Copd Case Study

This assignment will discuss the nurse's role in devising of a care plan for a patient, including the rationale upon which this care plan has been based, evaluating that the goals intended are met or amended. The patient's identity will be protected using a pseudonym of Kora in keeping with the standards of maintaining confidentiality set by Nursing and Midwifery (NMC, 2015). The patient has Chronic Obstructive Pulmonary Disease (COPD) which is a long-term health condition which is slowly progressive, cause’s obstruction to airway that cannot be reversed, alterations in breathing with exacerbation often suggesting worsening of the disease (Currie, 2007). Kora is 63 years has three young grandchildren permanently in her care, Kora being in

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,

In this section of the report the support available for Asthma and Influenza are discussed. There are many different people with different roles who provide support to patients who suffer from these diseases. Support is about providing the right care, treatments and assistance for those people who are experiencing your chosen diseases (classroom notes, 2015). Both individuals who were interviewed stated that they got some statutory support this was more the case in the individual with asthma, but the main support for both cases was informal support from their families (Detail of this interview is available in appendices).

The article compared social support services, including professional aid and informal support from family, among home-dwelling caregivers of partners suffering from COPD.

During the intervention, the nurses assisted the patients’ assessment of their perceived susceptibility and severity of their COPD. They informed the patients of the potential benefits of the treatments and helped them overcome their perceived barriers to aid in the initiation of healthy behaviour. Additionally, skills were taught to the patients to manage and monitor their COPD such as preventing breathing difficulties and maintaining physical strength. Family support and the continuation of oxygen therapy were encouraged to increase the patients’ confidence. These assistances provided them with a more objective perception of their COPD status and appropriate skills to increase their confidence and self-efficacy. Therefore, this HBM-based intervention has highlighted that by targeting the constructs of HBM, they had significantly improved healthcare outcomes amongst COPD patients. In line with results from previous studies (Hoseini, Maleki, Moeini, & Sharifirad, 2014; Naghashpour, Shakerinejad, Lourizadeh, Hajinajaf, & Jarvandi, 2014), this HBM-based intervention is shown to be an effective model in promoting behaviour changes, thus adding strength to the utility of the

Having a long-term, or chronic, illness can disrupt your life in many ways. Your physical abilities may be altered limiting your independence. You may not be able to work, causing financial problems. For family members, this can be frightening, because they may not understand why this is happening. These changes can cause stress, anxiety and anger, leading to depression. Coping techniques from a professional counselor can help a family and patient work through these transition periods of the disease process. Family meetings allowing open communication will provide a judge free environment for family members to ask questions and receive answers to gain a better understanding of the personal struggle the person with the chronic disease is dealing with, further more enabling the family to revel their struggles with this as well.

3) What limitations did the authors face in data collection? How could these have been lessened or minimized? A limitation of the study is that the protocol as funded did not involve auditing the behaviors of caregivers to determine whether their symptom management changed and whether any changes that were made were appropriate and effective. Patients who were admitted to the hospice often were too ill to participate in the study, and despite careful screening, those who did participate were likely to die before all data were collected. Starting the study with patients just prior to their hospice admission could minimize the loss of patients during the data collection. Questioning the caregivers about their symptom management strategies at the initial interview and during follow ups can lessen the chance that caregivers changed their symptom management strategies unknowingly to the researchers.

The chronic condition selected by this author to be managed with the chronic care model is Chronic Obstructive Pulmonary Disease (COPD). The Chronic Care Model (CCM) is a research-based method of managing chronic illness with an emphasis on the dissemination of information and disease management strategies (Nickitas, Middaugh, & Aries, 2011, p. 320). A thorough educational approach to managing the symptoms of COPD has the potential to help patients avoid exacerbations by implementing self-management strategies. This fits with the key concepts of the CCM. According to Nash (2016), the CCM enables the creation of “well prepared, proactive clinical teams by using clinical information systems, decision support,

Healthcare is essential to living a productive life with little or no illness. Unfortunately, sickness and disease does strike at times with no alert of its arrival. Care can be obtained in numerous of facilities, however, for this particular patient; care will be implemented in a hospital due to the possibility of lung failure. A physician, case manager, social worker, respiratory specialists, and registered nurse, will all work together to provide care.

Lung cancer has impacted many people’s lives in the world today. Lung cancer is the leading cause of death caused by cancer in the United States (Lewis, 2014, pg. 535). The diagnosis of lung cancer is proceeded by a low cure rate and a high mortality rate. Diagnosis of lung cancer increases the person’s level of physical distress, psychological distress and social isolation (Johnston, 2013). Due to the low cure rate, palliative care becomes essential after the diagnosis of incurable/inoperable lung cancer. In palliative care, the nurses and team of physicians must work together. Palliative care allows the suffering person to have a reduction in hospital stays, more time spent at home with family, and greater patient satisfaction; it also allows the patient to have a voice in the dying process (Dale, 2011). Early access to palliative care increases the persons understanding of his/her illness, and facilitates coping and symptom management (Johnston, 2013). In palliative care, it is important for the nurse to initiate and a patient-centered relationship (Dale, 2011.). The role of the nurse is very important in palliative care.

In a social context, the illness is rare in the population and can have detrimental effects on families in the beginning stages. Social support is needed not only to the person with the illness

Caregiver support groups play a valuable role in assisting individuals with coping with a loved one’s disease, injury and/or disorder. In this paper, I will discuss the support group, topics discussed and my personal feelings about the support group.

Effectiveness of Epinephrine Therapy on Surfactant Production in Type II Alveolar Cells of COPD patients

The purpose of this essay titled “Care for Cure: A Case of COPD Patient’ is to prepare a reflective document on the basis of my clinical experience during the year 2 of the adult programme with special consideration of the case of a 60 years old lady, referred to as Jane throughout this essay (to protect patient’s privacy), who was admitted to my ward for the treatment of an acute exacerbation of COPD (Chronic Obstructive Pulmonary Disease). COPD is a progressive disease characterized by airflow limitation/obstruction that makes it hard to breathe, together with other psychological disorders such as anxiety and depression. Additionally, as the name suggests itself "progressive" means the disease gets worse over time and increasingly

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