Przewlekła obturacyjna choroba płuc
Charakterystyka, pielęgnacja i opieka
Przewlekła obturacyjna choroba płuc (POChP) to postępująca choroba charakteryzująca się przewlekłym kaszlem, produkcją plwociny oraz narastającą dusznością, prowadząca do zaburzeń wymiany gazowej i powikłań oddechowych. Kluczowe w opiece nad pacjentem jest utrzymanie drożności dróg oddechowych, poprawa wzorca oddychania oraz stanu odżywienia, a także zapobieganie infekcjom i zaostrzeniom. Monitorowanie parametrów takich jak częstość oddechów, saturacja tlenem (pulsoksymetria), gazometria krwi tętniczej oraz ocena szmerów oddechowych jest niezbędne do oceny stanu klinicznego. Tlenoterapia powinna być stosowana w najniższym skutecznym przepływie 2-4 l/min, aby uniknąć hiperkapnii. W terapii farmakologicznej dominują leki rozszerzające oskrzela, wziewne glikokortykosteroidy oraz, w razie potrzeby, krótkie kursy steroidów doustnych. Rehabilitacja pulmonologiczna, w tym wirtualna, znacząco poprawia wydolność fizyczną i jakość życia pacjentów.
- Wprowadzenie: Przewlekła obturacyjna choroba płuc
- Priorytety opieki pielęgniarskiej w POChP
- Ocena stanu pacjenta z POChP
- Diagnozy pielęgniarskie w POChP
- Interwencje pielęgniarskie w POChP
- Utrzymanie drożności dróg oddechowych
- Poprawa wzorca oddychania
- Poprawa wymiany gazowej
- Zarządzanie odżywianiem
- Poprawa tolerancji aktywności
- Edukacja pacjenta i rodziny
- Edukacja dotycząca rzucenia palenia
- Edukacja dotycząca stosowania leków
- Edukacja dotycząca technik oddychania
- Edukacja dotycząca samozarządzania chorobą
- Zarządzanie zaostrzeniami POChP
- Rozpoznawanie wczesnych objawów zaostrzenia
- Postępowanie w przypadku zaostrzenia
- Opieka po zaostrzeniu
- Programy rehabilitacji pulmonologicznej
- Wsparcie: tlenoterapia i wentylacja
- Farmakoterapia w POChP
- Zapobieganie infekcjom i powikłaniom
- Opieka paliatywna i koniec życia
- Multidyscyplinarna opieka nad pacjentem z POChP
- Wyzwania i innowacje w opiece nad pacjentem z POChP
- Podsumowanie: Znaczenie opieki pielęgniarskiej w POChP
Wprowadzenie: Przewlekła obturacyjna choroba płuc
Przewlekła obturacyjna choroba płuc (POChP) to postępująca choroba charakteryzująca się przewlekłym kaszlem, produkcją plwociny i narastającą dusznością. Może prowadzić do utraty masy ciała i powikłań oddechowych. Zaawansowane stadia mogą powodować zmiany w klatce piersiowej i mieć objawy ogólnoustrojowe. Ocena i leczenie tych objawów są kluczowe dla poprawy jakości życia pacjentów1. Przewlekła obturacyjna choroba płuc jest grupą schorzeń, które powodują zwężenie dróg oddechowych w płucach i problemy z oddychaniem. Leczenie może pomóc w kontrolowaniu objawów i zmniejszeniu częstotliwości zaostrzeń2.
Opieka pielęgniarska nad pacjentami z POChP obejmuje wprowadzenie schematu leczenia mającego na celu złagodzenie objawów i zapobieganie powikłaniom. Większość pacjentów z rozpoznaniem POChP otrzymuje leczenie ambulatoryjne, a pielęgniarka powinna opracować plan edukacyjny, aby pomóc im przestrzegać terapii i zrozumieć charakter tej przewlekłej choroby3.
Priorytety opieki pielęgniarskiej w POChP
Główne priorytety opieki pielęgniarskiej dla pacjentów z POChP to4:
- Utrzymanie drożności dróg oddechowych
- Wspieranie procesów wymiany gazowej
- Poprawa stanu odżywienia
- Zapobieganie powikłaniom i spowolnienie progresji choroby
- Dostarczanie informacji o przebiegu choroby, rokowaniu i schemacie leczenia
Interwencje terapeutyczne i działania pielęgniarskie dla pacjentów z POChP obejmują ocenę i monitorowanie oddychania oraz szmerów oddechowych, zwracając uwagę na częstotliwość i dźwięki (tachypnoe, stridor, trzeszczenia, świsty). Ważne jest również zwracanie uwagi na stosunek wdechu do wydechu5.
Ocena stanu pacjenta z POChP
Dokładna ocena stanu pacjenta jest podstawą każdego planu opieki pielęgniarskiej6. Ocena stanu oddechowego powinna być przeprowadzona szybko, ale dokładnie7. Kluczowe elementy oceny pacjenta z POChP obejmują:
Badanie fizykalne i wywiad
Podczas oceny pacjenta z POChP ważne jest przeprowadzenie dokładnego wywiadu i badania fizykalnego. W wywiadzie należy uwzględnić pytania o obecne i przeszłe objawy oraz czynniki środowiskowe, które mogą powodować chorobę. Należy również zapytać o historię rodzinną chorób układu oddechowego, historię palenia tytoniu i inne czynniki ryzyka, które mogą przyczyniać się do wystąpienia POChP8.
Badanie fizykalne powinno obejmować ocenę9:
- Stanu układu oddechowego, w tym częstości, rytmu i wysiłku oddechowego
- Saturacji tlenem za pomocą pulsoksymetrii
- Charakteru kaszlu (częstotliwość, produktywność)
- Zdolności pacjenta do wykonywania codziennych czynności i ograniczeń spowodowanych dusznością
- Stanu odżywienia pacjenta
- Szczegółowej historii palenia, w tym liczby paczkolat i aktualnego statusu palenia
Monitorowanie parametrów życiowych
Monitorowanie temperatury jest ważne, ponieważ gorączka może być obecna z powodu infekcji lub odwodnienia. Pacjenci doświadczający zaostrzenia mogą mieć niską gorączkę, ale obecność gorączki, zwłaszcza 38,5°C powinna zwiększyć podejrzenie alternatywnej diagnozy, takiej jak zapalenie płuc10.
