Chronic Care Model

Improving Chronic Illness Care has identified 4 elements that exist in many clinical practices that result in poor outcomes for chronic illness

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 Affordable Care Act established the need for medical home model of care that focus on quality and safety, which is patient-centered and team based. The providers and care team care for patient with complex health conditions. The diseases process of chronic obstructive pulmonary disease (COPD) can be treated with by using this model to coordinate and provided comprehensive care in the home. COPD is a progressive lung disease that can be prevented and treated. COPD consist of chronic bronchitis, which is a chronic productive cough for at least 3 months per year for at least 2 years and emphysema, which is characterized by permanent enlargement of the airspace beyond the terminal bronchiole, and is characterized by airflow limitations

(Scullion, 2010) The patient simply may not understand what is being asked of them as the term adherence in-relation to COPD expands above and beyond simply taking medication, it requires extensive lifestyle changes. With that in mind, Nurses and other Multi-disciplinary team members must seek concordance from patients in apposed to adherence within a patient centered approach to care. Taking a concordant approach means that patients are informed about their condition and treatment options. It creates a partnership, which involves the patient in the decision making process and allows them to take responsibility for monitoring their own condition and communicating back. (Scullion, 2010)

The prognosis of COPD is variable, depending on how bad the COPD is. “Some people with very mild COPD, if they can stop smoking and they can take of themselves, shouldn’t have any shortened life expectancy” (Rodriguez & Sohrabi, 2015). Those with moderate to severe COPD or who developed the disease at an earlier age tend to have more issues as they grow older. By taking a proactive approach and being open to asking for help and support, you can effectively manage COPD (Rodrigues & Sohrabi,

Chronic obstructive pulmonary disease (COPD) presents significant challenges to a person's ability to carry out functional tasks and participate in social networks. Such factors are widely recognized as contributing to a person's sense of self identity, health and well-being. (Kerr, A, and C Ballinger 2010) Although there is no cure, the symptoms of COPD can be managed and damage to your lungs can be slowed down. If you smoke, quitting is the most important thing you can do to help your lungs.

Chronic obstructive pulmonary disease (COPD) affects an estimated 24 million individuals in the United States, where half of these people do not even know they have it (COPD Foundation 2014). COPD governs a deluge of ailments including: emphysema, refractory asthma, some forms of bronchiectasis, and the very prevalent chronic bronchitis. Chronic Bronchitis is a long-term pulmonary disease where there is a problem in the airway of the lungs, making it very difficult to breath, especially when one is trying to exhale air out of the airways. It is clinically defined as cough production of sputum occurring on most days in three consecutive months over two consecutive years (Chaudhry

Based on a case study for a 76 year old female, Betty White, presenting to a medical ward with an acute exacerbation of chronic obstructive pulmonary disease (COPD), this paper will firstly outline a brief summary of COPD and discuss the associated risk factors. Secondly, the patient’s information will be summarised. From the perspective of the primary Registered Nurse, this paper will detail steps of an initial clinical assessment of the patient. In doing this, the priorities and considerations involved in order to provide best patient care for this scenario will be addressed. A discussion of information and suggested interventions will be integrated as to how the nurse shall develop a plan of care. Furthermore, it will outline

Results from this systematic review showed that SMEPs seem to have a positive impact in COPD patients. SMEPs can improve HRQoL, self-efficacy, COPD knowledge, and decrease health care use (COPD-related hospitalization and ED visits) in patients with COPD. Therefore, the studies demonstrated improvement of self-management behavior in COPD patients for a long period of time after the self-management education.

In the past decade, new advancements in medicine and new methods of delivering healthcare have initiated an important conversation: what can healthcare professionals do to reduce the amount of times that a person with a chronic disease visits the emergency department? A novel solution to an issue that was costing the healthcare system millions was the introduction of the transitional care model. According to Transitional Care (Naylor & Keating, 2008) transitional care is an eclectic range of services that helps bridge the gap between the hospital, recently discharged patients and the community. Naylor and Keating (2008) analyze the major components of transitional care which range from understanding language and health literacy barriers to acknowledging the important role of family caregivers. Additionally, the services based within the patient’s community that connect them with services that can aid them in managing their chronic disease is another key component in transitional care.

Chronic Bronchitis is best described as an irreversible obstructive lung disease affecting the bronchi causing inflammation, increased mucous secretion, and a productive cough. To familiarize ones self with this disease, it plays a large roll with a more commonly known condition called “Chronic Obstructive Pulmonary Disease” or “COPD”. COPD is comprised of two diseases – chronic bronchitis, and Emphysema. It is important to recognize that chronic bronchitis may be represented as its alias “COPD”, but COPD is not necessarily chronic bronchitis. This is important since some treatments and diagnostics for this disease may not reflect that of COPD and visa versa. Innately, as medicine is practiced, in order to diagnose and treat an ailment, it

Chronic Obstructive Pulmonary Disorder (COPD) is a progressive lung diseases mainly characterized as having emphysema and chronic bronchitis. It is one of the major cause of death and disability in the US.1 In 2011, it was the third leading cause of death in the US. Prevalence of COPD varies by state and was found to be 6.3% (nearly 15 million) amongst the US adults. Despite such high prevalence, it remains undiagnosed or untreated in nearly half of the population.3 Prevalence rate is higher among people over 65 years old, among females, and among non-Hispanic white population.3 It’s one of the major driver for avoidable healthcare costs. It causes long-term disability, early deaths and is an important issue affecting employee health and work-productivity. In 2010, the estimated direct healthcare costs by the National Heart, Lung, and Blood institute was $29.5 billion, where $13.2 billion accounted for hospital care costs, $5.5 billion were for physician services and $5.8 billion were for prescription drugs. The indirect cost estimated due to COPD was around $20 billion, and the number of productivity days lost due to suffering from COPD was higher than any other chronic conditions. ,

Next, consider the case for chronic disease management. Up to this point, the focus has been on the impact of chronic disease, prevalence, expense and need for thorough care transition and coordination. This all makes the case for a chronic disease management program for long-term success. Chronic disease management is defined as a systematic, multi-faceted, patient-centered approach to health care delivery involving members with a specific disease entity, or those who are at significant risk. It takes an integrated care approach of managing all aspects of the disease, potential complications and prevention of comorbid conditions (Norris, Glascow & Englegau, 2003). Chronic disease management includes regular screenings, physician office check-up

Online care is a disruptive technology that has a far reaching impact on today’s Healthcare system. Online care has the potential to connect patients to PCP’s and Specialists at a relatively low cost and time when compared to traditional care. Though all participants of the Online care system tend to benefit a lot from its business model, greatest value is to the patients who are working professionals/ parents who may have a need to see a doctor over the weekends, elderly patients, individuals with limited access or who do not have any health insurance.

Nurses are a vital component in patient care. The importance of conducting efficient nursing assessments is critical in order to provide both patient-centered care and safe, effective patient healing. Nurses are often responsible for taking care of patients with very complex disease processes. They frequently provide care to patients with illnesses such as Chronic Obstructive Pulmonary Disease (COPD). According to the Centers for Disease Control and Prevention, in 2014, approximately 6.8 million adults were diagnosed with COPD within the Unites States. The completion of proper assessments and initiation of interventions for these patients are crucial in order to prevent further complications of the illness.