Data collection for all three groups will start with the patients’ demographic information including, their name, DOB, sex, address, primary care provider, pulmonologist, and insurance payer, and the year which they were diagnosed with COPD. The SF-12 QOL questionnaire as well as 6 questions concerning hospital admissions over the past twelve months, and comorbid conditions would be administered to gain the patient’s understanding of their current feelings about their overall quality of life. An initial FEV1 and FVC would be collected if the patient did not have one competed as an outpatient within the last three months. A 6MWD would also be completed.…
Provides 3-4 consequences of COPD from the first column. Information is mostly scientifically sound, thorough, necessary and sufficient.…
Lynes, D. (2010) Diagnosis and management of patients with COPD in primary care. Nursing Standard, 25 (8), 49-57.…
Chronic obstructive pulmonary disease (COPD) refers to a group of lung diseases that block airflow and make breathing difficult. The two main factors that cause COPD are emphysema and chronic bronchitis. “In emphysema, the walls between many of the air sacs are damaged. As a result, the air sacs lose their shape and become floppy. This damage also can destroy the walls of the air sacs, leading to fewer and larger air sacs instead of many tiny ones. If this happens, the amount of gas exchange in the lungs is reduced. In chronic bronchitis, the lining of the airways is constantly irritated and inflamed. This causes the lining to thicken. Lots of thick mucus forms in the airways, making it hard to breathe. (What is chronic obstructive pulmonary disease?)”. Patients with COPD are diagnosed by a physical examination, chest radiograph, pulmonary function test, blood gas analysis CT scan and arterial blood gases (Huether and McCance, Pg. 683 and 684). Treatment of COPD includes the use of inhaled anticholinergic, beta agonist, and corticosteroids. Pulmonary therapy, improved nutrition and breathing techniques can improve symptoms. If those treatments fail, then oxygen therapy must be started to ensure the patient is not hypoxic.…
This includes scheduling activities to follow the patterns of levels daily and replacing outdoor activities with indoor ones when levels exceed the healthy ranges. Patients should also be aware of where to find these levels and how particular levels affect them directly. Patients would also benefit in avoiding locations such as places that allow smoking or surrounding where excessive amounts or running engines as these may also cause respiratory issues for patients at risk. Assessing other parts of their lives and potential exposure may also be beneficial; such as potential hazards at place of employment or sharing a household with a smoker. Respiratory patients have many obstacles but everyone can help to make the world a cleaner safer place for all.…
Chronic obstructive pulmonary disease (COPD) is a sever condition which has landed third place in the leading causes of death in the United States. According to a study conducted by the World Health Organization (2004) COPD affects about 64 million people and have cause as much as 3 million people. According to health care professionals some people either have chronic bronchitis or emphysema and there are others which have both, although both of…
Within the confines of this assignment, it is the hope of the author that the reader will obtain an understanding of Chronic Obstructive Pulmonary Disease (COPD). This will be achieved by bringing the reader through the patients’ illness journey. The assignment will begin by defining COPD and briefly going through the pathophysiology and incidents of the condition. From there the reader will embark on the journey, starting with diagnosis.…
Title: -‘A Report Submitted to the Continuing Care Committee within NHS Blackburn with Darwen Teaching Care Trust Plus’.…
(2012). Research to support evidence-based practice in copd community nursing. British Journal of Community Nursing, 17(10), 486-492. Retrieved from http://www.bjcn.co.uk/…
The patient’s lab values indicate a slight rise in CO2 (Bicarbs). CO2 levels often affects the kidney and lung functions. In a COPD patient, breathing pattern are commonly impaired, which causes the body to retain more CO2 and become acidic. When the body becomes more acidic, bicarbonates are increased as a buffer to compensate. Breathing disorders may be a sign of higher than normal levels of CO2 (Bicarbs).…
Gronkiewicz C and Borkgren-Okonek M (2004) Acute Exacerbation of COPD: Nursing Application of Evidence-Based Guidelines. Critical Care Nurse Quarterly 27(04):336-352…
-And a few had a family member or spouse that did not or did not want to realize the severity of their…
As with other chronic conditions, COPD can be unpredictable disease that can easily affect any individual who has it whether in terms of social function, quality of life or physical function (Disler, Gallagher & Davidson 2011). Furthermore, stigma of the condition may affect the patients’ emotional wellness. Particularly, with the patients feeling and knowing like they are in control is why self-management is effective in providing positive outcomes in chronic care. With internal and external influences of chronic diseases, the ability for patients to fully integrate self-management may be complex (Disler, Gallagher & Davidson 2011). However, with the help of health care professionals and CCM, progress can be made to close the gap on the struggle of having a chronic condition. By acquiring knowledge, adopting positive behaviours, proper implementation of treatment and managing the impact of the chronic condition, healthcare professionals and patients should work together in order to achieve the desired health…
If you were a GP managing a patient in the primary care setting with COPD: what elements of what you have learnt about the underpinning science do you think are important in understanding and assessing the disease process?…
Jadwiga, AW & Seemungal, TAR 2007, ‘COPD exacerbations: defining their cause and prevention’, The Lancet, vol. 370, no. 9589, pp. 786-796, (online ScienceDirect).…