Należy regularnie monitorować częstość oddechów, tętno, ciśnienie krwi oraz saturację tlenem. Obserwacja skóry i błon śluzowych pod kątem sinicy jest również ważna, gdyż sinica wskazuje na słabe natlenienie11.
Diagnozy pielęgniarskie w POChP
Po dokładnej ocenie formułowana jest diagnoza pielęgniarska, aby konkretnie odnieść się do wyzwań związanych z POChP na podstawie klinicznej oceny pielęgniarki i zrozumienia unikalnego stanu zdrowia pacjenta12.
Najczęstsze diagnozy pielęgniarskie
Wśród najczęstszych diagnoz pielęgniarskich dla pacjentów z POChP możemy wyróżnić13:
- Nieefektywne oczyszczanie dróg oddechowych (powszechne w przewlekłym zapaleniu oskrzeli)
- Zaburzenia wymiany gazowej (powszechne w rozedmie)
- Nieefektywny wzorzec oddychania
- Zwiększony wysiłek oddechowy
- Nietolerancja aktywności
- Niezrównoważone odżywianie
- Deficyt wiedzy
- Ryzyko infekcji
- Zmęczenie
Cele i oczekiwane efekty
Cele i oczekiwane efekty mogą obejmować14:
- Pacjent będzie utrzymywał czyste i drożne drogi oddechowe, wykazując efektywne szmery oddechowe i zdolność do skutecznego kaszlu i oczyszczania wydzieliny
- Pacjent osiągnie poprawę wentylacji i optymalne utlenowanie tkanek, co będzie widoczne w wartościach gazometrii krwi tętniczej w normalnym zakresie i braku objawów niewydolności oddechowej
- Pacjent wykaże poprawę wzorców oddychania, utrzymując normalną częstość oddechów i będzie wolny od sinicy i innych oznak niedotlenienia
Dodatkowe cele mogą obejmować15:
- Poprawa wymiany gazowej
- Osiągnięcie drożności dróg oddechowych
- Poprawa wzorca oddychania
- Niezależność w czynnościach samoobsługi
- Poprawa tolerancji aktywności
- Wentylacja/natlenienie adekwatne do potrzeb samoopieki
- Przyjmowanie pokarmów pokrywające potrzeby kaloryczne
- Leczenie/zapobieganie infekcjom
- Zrozumienie procesu chorobowego/rokowania i schematu terapeutycznego
- Plan zaspokajania potrzeb po wypisie ze szpitala
Interwencje pielęgniarskie w POChP
Utrzymanie drożności dróg oddechowych
Utrzymanie drożności dróg oddechowych jest kluczowym elementem opieki nad pacjentem z POChP. Interwencje pielęgniarskie w tym zakresie obejmują16:
- Ocenę szmerów oddechowych co najmniej co 4 godziny
- Monitorowanie ilości, koloru i konsystencji plwociny
- Zapewnienie odpowiedniej pozycji (pozycja Fowlera/półsiedząca) dla zapobiegania aspiracji wydzieliny
- Zapewnienie odpowiedniego nawodnienia doustnego lub dożylnego zgodnie z zaleceniami lekarza
- Zachęcanie pacjenta do kaszlu i głębokiego oddychania
- Podawanie leków wykrztuśnych i antybiotyków zgodnie z zaleceniami
- Wykonywanie odsysania wydzieliny, jeśli pacjent nie jest w stanie odkrztusić jej samodzielnie
- Zlecenie fizjoterapii klatki piersiowej zgodnie z zaleceniami lekarza
Zalecane jest również stosowanie techniki kaszlu „huff” (kaszlu kontrolowanego), która pomaga pacjentowi skutecznie oczyszczać wydzielinę17. Technika ta jest stosowana u pacjentów z POChP w celu rozluźnienia i usunięcia śluzu przez drogi oddechowe bez zapadania się dróg oddechowych18.
Poprawa wzorca oddychania
Poprawa wzorca oddychania jest istotnym elementem opieki pielęgniarskiej. Interwencje w tym zakresie obejmują19:
- Ocenę częstości oddechów, głębokości i rytmu
- Monitorowanie gazometrii krwi i saturacji tlenem
- Umieszczenie pacjenta w pozycji Fowlera lub półsiedzącej
- Trening oddychania przeponowego/głębokiego oddychania
- Podawanie tlenu zgodnie z zaleceniami
Zachęcanie do głębokiego, powolnego lub oddychania przez „zasznurowane usta” (pursed lip breathing) w zależności od indywidualnej tolerancji pacjenta jest również ważnym elementem opieki20. Oddychanie przez zasznurowane usta pomaga wprowadzić więcej tlenu do płuc, jednocześnie usuwając dwutlenek węgla21.
Poprawa wymiany gazowej
Interwencje mające na celu poprawę wymiany gazowej obejmują22:
- Ocenę szmerów oddechowych, częstości oddechów i wysiłku, użycia dodatkowych mięśni oddechowych
- Obserwację skóry i błon śluzowych pod kątem sinicy
- Ocenę stopnia duszności w skali od 0 do 10, gdzie 0 = brak duszności, 10 = najgorsza duszność
- Monitorowanie stanu świadomości i zmian w stanie psychicznym
- Monitorowanie wartości gazometrii krwi tętniczej i pulsoksymetrii według zaleceń
- Uniesienie wezgłowia łóżka lub pomoc pacjentowi w oparciu się na stoliku przyłóżkowym
- Podawanie tlenu uzupełniającego w przepływie 2 l/min, jeśli zlecono
Tlenoterapia powinna być podawana w najniższym wskazanym stężeniu, zwykle 2-4 l/min ciągle przez kaniulę nosową23. Należy pamiętać, że nadmierna podaż tlenu może prowadzić do hiperkapni (retencji dwutlenku węgla)24.
