1.0 Introduction By 2020, Chronic Obstructive Pulmonary Disease (COPD) is poised to be the third leading cause of death worldwide (Global Initiative for Chronic Obstructive Lung Disease [GOLD], 2017). Unlike most of the other diseases, COPD’s mortality rate is rising (GOLD, 2017). This paper aims to define COPD and its prevalence in Australia and China. A couple of prevention and treatment strategies will also be examined in the paper. 2.0 Definition of COPD COPD is a serious, non-communicable respiratory disease (Australian Institute of Health and Welfare [AIHW], 2016). It is characterised by mucociliary dysfunction and limited airflow to the lungs (GOLD, 2017). Parenchymal destruction (emphysema) and small airways diseases (for …show more content…
3.1 Prevalence in Australia. Despite COPD being responsible for 4.4% of all Australian deaths in 2013, self-reported data from 2014-2015 National Health Survey indicates that just 2.6% (600,000) of the Australian population believed they had COPD (AIHW, 2016). Questionnaires have a tendency to underestimate the true prevalence of COPD (Gupta et al., 2013). Lower socioeconomic regions have higher rates (4.1%) of COPD when compared to higher socioeconomic regions (1.5%) (AIHW, 2016). COPD was more prevalent in Inner regional areas (3.4%) when compared to Outer regional/Remote areas (2.7%) and major cities (2.4%) (AIHW, 2016). COPD patients also tend to be older, hence 90% of patients with COPD exhibit comorbidity (AIHW, 2016). 3.2 Prevalence in China. COPD cases in China totaled 32.4 million in 1990; while in 2013, the number was 54.8 million, a significant rise in two decades (Yin et al., 2016). In 2011, COPD had a prevalence rate of 6.7% to 8.3% in the urban areas and 4.4% to 16.7% in the rural areas (Fang, Wang, & Bai, 2011). COPD seemed to have an affinity for men (8.3% to 18.9%) than women (3.8% to 7.1%) (Fang, Wang, & Bai, 2011). China recorded over 910,000 COPD related deaths in 2013, constituting 31% of the worldwide COPD death tally (Yin et al., 2016). 4.0 Prevention and Treatment Strategies Effective preventative and treatment strategies need to be devised and implemented to control COPD (Rennard & Drummond,
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,
As the number of smokers are rapidly increasing recently, the number of patients with COPD (Chronic Obstructive Pulmonary Disease) is also gradually increasing. It is one of the most common chronic diseases and is considered to be one of the five leading diseases following heart disease, pneumonia, HIV and AIDS worldwide (GOLD, 2004). Smoking is the main cause of COPD. However, long term exposure to chemical fumes and air pollution could also cause COPD. This essay is all about how COPD affects individual, family and society as a whole across their lifespan. Also, it discusses the role of a nurse in caring patients with COPD.
Chronic Obstructive Pulmonary Disease also known as COPD, is one of the third leading cause of death in the United States (National Heart Lung and Blood Institute [NHLBI], 2013a). According to the Centers for Disease Control and Prevention (CDC) (2015) approximately 15 million Americans are affected by COPD, with a morbidity rate of 6.8 million. Data from the CDC from 2011 states that 6.3% of the U.S population suffer from this disease; Florida has the COPD prevalence rate of 7.1% with the highest percentage going to Kentucky with a rate 9.3% as summarized by the COPD foundation (2015). CDC calculated the cost of having COPD as $32.1 billion in 2010 and they expect it to rise to $49 billion by 2020, all for a disease that could be prevented. Additionally CDC has stated the mortality rate has decreased in men in the United States from 57.0 per 100,000 to 47.6 per 100,000 from 1999 to 2010. However, regarding the rate for women, there has not been much change during the same time period. The rate shifted from 35.3 per 100,000 to 36.4 per 100,000 (CDC, 2014).
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.
R.W. appears with progressive difficulty getting his breath while doing simple tasks, and also having difficulty doing any manual work, complains of a cough, fatigue, and weight loss, and has been treated for three respiratory infections a year for the past 3 years. On physical examination, CNP notice clubbing of his fingers, use accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs, and also pulmonary function studies show an FEV1 of 58%. These all symptoms and history represented here most strongly indicate the probability of chronic obstructive pulmonary disease (COPD). COPD is a respiratory disease categorized by chronic airway inflammation, a decrease in lung function over time, and gradual damage in quality of life (Booker, 2014).
