In 1918, the ACS began implementing their Hospital Standardization Program to inspect hospitals and enforce minimum standards. The initial inspection results were troubling, of 692 hospitals assessed, only 89 met the minimum standards (Chassin & O'Kane). Over the years, the program began to show significant improvement in the quality of care. By 1950, the Hospital Standardization Program accredited over 3,200 facilities across the country. Today, accreditation promotes a continuous cycle of quality improvement, rather than sustaining minimal levels of performance
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 53 RWHAP Part A recipients reported the total number of service categories funded. The services funded by recipients are divided into two categories: core medical services and supporting services. On average, 22.2 service categories are funded by recipients, including both core medical and supporting services.
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 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.
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
Locally, The Centers for Disease Control (CDC) data showed that in 2011, about 4.6% of adults in Washington DC were diagnosed with COPD. Of those, it was noted that COPD was prevalent among African Americans that are un-employed, divorced, widowed, or separated and have a history of smoking and asthma (Centers for Disease Control and Prevention,
Rationale: L.J. exhibits symptoms of COPD that include shortness of breath and productive cough. He has a smoking history of 65-pack-year and smoking has been identified as the primary cause/trigger of the disease (Nagelmann et al., 2011).
Patient care is the central focus in all of nursing. Understanding and adapting to patient needs is what separates the good nurses from the best nurses. The Hospital Consumer Assessment of Healthcare Providers and Systems is a 27 question survey that is given to patients in order to obtain an objective opinion of hospital staff, facilities, and equipment. It is standardized across the healthcare spectrum, and is a way to measure patient experience first hand (). It can be used to measure how well nurses are doing their jobs, and how well nursing students are being taught.
In conclusion, living with COPD is a challenge, especially when it starts to become difficult to catch your breath. You may have to lessen or give up some physical activities that you enjoy or that is in your everyday routine to help the matter at hand. Changing your lifestyle isn’t always an easy process, but if you do so, the outcome will be beneficial for you and the people in your
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).
57). Despite this, the following risk factors including tobacco smoke, occupational and environmental pollution and genetic predispositions are examples of where effective preventative action could target (Decramer et al., 2012). Since the typical prognoses of COPD is that it progressively worsens and can eventually lead to death, the management and monitoring of this healthcare disorder will span over a patient’s lifetime (Fletcher & Dalh,
Chronic obstructive pulmonary disease (COPD) is characterized by incompletely reversible airflow limitation that results from small airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema). COPD is one of the leading causes of mortality and morbidity worldwide. It is the fourth leading cause of death worldwide and is expected to be the third leading cause by 2030 (Mathers & Loncar, 2006). The most important environmental causative factor for COPD is cigarette smoking.