Zarządzanie odżywianiem
Pacjenci z POChP często doświadczają problemów z odżywianiem związanych z dusznością, produkcją plwociny i efektami ubocznymi leków. Interwencje pielęgniarskie w tym zakresie obejmują25:
- Ocenę nawyków żywieniowych i ostatnio spożywanych pokarmów
- Osłuchiwanie perystaltyki jelit
- Zapewnienie częstej higieny jamy ustnej i usuwanie odkrztuszanej wydzieliny
- Zachęcanie do odpoczynku przez 1 godzinę przed i po posiłku
- Zapewnienie częstych i małych posiłków
- Unikanie pokarmów gazotwórczych i napojów gazowanych
- Unikanie bardzo gorących i bardzo zimnych pokarmów
- Monitorowanie masy ciała
- Konsultację z dietetykiem lub zespołem wsparcia żywieniowego
Istotne jest, aby pacjenci z POChP jedli zdrową dietę i ćwiczyli, co jest ważne dla utrzymania i poprawy poziomu sprawności26.
Poprawa tolerancji aktywności
Interwencje mające na celu poprawę tolerancji aktywności obejmują27:
- Ocenę reakcji pacjenta na aktywność
- Zwracanie uwagi na zgłaszaną duszność, zwiększone osłabienie i zmęczenie, zmiany w parametrach życiowych podczas i po aktywności
- Zapewnienie spokojnego środowiska i ograniczenie odwiedzających w fazie ostrej oraz zachęcanie do korzystania z technik zarządzania stresem i aktywności odwracających uwagę
- Wyjaśnienie znaczenia odpoczynku w planie leczenia i konieczności balansowania aktywności z odpoczynkiem
- Pomoc pacjentowi w przyjęciu wygodnej pozycji do odpoczynku i snu
- Pomoc w czynnościach samoobsługi w razie potrzeby
Zachęcanie do równowagi między aktywnością a odpoczynkiem jest kluczowe. Zmniejsza to zużycie tlenu lub nierównowagę popytu, a także poprawia odporność pacjenta na infekcje i sprzyja gojeniu28.
Edukacja pacjenta i rodziny
Edukacja pacjenta i rodziny jest ważnym elementem opieki pielęgniarskiej, mającym na celu zwiększenie samodzielności w zarządzaniu chorobą29.
Edukacja dotycząca rzucenia palenia
Najważniejszą częścią leczenia POChP jest zaprzestanie palenia. Pielęgniarki powinny edukować pacjenta na temat zaprzestania palenia. Znaczna część osób z POChP nadal pali pomimo wiedzy o swojej chorobie, a to zachowanie ma negatywny wpływ na rokowanie i postęp choroby. Zaprzestanie palenia ma największą zdolność wpływania na naturalny przebieg POChP30.
Jeśli pacjent pali, to jest to jedna z najważniejszych instrukcji, jakie można mu przekazać. Rzucenie palenia jest trudne, ale jest niezbędne do zachowania funkcji płuc i zapobiegania zaostrzeniom31.
Edukacja dotycząca stosowania leków
Pielęgniarka może nauczyć pacjenta, jak przyjmować leki lub korzystać z inhalatorów w leczeniu POChP32. Ważne jest, aby pacjenci z POChP rozumieli, jak i kiedy przyjmować leki33.
Jednymi z najważniejszych zadań pielęgniarki jest nauczenie pacjentów prawidłowego korzystania z inhalatorów34. Pielęgniarki muszą obserwować pacjentów podczas korzystania z inhalatorów i upewnić się, że całkowicie wydychają powietrze, szczelnie obejmują ustnik inhalatora ustami i powoli wdychają, w sposób dostosowany do każdej diagnozy35.
Edukacja dotycząca technik oddychania
Nauczanie pacjenta technik relaksacyjnych, oddychania przeponowego (głębokiego) i oddychania przez zasznurowane usta jest ważnym elementem edukacji36.
Amerykańskie Towarzystwo Płucne (ALA) zaleca wykonywanie dwóch poniższych ćwiczeń oddechowych codziennie, aby płuca działały bardziej efektywnie37:
- Oddychanie przeponowe: Usiądź lub połóż się, połóż jedną rękę na brzuchu, a drugą na klatce piersiowej. Zrób wdech przez nos, pozwalając, aby brzuch wypchnął się na zewnątrz. Wydech powinien być dwa do trzech razy dłuższy niż wdech.
- Oddychanie przez zasznurowane usta: Zrób wdech przez nos, a następnie wydech przez zaciśnięte usta, jakbyś chciał dmuchnąć na świeczkę, nie gasząc jej.
Pacjent powinien być nauczony technik oddychania i kaszlu, które pomogą usunąć śluz i kontrolować duszność38.
Edukacja dotycząca samozarządzania chorobą
Opracowanie zindywidualizowanego planu samozarządzania we współpracy z każdą osobą z POChP oraz członkami jej rodziny lub opiekunami jest ważnym elementem edukacji39.
Plan działania w przypadku POChP to prosty przewodnik, który pomaga dbać o POChP. Wypełnia się go z lekarzem, specjalistą lub pielęgniarką. Plan ten pomaga wiedzieć, jakie leki przyjmować codziennie, co robić, gdy czujesz się gorzej i kiedy szukać pomocy medycznej40.
Należy zachęcać osoby z POChP do szybkiego reagowania na objawy zaostrzenia, postępując zgodnie z ich planem działania41.
Zarządzanie zaostrzeniami POChP
Zaostrzenia POChP odnoszą się do pogorszenia objawów przez dni lub tygodnie i często wymagają hospitalizacji42.
Rozpoznawanie wczesnych objawów zaostrzenia
Osoby z POChP często doświadczają zaostrzeń, czyli pogorszenia objawów, takich jak ciężka trudność w oddychaniu, gęstszy śluz, świszczący oddech i kaszel. W przypadku ciężkich zaostrzeń może być konieczna hospitalizacja43.
Nauczanie pacjentów, jak rozpoznawać zaostrzenia i szukać pomocy na wczesnym etapie, może zmniejszyć potrzebę hospitalizacji44.
Postępowanie w przypadku zaostrzenia
W przypadku zaostrzenia POChP nie należy panikować. Szybkie leczenie może pomóc zapobiec poważnym problemom z oddychaniem. Jeśli masz plan zaostrzenia POChP, który opracowałeś ze swoim lekarzem, postępuj zgodnie z nim45.