Chronic obstructive pulmonary disorder, or COPD, is a relatively common chronic illness that is treatable, however there is currently has no cure. COPD is an illness that encompasses two major illnesses these illnesses are chronic bronchitis and emphysema. Both of these illnesses wreak havoc on the lungs of the affected person by causing mucus to build up in the bronchioles henceforth reducing the effectiveness of the alveoli which impairs gas exchange. According to the American Lung Association, “COPD is the third leading cause of death in the United States. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it” (American Lung Association [ALA], n.d.). As this data from the American Lung Association shows, in the United States alone we may have a total of 35 million people (almost one tenth of the American population) living with COPD. QSEN, which stands for Quality and Safety Education for Nurses, has developed six competencies related to nursing care. These competencies are Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality Improvement, Safety, and Informatics. These aforementioned QSEN competencies break down how nurses should be treating patients and working with the health care team.
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.
Have you ever known a person who smokes and has a hard time doing every day activities, due to difficulty of breath, or constantly coughing. He or she may have Chronic Obstructive Pulmonary Disease, or COPD. COPD is a progressive and treatable lung disease that causes shortness of breath due to obstruction of air way (COPD, 2013). Progressive means that is gradually gets worse over time. It is a combination of chronic bronchitis and emphysema (Causes,2014). Chronic bronchitis is inflammation of the bronchioles, which causes mucus build up (Davis,2016). Emphysema is when the air sacs get enlarged (Smoking, 2016). Since the disease does not have a cure yet it is important to know pathology (path of disease), epidemiology (who is effected in a population), ethology (who is effected genetically), manifestation (symptoms), treatment, and outcome.
The biggest issue that contribute to the disease is smoking.It has been tested that women have had increase in smoking since the first world war. On the other had that number rapidly decreased in the last 7 decades. On the other hand 16 percent of canadians ranging from ages as young as 16 years old and older and these people would smoke everyday decreasing since the 60’s. But there was not a big significant change on the air flow being prevented to pass through the airways. Canadians ages ranging 60 to 79 were more likely to have measured COPD than those aged 35 to
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
Millions of individuals suffer and die from Chronic Obstructive Pulmonary Disease (COPD) each year in our nation. Currently, there is no cure for COPD; therefore, the most beneficial goal for these patients is to provide enhanced quality of life that includes limited admissions to the hospital setting and decreased exacerbations. Management of this disease process through proper patient education and multidisciplinary collaboration improves a COPD patient’s ability to maintain a healthier state of life as well as decrease their chance of a costly hospital readmission (Chamberlain, Lau, Siracuse, 2017).
All over the world, chronic obstructive pulmonary disease (COPD) is a very significant and prevalent cause of morbidity and mortality, and it is increasing with time (Hurd, 2000; Pauwels, 2000; Petty, 2000). Due to the factor of COPD being an underdiagnosed and undertreated disease, the epidemiology (Pauwels, Rabe, 2004) is about 60 to 85 % with mild or moderate COPD remaining undiagnosed (Miravitlles et al., 2009; Hvidsten et al., 2010).
Chronic Obstructive Pulmonary Disease, also known as COPD, is the third leading cause of death in the United States. COPD includes extensive lungs diseases such as emphysema, non-reversible asthma, specific forms of bronchiectasis, and chronic bronchitis. This disease restricts the flow of air in and out of the lungs. Ways in which these limitations may occur include the loss of elasticity in the air sacs and throughout the airways, the destruction of the walls between air sacs, the inflammation or thickening of airway walls, or the overproduction of mucus in airways which can lead to blockage. Throughout this paper I am going to explain the main causes, symptoms, diagnosis, and ways to reduce COPD.
Mclvor et al. state that the epidemiology of this disease will continue to change and the number of cases among women will rise (2010). In 1998, the WHO estimated that COPD was the fifth most common cause of death worldwide. (Mclvor et al., 2010) Also, the Global Burden of Disease Studies estimated that COPD would become the third most common cause of mortality by 2020 (Calverley et al., 2003). COPD presents a personal burden. Sufferers of this disease have reported significant disability and restriction as a result of COPD (Calverley et al., 2003). “Patients tend to be slow to seek medical help and are reluctant to press for more public attention to their problems” (Calverley et al., 2003). This is most likely due to the social stigma attached to being diagnosed with a disease. Under diagnosis of this disease is a major problem. In fact, Decramer, Janssens & Miravitlles state that 60-85% of patients (usually with mild to moderate disease) remain undiagnosed
Traditionally, COPD affected males more than females but with the increase in female smoking in developed countries combined with the increased use of fossil fuels in the home in developing countries, there has been an increase in females developing COPD. COPD now affects females more than males, however when the age factor is taken into consideration then the death rate is 46% higher in males than females. The disease also affects more Caucasian people than people of darker orientation, again with age taken into account, the death rate being 63% higher amongst Caucasians than darker ethnicities. (Chronic obstructive pulmunary disease causes, 2012)