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Chronic Obstructive Pulmonary Disorder
COPD
COPD Diagnosis, Management, and Exacerbation Prevention
The treatment objectives for chronic obstructive pulmonary disorder (COPD) outlined by the Global Initiative for Chronic Obstructive Lung Disease are two-fold: (1) the immediate relief of symptoms and (2) the long-term management of disease (GICOPD, 2013). Patients will present in the clinic with shortness of breath, a chronic cough, or production of sputum and a complete patient history will often reveal pulmonary exposure to environmental contaminants. A COPD diagnosis is typically made when the FEV1/FVC ratio is less than 0.70 as determined by spirometry. Ratings of disease severity are based on post-bronchodilator FEV1. The patient should also be evaluated and treated for common comorbidities, such as lung cancer, cardiovascular disease, metabolic syndrome, depression, motor impairment, and osteoporosis.
Long-term management of COPD focuses on the relief of symptoms and treatment of comorbidities (GICOPD, 2013). Smokers are encouraged to enter a smoking cessation program, which will likely involve nicotine replacement and pharmacotherapy. Pharmacotherapy is also to reduce symptom severity and frequency, but no drug has been found which can halt or reverse disease progression. The choice of drug typically depends on an individual patient's symptoms, cost considerations, and availability. Other treatment...
Eliminating environmental contaminants, such as smoking, is essential. Patient education concerning the use of bronchodilators and other medications is also important, because it empowers patients to be more effective in the use of these medications. When indicated, rehabilitation can make a difference by helping patients maintain a regular exercise schedule.
Clinical Implementation
The primary concern from a clinical standpoint is a complete evaluation of the patient's health and implementation of a long-term care program once the patient has stabilized. A long-term care plan is essential for crisis-in-care decision making for both clinicians and patients. A long-term care plan will also help reduce the frequency of emergency room visits and optimize patient health. Once a treatment plan has been created for an individual patient, a discussion between the patient and nurse should occur so that an effective long-term management plan can be formulated. This can begin by educating the patient about what they can expect if the disease worsens, such as being placed on mechanical ventilation…
References
GICOPD. (2013). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (updated 2013). Retrieved from: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2013_Feb20.pdf.
The most common progressive chronic lung situations that would require the rehabilitation include interstitial lung disease, chest wall disease, bronchiectasis, and pre and post thoracic surgery. The fourth category of patients to offered pulmonary rehabilitation is those with recent exacerbation of COPD requiring hospitalization, without the anticipated recovery path, and whose functional baseline has changed significantly ("Service Specification," 2012). The Problem: Chronic lung diseases have developed to become one of the
COPD Case Study The author of this report has been prepare a brief report about Chronic Obstructive Pulmonary Disease, or COPD for short. There will be two main foci when it comes to the subject. The first part will speak to the facts and details that pertain to COPD and what is involved in living with and treating the disorder. Further, there will be an explanation of how to implement these
family copes with COPD COPD Nursing Intervention: Patient and Family Coping The objective of this work in writing is to analyze current literature and apply various nursing approaches to a family experiencing a complex health challenge related to their current clinical practice experience. Chronic Obstructive Pulmonary Disease (COPD) is a "progressive illness characterized by airflow obstruction and dyspnoea that afflicts over 12 million people and represents a leading cause of death in
Questions regarding all three aspects should be asked during intake because this disease should be treated holistically meaning that everything should be factored in. IV. DISEASE Management MODEL A disease management plan is necessary for the congestive heart failure patient because so many other illnesses are associated with this disease. The plan is designed to improve the patient's health, while at the same time reducing medical costs. Disease Management Model Purpose To manage as
In the long-term treatment of asthma, the administration of inhaled corticosteroids is often useful in inhibiting the attacks from getting worse to the level of requiring emergency treatments. Among the various permanent treatment methods available for asthma, ICS has been proven to provide the best results in asthma patients regardless of age. It is the prevalent preliminary treatment approach for recurring asthma in juvenile patients. The first dosage of ICS-Rx
Case Study Report of �Eddie�: Acute Respiratory Failure with Underlying COPDToday, approximately 10% of all intensive care unit admissions as well as almost one-quarter (24%) of all patients that require mechanical ventilation, are due to acute respiratory failure (Parcha et al., 2021). The purpose of this case study report is to provide an assessment of �Eddie,� a 50-year-old male recently admitted to the intensive care unit with acute respiratory failure.