Ponad 80% zaostrzeń może być leczone ambulatoryjnie za pomocą terapii farmakologicznej46.
Ciężkie zaostrzenie POChP powikłane ostrą niewydolnością oddechową jest stanem nagłym i powinno być ocenione w trybie pilnym47.
Opieka po zaostrzeniu
Po zaostrzeniu ważne jest monitorowanie powrotu pacjenta do zdrowia poprzez regularną ocenę kliniczną ich objawów i obserwację ich zdolności funkcjonalnych48.
Przed wypisem należy zmierzyć spirometrię u wszystkich osób49.
Osoba, jej rodzina i lekarz powinni być pewni, że mogą skutecznie zarządzać chorobą, zanim zostaną wypisani50.
Programy rehabilitacji pulmonologicznej
Rehabilitacja pulmonologiczna to specjalistyczny program ćwiczeń i edukacji, który może pomóc poprawić poziom wysiłku fizycznego, jaki jesteś w stanie wykonać, zanim poczujesz duszność, a także twoje objawy, pewność siebie i samopoczucie emocjonalne51.
Korzyści z rehabilitacji pulmonologicznej
Rehabilitacja pulmonologiczna po epizodach zaostrzenia objawów może zmniejszyć prawdopodobieństwo ponownego pobytu w szpitalu. Rehabilitacja pulmonologiczna pozwala również na pełniejszy udział w codziennych czynnościach i poprawia jakość życia52.
Programy rehabilitacji pulmonologicznej mogą pomóc poprawić funkcję płuc, zmniejszyć objawy i ryzyko przyjęć do szpitala oraz poprawić jakość życia53.
Elementy programu rehabilitacji pulmonologicznej
Programy rehabilitacji pulmonologicznej oferują zajęcia w małych grupach54.
Rehabilitacja pulmonologiczna poprawia jakość życia poprzez zmniejszenie ograniczenia przepływu powietrza, zapobieganie i leczenie powikłań oraz łagodzenie objawów55.
Ważne jest, aby osoby z POChP o umiarkowanym do ciężkiego nasilenia były kierowane na rehabilitację pulmonologiczną56.
Wsparcie: tlenoterapia i wentylacja
Wskazania do tlenoterapii
Tlen uzupełniający lub tlenoterapia zwiększa ilość tlenu, który wpływa do płuc57.
Suplementacja tlenem obniża wskaźniki śmiertelności u pacjentów z zaawansowaną POChP58.
Jeśli oddychanie staje się trudne, tlen może pomóc ułatwić oddychanie. W przypadku POChP płuca nie absorbują tlenu tak, jak powinny, więc nie mogą go dostarczyć do reszty organizmu. To sprawia, że trudniej jest dla organizmu i organów wykonywać swoje zadania. Kiedy używasz dodatkowego tlenu, oddychanie jest łatwiejsze i jesteś w stanie zrobić więcej każdego dnia59.
Nieinwazyjne wspomaganie wentylacji
Nieinwazyjna wentylacja to forma nieinwazyjnej wentylacji dodatnim ciśnieniem (NPPV) i może zmniejszyć śmiertelność oraz zapobiec ponownej hospitalizacji60.
Należy używać nieinwazyjnej wentylacji (NIV) jako leczenia z wyboru w przypadku uporczywej hiperkapnicznej niewydolności oddechowej podczas zaostrzeń, pomimo optymalnej terapii medycznej61.
Farmakoterapia w POChP
Leki rozszerzające oskrzela
Inhalatory z lekami rozszerzającymi oskrzela to najważniejsze leki stosowane w leczeniu POChP62.
Leki, które pomagają otworzyć drogi oddechowe, zwane lekami rozszerzającymi oskrzela, są podstawą leczenia POChP63.
Leki rozszerzające oskrzela rozluźniają drogi oddechowe, a wziewne sterydy zmniejszają stan zapalny, aby zapobiec zaostrzeniom64.
Glikokortykosteroidy
Glikokortykosteroidy to klasa leków o właściwościach przeciwzapalnych65.
W przypadku szczególnie złego zaostrzenia może zostać przepisany krótki kurs tabletek steroidowych w celu zmniejszenia stanu zapalnego w drogach oddechowych66.
Należy być świadomym i być przygotowanym do omówienia z pacjentem ryzyka działań niepożądanych (w tym zapalenia płuc) u osób przyjmujących wziewne kortykosteroidy z powodu POChP67.
Inne leki stosowane w POChP
Niektóre leki, takie jak roflumilast i teofilina, są stosowane tylko u osób, które nadal mają objawy nawet po wypróbowaniu zwykłych terapii68.
Podawanie leków mukolitycznych. Leki mukolityczne mogą zmniejszyć lepkość plwociny i poprawić usuwanie wydzieliny69.
Zapobieganie infekcjom i powikłaniom
Znaczenie szczepień
Zapewnienie odpowiednich szczepień w celu zmniejszenia ryzyka zaostrzenia i śmiertelności (tj. grypa, COVID-19, RSV i pneumokokowe)70.
Jeśli palisz i masz POChP, zaprzestanie teraz może spowolnić tempo pogorszenia choroby. Ważne jest, aby znaleźć program rzucania palenia, który pomoże ci rzucić na dobre. To twoja najlepsza szansa na zmniejszenie uszkodzenia płuc. Rozmawiaj ze swoim lekarzem o opcjach, które mogą działać najlepiej dla ciebie. […] Zapobieganie i leczenie infekcji — Coroczne szczepienie przeciwko grypie i szczepienie przeciwko pneumokokowemu zapaleniu płuc, aby zmniejszyć ryzyko lub zapobiec niektórym infekcjom71.
Higiena i kontrola infekcji
Akcentowanie właściwej higieny rąk dla pacjenta, personelu i członków rodziny. Higiena rąk jest skutecznym sposobem zmniejszenia rozprzestrzeniania się lub nabywania choroby72.
Pacjenci z POChP mają zwiększone ryzyko infekcji płuc73.
