Medical Home Model Of COPD

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

This is a case study on a 76 year old man.Mr Alan Chari(pseudonym used to protect the identity of a patient),was admitted over night in my department.He is a divorcee who stays with son.He is a retired teacher and his son is permanently employed by a local company as an electrician.He is independent with activities of daily livings but is occasionally limited by his ill health.He used to be a heavy smoker .After realising the burden COPD has on general New Zealand population ,affecting about15% of the adult population over the age of 45 years according to asthmanz( 2010) ,l took this case study to gain in-depth understanding.

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).

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

History of Present Illness: Mr. Magnuson is a very pleasant 77-year-old gentleman who was previously seen in this office by Elvira Aguila, MD for COPD and hypoxic respiratory failure. He is here today for routine followed up. He was last evaluated in January 2015. Since that time, he states that his dyspnea is worse. He feels that it is related to the weather. He does state that he works around the house, although he does have significant functional limitations because of shortness of breath. His wife also confirms that he is able to do less and less. He has a stable, minimal cough. He is using 4L of oxygen at night as well as, as needed throughout the day. He continues to smoke three to four cigarettes on

Chronic respiratory disease (CRD) is one of the leading causes of death and disability in the world (Ries et al., 2007). One in every four Canadians is affected by lung disease and is predicted to increase Gershon (2013). Rural Ontario is vast with a has a high incidence of smoking (Statistics Canada, 2017) and CRD (Crighton, Ragetlie, Luo, To, & Gershon, 2015). It is apparent Ontario’s vastness creates barriers for patients to access pulmonary rehabilitation (PR)(Bowen et al., 2015).

Objective: To identify quality indicators with the largest potential to improve health outcomes in the Ontario COPD patient population.

First then RN should evaluate the current needs of the patient by assessing them to see which outcomes have been met and re-advise or update the ones that have not been meet. With-in 24 hours of starting the treatment for pneumonia the patient has had some improvements which suggest at this time the treatment is working.

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.

We conducted a 12 month randomized prospective case-control study on patients diagnosed with acute COPD exacerbation from December 2016 to November 2017. The case cohort was administered a Discharge Checklist at the time of hospital discharge while the patients in the control group underwent usual discharge care. The Discharge Checklist included identification of factors such as non-compliance, inappropriate oxygen use, inappropriate inhaler technique and lack of follow up. In addition, we measured the Peak Inspiratory Flow (PIF) and adjusted the home inhalers based on the PIF. The electronic health record was used to look for evidence of readmissions. The primary outcome measured was the 30-day readmission rates of the cases compared to

The lungs are very important for our bodies to oxygenate our blood by removing carbon dioxide and replace it with oxygen inhale and exhale process. Unfortunately, there are several diseases affecting our respiratory system. Some people do not notice that they have issues in their respiratory system when they have difficulty in breathing. They will think it is because they made a great effort. According to COPD Foundation, ‘Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe progressive lung diseases, including emphysema, chronic bronchitis, refractory (non-reversible) asthma, and some forms of bronchiectasis. This disease is characterized by increasing breathlessness.’[1] One of the most common types of COPD is emphysema. According to Cleveland Clinic, ‘Emphysema is most common in men between the ages of fifty and seventy.’[3] This essay will cover the characteristics of emphysema, the lifestyle and home remedies for patients who have emphysema, and how the patients can cope with emphysema.

COPD (chronic obstructive pulmonary disease) Subjective data: difficulty breathing, tightness of the chest, light-headed, sleep too much and feels tired all the time, and she has been smoking since her teen years. Objective data: 61 years old woman. She has been smoking since she was a teenager and her vitals are oxygen 84% RA, temperature 97.5 axillaries, pulse 98 bpm, BP 146/92

There are 3 wasting categories that COPD patients can be placed into according to body weight and FFM

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.

Some of the laboratory testing used to identify COPD are arterial blood gas and increased hematocrit levels. Arterial blood gas testing will reveals hypoxemia and hypercarbia due to the retention