Effective Pulmonary Rehabilitation

In the community lead pulmonary rehabilitation, (Linda Nici et al., 2006) says, nurses have shown their effectiveness across many settings around the country. (Griffiths et al. 2001) has produced a study that showed a saving in treatment of £152 for every patient treated by the pulmonary rehabilitation programme. Therefore, if a patient could be treated effectively as an outpatient in the home environment, this could enable the ambulance service to contribute to the referral proses, rather than taking the patient to the hospital for assessment by a Doctor. This would allow critically ill patients accesses to the intensive care

The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).

The ‘APIE’ framework consists of Assess, plan, implement and evaluate, the nursing process should include nursing diagnosis and recheck (Barrett et al 2009). Therefor the ‘ASPIRE’ framework was used to create Kora’s care plan, which is as follows assess, systematic nursing diagnosis, plan, implement, re-check and evaluate (Wilson et al, 2014). The problem of SOB had affected Kora’s oxygen saturation level assessment and this needed to be acted upon promptly as it could quickly be detrimental to the patient’s health. The nurse caring for Kora completed the local trust single assessment process (SAP) holistic assessment document to gather a range of information about Kora and her medical history, if the patient had any dependant relatives, “presenting complaint, concerns, current medications and social history” (Bennett et al, 2009). This enabled the nurse to gather information which could be incorporated into Kora’s care plan. Furthermore, it highlighted that the patient was worried about the care of dependant grandchildren, which could impact on the patient’s wellbeing. Treatment and care should take into account patients' needs and preferences. People with COPD should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals (Nice, 2010).The SAP 1 documentation the nurse involved in Kora’s care completed incorporated RLT

Two protocols were administered; the first group only did the exercise without any help from the NIV. The patients were asked to lift containers with weights in them, ranging from 0.5 to 5 kg during a five minute period. Their arms had to be extended and move them from a waist high shelf to one above their head. The second group performed the same procedure, but had assistance from the BiPAP ventilator. The settings were an IPAP of 10 cmH2O and an EPAP of 4 cmH2O using a facemask. The COPD patients had to become accustomed to

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 team will navigate patients through the program, resources and pulmonary rehabilitation. The registered nurse will meet with the patient prior to discharge to evaluate and refer them to the appropriate services along with the social worker, which may find alternative way to pay for patients medication and other support services that may be offered. The nurse practitioner and the respiratory therapist will see the patient within 48 of hours upon admission into program. The nurse practitioner and respiratory therapist will evaluate the needs at home and enroll the patient in pulmonary rehabilitation, which will be part of the care offered to all patients. Resources for the patient will consist of a 24-hour hotline for patients who may need to seek medical advice prior to going to the emergency room. Patient will be supplied with emergency medications for home use if symptoms begin to appear. A nurse practitioner will be available to advice the patient in intervention with the emergency medications is indicated and advice if treatment may need to be continued in the emergency room. With the protocols in place for medications, the patient will be seen within 12 hours if use of the emergency medications were taken in the home. The nurse practitioner will update the electronic medical chart of the patient to document

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 in the top five principal cause of death in the U.S. The disease is an abnormal inflammatory reaction in the lungs with limited airflow. COPD characteristically arises around the age 35. Smoking continues to be the main source of COPD, but is not the only known root cause. In many studies, smoking explanations for at least three fourths of COPD cases ("Chronic obstructive pulmonary disease | University of Maryland Medical Center," n.d.). Stopping smoking has been known to improve lung capabilities and help to prevent death from COPD. Genetic conditions and introductions to airborne toxins, irritants and gasses are correspondingly involved in the growth of the illness. A complete treatment plan could comprise of lifestyle changes, one or more medications, patient education, oxygen therapy respiratory rehabilitation, and surgery ("Chronic obstructive pulmonary disease | University of Maryland Medical Center," n.d.).

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 2014 (Ko et al., 2014) published a study that showed using components of our bundled care program (COPD education by respiratory nurses, pulmonary rehabilitation, follow up with pulmonary specialist and discharge phone calls) reduced readmission rates from 2.39 episodes to 1.65 episodes at 16 weeks post discharge.

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).

Just as well, the nurse caring for one with COPD must communicate the need to start a safe exercise program, such as walking, and upper body strength training to ease the use of accessory muscles (Nettina, 2013). These task will improve the patient’s ability to perform ADL’s, increase strength of accessory muscles; thus lessening symptoms and reducing episodes of exacerbation (Nettina, 2013). Yet another teaching point the nurse must stress is the significance of receiving timely vaccinations (influenza and pneumococcal) and using antimicrobial agents to limit respiratory infections (Nettina,

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.

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.

The role of the pulmonologist is to perform additional diagnostic test and prescribing the right medication that works for the patient. The role of the respiratory therapist is provide patient with nebulizer treatment and patient education such as inhaler training. The role of pulmonary rehabilitation therapists is to provide care for COPD patients to improve their symptoms, endurance and quality of life, (Lilly & Senderovich,2016).