Normalne ludzkie płuca mają kilka mechanizmów obronnych przeciwko mikroorganizmom, takim jak bakterie. W przypadku pacjentów z POChP te mechanizmy obronne są poważnie osłabione. Dlatego bardzo ważne jest regularne czyszczenie nebulizatorów, inhalatorów, aparatów CPAP i BiPAP wodą i octem, aby zmniejszyć ryzyko infekcji, takich jak zapalenie płuc74.
Opieka paliatywna i koniec życia
Rola opieki paliatywnej w POChP
POChP to choroba przewlekła i postępująca. Opieka hospicyjna i paliatywna są niezbędnymi usługami poprawiającymi jakość życia poprzez łagodzenie objawów75.
Opieka paliatywna odnosi się do leczenia, które nie leczy choroby ani nie zatrzymuje jej postępu, ale może łagodzić objawy i poprawiać jakość życia76.
W odpowiednich przypadkach należy stosować opioidy w celu złagodzenia duszności u osób z końcowym stadium POChP, która nie reaguje na inną terapię medyczną77.
Planowanie opieki z wyprzedzeniem
Zaawansowane dyrektywy to decyzje dotyczące leczenia i opieki medycznej, spisane z wyprzedzeniem78.
Zespoły opieki paliatywnej mogą pomóc w inicjowaniu i ułatwianiu dyskusji między pacjentem a jego rodziną na temat jego celów i tego, jaki rodzaj opieki jest dla niego najlepszy79.
Opieka hospicyjna może być zalecana, gdy oczekuje się, że osoba nie będzie żyła dłużej niż sześć miesięcy80.
Multidyscyplinarna opieka nad pacjentem z POChP
Rola zespołu multidyscyplinarnego
Opieka nad POChP powinna być świadczona przez zespół multidyscyplinarny81.
Zaleca się, aby wielodyscyplinarny zespół POChP obejmował specjalistyczne pielęgniarki pulmonologiczne82.
Pielęgniarki odgrywają kluczową rolę w całym procesie leczenia, edukując pacjentów, pomagając w planach leczenia farmakologicznego i pomagając zapobiegać destrukcyjnym zaostrzeniom83.
Koordynacja opieki
Pielęgniarki zapewniają kluczową edukację i koordynację opieki dla pacjentów z POChP, aby zapobiec kosztownym i zagrażającym życiu zaostrzeniom84.
Poprzez koordynację istniejących struktur opieki, w tym Zespołu Opieki Skoncentrowanej na Pacjencie (PACT), program COPD CARE wykazał, że zwiększa dostęp pacjentów do terminowej opieki po wypisie i zmniejsza wskaźniki ponownych przyjęć z powodu POChP w ciągu 30 dni85.
Program COPD CARE oferuje sposób interprofesjonalnej koordynacji w celu wzmocnionego zarządzania POChP, co skutkuje statystycznie znaczącym zmniejszeniem wskaźnika ponownych przyjęć w ciągu 30 dni i niemal podwojeniem dostępu do opieki w ciągu 30 dni od wypisu86.
Wyzwania i innowacje w opiece nad pacjentem z POChP
Wyzwania w opiece nad pacjentem z POChP
POChP jest trudną chorobą, trudną dla tych, którzy mają ją i zmagają się z oddychaniem, i trudną dla tych, którzy patrzą, jak się zmagają87.
Jednak ci doświadczeni opiekunowie, wraz z profesjonalistami medycznymi, którzy leczą POChP, mówią, że opiekunowie powinni wiedzieć, że POChP jest bardziej podatna na leczenie, niż wielu ludzi sobie zdaje sprawę, i że mogą pomóc swoim bliskim żyć lepiej, dłużej88.
Innowacje w leczeniu i opiece
Wirtualna rehabilitacja pulmonologiczna (PR) była bezpieczna, wykonalna i skuteczna dla pacjentów z przewlekłą obturacyjną chorobą płuc (POChP) wymagających tlenoterapii89.
Wirtualna rehabilitacja pulmonologiczna zwiększa dostęp i poprawia wyniki u pacjentów z POChP, wykazując bezpieczeństwo i skuteczność w zindywidualizowanej opiece90.
Doświadczeni terapeuci oddechowi i fizjolodzy wysiłku z programów certyfikowanych przez Amerykańskie Stowarzyszenie Rehabilitacji Sercowo-Naczyniowej i Pulmonologicznej opracowali program wirtualnej rehabilitacji pulmonologicznej, który trwał 8 tygodni, z 16 półtygodniowymi sesjami po 90 minut każda91.
Po rehabilitacji pulmonologicznej wszystkie wyniki funkcjonalne wykazały statystycznie istotną poprawę92.
Podsumowanie: Znaczenie opieki pielęgniarskiej w POChP
Opieka pielęgniarska jest niezbędna dla pacjentów z POChP. Pielęgniarki odgrywają kluczową rolę w diagnozowaniu, leczeniu i edukacji pacjentów z tą chorobą93.
Holistyczne podejście do opieki pielęgniarskiej, obejmujące ocenę, planowanie, interwencje i ewaluację, znacząco poprawia jakość życia i wyniki zdrowotne dla osób żyjących z POChP94.
Współpraca między pielęgniarkami a innymi członkami zespołu opieki zdrowotnej jest kluczowa dla zapewnienia skutecznej opieki nad pacjentami z POChP95.
Zarządzanie pielęgniarskie okazało się wysoce skuteczne w poprawie jakości życia, stanu emocjonalnego oraz wydolności płucnej i fizycznej u pacjentów z POChP. W porównaniu pielęgniarki szpitalne i pulmonologiczne przeprowadzały interwencje o wyższym poziomie skuteczności niż pielęgniarki środowiskowe96.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
COPD is a progressive disease characterized by chronic cough, sputum production, and worsening dyspnea. It can lead to weight loss and respiratory complications. Advanced stages may cause changes in the thorax and have systemic manifestations. Assessment and treatment of these symptoms are crucial for improving quality of life. […] Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with COPD based on the nurses clinical judgement and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will maintain clear and patent airways, demonstrating effective breath sounds and the ability to effectively cough and clear secretions. The client will achieve improved ventilation and optimal tissue oxygenation, as evidenced by ABG values within the normal range and the absence of respiratory distress symptoms. The client will demonstrate improved breathing patterns, maintaining a normal respiratory rate, and be free from cyanosis and other signs of hypoxia.
