researcher states that, the use of the topic guide helped the researcher to obtain the detailed structure of health and healing strategies in the person with COPD experiences in his day to day life. Moreover, the researcher
COPD can affect the psychological wellbeing of the sufferer. Before Mr Woods condition deteriorated he was able to go out, he used to enjoy going fishing with his sons and playing with his grandchildren. Because of his condition, Mr Woods is prone to feelings of inadequacy and depression. He also feels guilty because of his growing dependency on his wife for the simplest of daily tasks such as making a cup of tea or answering the door.
The purpose of the study was to explore the individual awareness of the patients with the COPD illness and to know whether the patients understood the different symptoms associated with the condition. The study focused on ensuring that the patients had the ability to distinguish between acute exacerbations of the condition from the mild symptom. It also sought to ensure that patients have the ability to recognize the symptoms and patterns of the condition. The Social Cognitive Theory helps the researcher to explain
Through the convenience sampling, 90 clients were recruited as research participants were in the waiting room of the respiratory clinic. 60 subjects agreed to attend a support group for socialization with each other. 30 of 60 clients were assigned to participate in the presentation and therapeutic exercises by the instructor. The instructor group divided into halves: 15 clients received instructions with family caregiver and the other clients without a caregiver. The second 30 clients received written materials and allowed to access the website for video presentation and exercises. Half of website group assigned to the family caregiver and the other half without a caregiver. The last 30 subjects were assigned as a control group, and half of these clients received usual care with family caregiver and other 15 clients without a family caregiver. The data was collected by the pulmonary functional status survey, 30 items, five points, Likert-type scale.
In this YouTube video, and elderly man discusses what having COPD is like for him, and how it has impacted his life. He talks about when his condition first began, and how it has progressed over the years, that he can no longer do the things he loves to do like go for walks, play golf, and swim. At the end, when asked about how severe he thinks his COPD is, he talks about how just going off his quality of life (and forgetting the numbers) he believes his COPD is quite severe (lungne, 2011).
This assignment will explain the pathophysiology of the disease process chronic obstructive pulmonary disease (COPD). It will examine how this disease affects an individual looking at the biological, psychological and social aspects. It will accomplish this by referring to a patient who was admitted to a medical ward with an exacerbation of COPD. Furthermore with assistance of Gibbs model of reflection (as cited in Bulman & Schutz, 2004) it will demonstrate how an experience altered an attitude. In accordance with the Nursing and Midwifery Council, (NMC) Code of Professional Conduct (NMC, 2005) regarding safeguarding patient information no names or places will be divulged. Therefore throughout the assignment the patient will be referred to
Chronic Obstructive Pulmonary Disease (COPD) is currently defined as a progressive, but preventable and treatable disease that affects a person’s ability to breath. According to a recent statistical report done by Ford et al. (2013), the prevalence rate for COPD in the United States in 2011 was 13.7 million adults (Ford et al., 2013). The report stated that the majority of individuals diagnosed with COPD are over 45 years of age, with the highest number of individuals being 55-64 years of age. Furthermore, the authors found that women are more often diagnosed than men. In terms of prevalence based on race, the report indicated that non-Hispanic white individuals are more likely to be diagnosed with COPD than non-Hispanic African Americans or
Having COPD and living with it is a real challenge because it really makes everyday tasks extremely difficult especially if you have a very active and vigorous life every day. COPD can really make you feel hopeless and lifeless at many points of your life., Because of the fact that this disease it is a incurable disease and eventually will get worse most people sometimes seek out professional help especially if
Frequent visits to the emergency department (ED) and hospitalizations are not uncommon among patients suffering from COPD. However, one of the most significant challenges faced by COPD patients is that of distinguishing between the symptoms associated with an impending acute exacerbation and those elicited by the performance of their daily activities (Brandt, 2013). An exploratory study conducted by Brandt (2013) among twenty-eight community-dwelling participants found that an evidence-based teaching plan presented by rehabilitation nurses positively impacted the occurrence of exacerbations (p. 14). The patient education included strategies for recognizing worsening symptoms, interpreting symptom variations, and responding appropriately in order to execute key interventions to mitigate the onset of an acute episode. Implementation of this strategy resulted in a decline in the need for acute care treatment and hospitalizations (Brandt, 2013, p. 14). Thus, an evidenced-based teaching plan focused on symptom recognition and implemented by rehabilitation nurses can be a critical component for COPD patients to select and execute the appropriate self-management intervention that can prevent a COPD exacerbation and the need for acute care treatment (Brandt, 2013).
COPD is often identified at the late stage of the condition because in the early stage, symptoms are not certainly experience. Dyspnoea is the common reason why patients seek a healthcare professional (Pauwels & Rabe,
The benefits of pulmonary rehabilitation are of interest around the world as noted by the research demographics cited in this proposal. Research to date has provided overwhelmingly positive results concerning the increase of COPD patient lung function, QOL, and reduction in hospital admissions and readmissions. PR research has focused on several aspects of implementation guidelines and criteria and have focused on various outcomes. The proposed study would focus on the effects of nurse-led home and office based PR programs compare to no PR program for COPD patients, and implemented within 15 days of an acute hospital discharge. The effects would be tracked for one year following the ten-week PR program completion. The study would classify
COPD is a manageable and potentially preventable health condition, while currently there is no real cure for cognitive impairment and dementia. Targeting COPD, particularly earlier in its course, could potentially reduce morbidity and mortality for both COPD and dementia. This proposal seeks the opportunity to investigate possible links and associations between these two diseases that could have significant implications for population health, improve quality of life, and help reduce the economic burden of disease on the Canadian health care system.
These study findings are significant as they represent an opportunity for patient education regarding proper identification and differentiation of daily symptom variation and those indicating a potential COPD exacerbation. The findings from this study could be used as part of the patient education strategy that could help patients use Self-regulation theory as part of the new COPD self-management strategies (Brandt, 2013). COPD patients could be educated about effective recognition of triggers that may aggravate daily symptoms and may result in COPD exacerbations (Brandt, 2013). While this proposed solution could be part of more than one QSEN competency, it is more intrinsically tied to the quality improvement competency given that increased knowledge about self-management strategies would improve the patients’ health status and increase their quality of life (QoL), which will have the combined effect of preventing COPD exacerbations.