Nursing Care Plan: Chronic Obstructive Pulmonary Disease (COPD)

Nursing Care Plan: Chronic Obstructive Pulmonary Disease (COPD)

Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is the most prevalent of all end stage lung diseases and accounts for the majority of end stage lung related ICU admissions. Therefore, for the purpose of this paper, end stage lung disease will constitute the final stages of COPD. Other end-stage lung diseases such as alpha anti-trypsin deficiency syndrome, tuberculosis, adult respiratory distress syndrome and the other fatal lung diseases will not be discussed (Rodriguez 2003.

Individual Client's Nursing Care

The plan of care for patients with COPD focuses on maintaining the most high level of function and well possible. COPD is a progressive condition with no cure, there is a support symptomatic covers 4 major areas of intervention:\

Drug therapy.

Changes in lifestyle.

Respiratory therapy.

Emotional support.

A standard drug regimen includes bronchodilators class of anticholinergics and antibiotics, O2 supply. The nurse must carefully assess the respiratory status of patient, the signs of deterioration include increased frequency respiratory and a decrease in depth of inspiration. Meticulous hygiene and respiratory therapy are necessary to maintain oxygenation and effectiveness of the airways. The chest percussion therapy every 2 to 4 hours is required during the exacerbations and often is part of routine care. Oxygen therapy is administered at 2 liters / min by nasal cannula is must walk slowly and progressively.

The disease management's main objective is to promote better management of their disease by the patients themselves (self management). It develops an approach to patient education to improve knowledge and skills of patients. It also aims to support patient motivation (coaching) and help them to adopt appropriate behavior both in terms of treatment adherence in terms of lifestyle (smoking, diet, physical activity ..) Programs also aims to foster care coordination (preparation for consultation, assistance with referrals, care planning). Finally, these programs have, for some patients, a therapeutic role in monitoring at home by including remote monitoring. We can therefore summarize the disease management to:

self-management

Coaching

coordination of care

home monitoring

In this context it is clear that this is the end of long runs of care for a chronic patient remained dependent on a health care professional. So ended the patients 'rent' which is désencombrait 3-5 times a week. This is professional experts which will soon require these patients. Professionals:

trained in psychological and likely to maintain patient motivation;

trained in teaching and capable of providing therapeutic education for patients

having a global culture of care (rather than corporatist) and acute sense of transdisciplinarity in order to be able to coordinate care and properly orient the patient in the health system and to the necessary stakeholders;

mastering new information technologies and medical technologies to ensure therapeutic

If these new features are more or less already now provided by nurse coordinators, physicians, coordinators or coordinators too few physical therapists, it is indeed a new job during gestation.

Natural History and Complications of COPD and ESLD

COPD deals with a number of aspects of life in incurable patients - medical, psychological, social, cultural and ...