- #2https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
Chronic obstructive pulmonary disease (COPD) is a common lung disease causing restricted airflow and breathing problems. […] COPD is not curable but symptoms can improve if one avoids smoking and exposure to air pollution and gets vaccines to prevent infections. It can also be treated with medicines, oxygen and pulmonary rehabilitation. […] There are several treatments available for COPD. […] Inhaled medicines that open and reduce swelling in the airways are the main treatments. […] Bronchodilator inhalers are the most important medicines for treating COPD. […] Pulmonary rehabilitation teaches exercises to improve your breathing and ability to exercise. […] People living with COPD must be given information about their condition, treatment and self-care to help them to stay as active and healthy as possible.
- #3 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with chronic obstructive pulmonary disease (COPD). Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnosis specifically tailored for COPD in this guide. […] Nursing care planning for clients diagnosed with COPD involves the introduction of a treatment regimen to relieve symptoms and prevent complications. Most clients diagnosed with COPD receive outpatient treatment, and the nurse should develop a teaching plan to help them comply with the therapy and understand the nature of this chronic disease. […] Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. […] The following are the nursing priorities for patients with COPD: Maintain airway patency. Assist with measures to facilitate gas exchange. Enhance nutritional intake. Prevent complications, slow progression of condition. Provide information about disease process/prognosis and treatment regimen.
- #4 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with chronic obstructive pulmonary disease (COPD). Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnosis specifically tailored for COPD in this guide. […] Nursing care planning for clients diagnosed with COPD involves the introduction of a treatment regimen to relieve symptoms and prevent complications. Most clients diagnosed with COPD receive outpatient treatment, and the nurse should develop a teaching plan to help them comply with the therapy and understand the nature of this chronic disease. […] Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. […] The following are the nursing priorities for patients with COPD: Maintain airway patency. Assist with measures to facilitate gas exchange. Enhance nutritional intake. Prevent complications, slow progression of condition. Provide information about disease process/prognosis and treatment regimen.
- #5 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Therapeutic interventions and nursing actions for patients with COPD may include: Assess and monitor respirations and breath sounds, noting rate and sounds (tachypnea, stridor, crackles, wheezes). Note the inspiratory and expiratory ratio. […] Educate the client regarding smoking cessation. A significant proportion of people with COPD continue to smoke despite knowing that they have a disease, and this behavior has a negative impact on the prognosis and progression of the disease. Smoking cessation has the greatest capacity to influence the natural history of COPD. […] Administer medications as prescribed. […] Monitor temperature. Fever may be present because of infection or dehydration. Clients experiencing an exacerbation may have a low-grade fever, but the presence of a fever, especially 101.3F (38.5C) should increase suspicion for an alternate diagnosis such as pneumonia.
- #6 Nursing Interventions for COPD: How Nurses Help Treat COPDhttps://www.healthline.com/health/nursing-interventions-for-copd
Interventions for COPD include a variety of care from various healthcare professionals. Part of that care is a detailed plan based on your needs and developed by a nurse or a respiratory therapist. […] A nurse or respiratory therapist who will likely provide you with the most hands-on care and direction. […] Nursing interventions describe the actions a nurse or in the case of COPD a respiratory therapist takes in providing you care and treatment for a condition. […] Nursing interventions are the actions a nurse or other healthcare professional will take to care for you when you have COPD. This could mean providing information, education, direct treatments, and other services to help you manage your condition. […] Assessments are the cornerstone of any nursing care plan. […] Education is another big part of nursing care.
- #7 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Managementhttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd/
Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. […] Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. Learn about the nursing care management of patients with Chronic Obstructive Pulmonary Disease using the nursing process in this guide. […] Assessment of the respiratory system should be done rapidly yet accurately. […] Diagnosis of COPD would mainly depend on the assessment data gathered by the healthcare team members. […] Goals to achieve in patients with COPD include: Improvement in gas exchange. Achievement of airway clearance. Improvement in breathing pattern. Independence in self-care activities. Improvement in activity intolerance. Ventilation/oxygenation adequate to meet self-care needs. Nutritional intake meeting caloric needs. Infection treated/prevented. Disease process/prognosis and therapeutic regimen understood. Plan in place to meet needs after discharge.
- #8 COPD Nursing Care Plan | Diagnosis, Assessment, Interventionhttps://simplenursing.com/copd-nursing-care-plan/
Nursing Care Plan for COPD […] To diagnose COPD, a thorough history and physical will need to be completed. The history will include questions about current and past symptoms and environmental factors that could cause the disease. Youâll also ask about any family history of respiratory diseases, smoking history, and other risk factors that may contribute to the onset of COPD. […] There are many ways nursing interventions can help COPD clients deal with their condition and live as full a life as possible. The first step is to differentiate which type of COPD the client is experiencing. […] While thereâs no cure for COPD, there are many things you can do to help manage your clientâs symptoms. Here are some of the most effective nursing actions for COPD: […] Maintain a normal respiratory rate and depth […] Take medications as prescribed […] Maintain a normal oxygen saturation level […] Get enough sleep […] Ability to maintain activities of daily living (ADLs) […] Maintain normal pulmonary function as measured by spirometry.
- #9 Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD) | Free NURSING.com Courseshttps://nursing.com/lesson/nursing-care-plan-for-chronic-obstructive-pulmonary-disease-copd?parentId=242934
Conduct a thorough assessment of respiratory status, including respiratory rate, rhythm, and effort. […] Monitor oxygen saturation levels through pulse oximetry to assess the adequacy of oxygenation. […] Evaluate the nature of the cough, including frequency and productive or non-productive characteristics. […] Assess the patients ability to perform activities of daily living and any limitations due to breathlessness. […] Evaluate the patients nutritional status, as malnutrition can impact respiratory muscle strength and overall health. […] Obtain a detailed smoking history, including the number of pack years and current smoking status. […] Review the patients adherence to prescribed medications, including bronchodilators, corticosteroids, and antibiotics. […] Assess the patients psychosocial well-being, addressing factors such as anxiety, depression, or social isolation that may impact COPD management.
- #10 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Therapeutic interventions and nursing actions for patients with COPD may include: Assess and monitor respirations and breath sounds, noting rate and sounds (tachypnea, stridor, crackles, wheezes). Note the inspiratory and expiratory ratio. […] Educate the client regarding smoking cessation. A significant proportion of people with COPD continue to smoke despite knowing that they have a disease, and this behavior has a negative impact on the prognosis and progression of the disease. Smoking cessation has the greatest capacity to influence the natural history of COPD. […] Administer medications as prescribed. […] Monitor temperature. Fever may be present because of infection or dehydration. Clients experiencing an exacerbation may have a low-grade fever, but the presence of a fever, especially 101.3F (38.5C) should increase suspicion for an alternate diagnosis such as pneumonia.
- #11 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttp://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
Monitor ABG value and pulse oximetry as ordered. […] Elevate head of bed or help patient to lean on over bet table. […] Administer supplemental oxygen at 2L per minute if ordered. […] Teach patient relaxation exercise, diaphragmatic (deep) and pursed lip breathing (a breathing technique that consist of exhaling through tightly pressed lip inhaling through the nose with closed mouth). […] Encourage patient to stop smoking. […] For severe dyspnea, ask physician about an order for intravenous morphine sulfate. […] Rationale: Respiratory rate less than 12 or more than 24 or use of accessory muscles indicates distress. Diminished lung sound indicates poor air movement and impaired gas exchange. […] Cyanosis indicates poor oxygenation. Oral mucus cyanosis indicates serous hypoxia. […] The patients subjective report is the best measure of dyspnea.
- #12 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
COPD is a progressive disease characterized by chronic cough, sputum production, and worsening dyspnea. It can lead to weight loss and respiratory complications. Advanced stages may cause changes in the thorax and have systemic manifestations. Assessment and treatment of these symptoms are crucial for improving quality of life. […] Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with COPD based on the nurses clinical judgement and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will maintain clear and patent airways, demonstrating effective breath sounds and the ability to effectively cough and clear secretions. The client will achieve improved ventilation and optimal tissue oxygenation, as evidenced by ABG values within the normal range and the absence of respiratory distress symptoms. The client will demonstrate improved breathing patterns, maintaining a normal respiratory rate, and be free from cyanosis and other signs of hypoxia.
- #13 Nursing Interventions for COPD: How Nurses Help Treat COPDhttps://www.healthline.com/health/nursing-interventions-for-copd
A nurse may teach you how to take medications or use inhalers to treat your COPD. […] A nursing care plan is simply a list of the issues your nurse identifies that you may need help managing. […] Some common nursing diagnoses that might be used in a nursing care plan for someone with COPD include: ineffective airway clearance (common in chronic bronchitis), impaired gas exchange (common in emphysema), ineffective breathing pattern, increased work of breathing, activity intolerance, imbalanced nutrition, deficient knowledge, risk for infection, fatigue. […] Once your needs (nursing diagnoses) have been established and supported with evidence from your assessment, your healthcare team will establish a care plan designed to treat your specific needs. […] Your individual care plan may involve things like: learning how to use an inhaler, receiving education on new medications, enrolling in a smoking cessation program, doing pulmonary rehabilitation, doing oxygen therapy, making diet changes, learning how to prevent exacerbations, identifying community resources, receiving physical or emotional support. […] COPD is a progressive respiratory disease that can’t be reversed, but it can be well-managed with the right care. A nursing care plan is a clinical tool that your healthcare team uses to identify all of your physical, emotional, and practical needs when it comes to managing your overall health.
- #14 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
COPD is a progressive disease characterized by chronic cough, sputum production, and worsening dyspnea. It can lead to weight loss and respiratory complications. Advanced stages may cause changes in the thorax and have systemic manifestations. Assessment and treatment of these symptoms are crucial for improving quality of life. […] Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with COPD based on the nurses clinical judgement and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will maintain clear and patent airways, demonstrating effective breath sounds and the ability to effectively cough and clear secretions. The client will achieve improved ventilation and optimal tissue oxygenation, as evidenced by ABG values within the normal range and the absence of respiratory distress symptoms. The client will demonstrate improved breathing patterns, maintaining a normal respiratory rate, and be free from cyanosis and other signs of hypoxia.
- #15 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Managementhttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd/
Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. […] Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. Learn about the nursing care management of patients with Chronic Obstructive Pulmonary Disease using the nursing process in this guide. […] Assessment of the respiratory system should be done rapidly yet accurately. […] Diagnosis of COPD would mainly depend on the assessment data gathered by the healthcare team members. […] Goals to achieve in patients with COPD include: Improvement in gas exchange. Achievement of airway clearance. Improvement in breathing pattern. Independence in self-care activities. Improvement in activity intolerance. Ventilation/oxygenation adequate to meet self-care needs. Nutritional intake meeting caloric needs. Infection treated/prevented. Disease process/prognosis and therapeutic regimen understood. Plan in place to meet needs after discharge.
- #16 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttps://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
Nursing Diagnosis: #1 Insufficient airway clearance related to increase mucus production as evidenced by profuse coughing and forced breathing. […] Goal: Maintain clear airway by effective coughing. […] Intervention: Access lung sound at least every 4 hours. […] Monitor amount, color and consistency of sputum. […] Proper position should be provided i.e. fowlers/semi fowlers position to prevent aspiration of secretions. […] Provide adequate oral fluid if indicated, if not then IV fluid may be provided as per physicians order. […] Encourage patient to cough and deep breath. […] Administer expectorants and antibiotic as ordered. […] If patient is unable to cough up secretions, suction should perform as per prescription. […] Request for chest physiotherapy as per physicians order.
- #17 Nursing Management of COPD – The Nursiversityhttps://www.thenursiversity.com/nursing-management-of-copd/
In this post, we will review the nursing management of COPD. […] The nursing care plan and NCLEX questions are included in the PDF cheat sheet. […] The focus is on long-term control therapy with longer-acting medications. […] Airway maintenance- most important to improve gas exchange. […] Nursing interventions: […] The nurse will monitor respiratory patterns (rate, depth, and effort) every 2 hours (to identify if the airway is improving or declining). […] The nurse will position the head of the bed at 45 degrees (to maximize lung expansion). […] The nurse will assist the patient in controlled breathing and coughing. The nurse can recommend the use of the huff cough (to help the patient effectively clear secretions). […] The nurse will encourage the patient to drink 2-3 L of fluid daily (to help thin the secretions and make them easier to clear).
- #18 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Administer supplemental oxygen. Oxygen should be administered at the lowest concentration indicated, usually 2-4L continuously via nasal cannula. […] Pursed lip breathing helps bring more oxygen into the lungs while removing carbon dioxide. […] Administer mucolytics. Mucolytics can reduce sputum viscosity and improve secretion clearance. […] Huff coughing is a method used in patients with COPD to loosen and force mucus through the airways without collapsing the airways. […] An ineffective breathing pattern may be caused by or due to anxiety. […] Bronchodilators relax the airways and inhaled steroids reduce inflammation to prevent exacerbations.
- #19 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttps://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
Nursing Diagnosis: #2- ineffective breathing patterns related to shortness of breath and airway irritation as evidenced by high respiratory rate. […] Goal: Patient should maintain an effective breathing pattern i.e. respiratory rate in between 12 to 24 per minute. […] Intervention: Access respiratory rate, depth and rhythm. […] Monitor blood gas and oxygen saturation value. […] Place patient in fowlers or Semi fowlers position. […] Diaphragmatic breathing training/ deep breathing training should be given to patient. […] Administer oxygen as prescribed. […] Rationale: Respiration less than 12 and more than 24 may indicate an ineffective pattern. […] An ineffective breathing pattern will not maintain oxygenation. […] This allows for maximum chest expansion. […] Breathing exercise promotes relaxation and CO2.
- #20 Chronic obstructive pulmonary diseases & Nursing care. | PPThttps://www.slideshare.net/V4Veeru25/chronic-obstructive-pulmonary-diseases-nursing-care
Encourage deep slow or pursed lip breathing as individually tolerated. Administer low-flow oxygen therapy (1-2lit/min) as needed via nasal prongs. […] Monitor respiratory rate and auscultate breath sounds, assist the patient to assume position of comfort, and encourage/assist with abdominal or pursed lip breathing exercises. […] Explain the patient about the disease including cause, signs and symptoms, medication, procedures, prevention, and follow-up care.
- #21 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Administer supplemental oxygen. Oxygen should be administered at the lowest concentration indicated, usually 2-4L continuously via nasal cannula. […] Pursed lip breathing helps bring more oxygen into the lungs while removing carbon dioxide. […] Administer mucolytics. Mucolytics can reduce sputum viscosity and improve secretion clearance. […] Huff coughing is a method used in patients with COPD to loosen and force mucus through the airways without collapsing the airways. […] An ineffective breathing pattern may be caused by or due to anxiety. […] Bronchodilators relax the airways and inhaled steroids reduce inflammation to prevent exacerbations.
- #22 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttps://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
To maintain optimal cellular function. […] Evaluation: Is respiratory pattern ineffective? […] Is breathing pattern adversely affecting oxygenation? […] Is patient comfortable in this position? […] Is patient able to demonstrate an effective breathing pattern? […] Is oxygen administration restored normal breathing pattern? […] Nursing Diagnosis: #3 impaired gas exchange related to decrease ventilation or perfusion as evidenced by headache, restlessness and improving ABG. […] Goal: The patient will experience improved gas exchange. […] Intervention: Access lung sound, respiratory rate and effort, use of accessory muscles. […] Observe skin and mucus membrane for cyanosis. […] Access degree of dyspnea on scale of 0 to 10, 0 = no dyspnea, 10 = worst dyspnea. […] Monitor for confusion and change in mental status.
- #23 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Administer supplemental oxygen. Oxygen should be administered at the lowest concentration indicated, usually 2-4L continuously via nasal cannula. […] Pursed lip breathing helps bring more oxygen into the lungs while removing carbon dioxide. […] Administer mucolytics. Mucolytics can reduce sputum viscosity and improve secretion clearance. […] Huff coughing is a method used in patients with COPD to loosen and force mucus through the airways without collapsing the airways. […] An ineffective breathing pattern may be caused by or due to anxiety. […] Bronchodilators relax the airways and inhaled steroids reduce inflammation to prevent exacerbations.
- #24 COPD Nursing Management: Risk Reduction and Oxygen Therapyhttps://www.thenursingjournal.com/post/copd-nursing-management-risk-reduction-and-oxygen-therapy
Chronic Obstructive Pulmonary Disorder (COPD) is a preventable chronic inflammatory pulmonary illness that obstructs the airflow in the lungs. The nursing management of COPD takes a wide approach to slow down the disease progression as well as treat the presenting symptoms. Treatment typically includes smoking cessation, supplemental oxygen therapy and medication. […] Smoking cessation is our best bet when treating COPD patients and as nurses, we should do our utmost to help them out. […] Start by educating your patient about the harmful effects of smoking and its risks concerning COPD. […] In COPD patients however, these values will be much lower, and so we use oxygen therapy to increase these values and bring them as close to the normal ranges as possible. […] As a nurse, you must regularly observe the patients oxygen levels using a pulse oximetry monitor, and check their ABG results. […] If too much oxygen is administered the patient could develop a secondary condition known as Hypercapnia (carbon dioxide retention).
- #25 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttps://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
Are values within patients base line value? […] Did change of position relieve some distress? […] Does oxygen provide relief from dyspnea? […] Do breathing exercises help? […] Does it have any impact on client? […] Does morphine provide relief from dyspnea? […] Nursing Diagnosis: #4 Altered nutrition less than body requirement related to reduce appetite as evidenced by poor muscle tone and lack of interest in food. […] Goal: Patient should have normal body weight. […] Intervention: Assess dietary habit recent food intake. […] Auscultate bowel sound. […] Give frequent oral care remove expectorated secretions. […] Encourage a rest period of 1 hour before and after meal. […] Provide frequent and small feeding. […] Avoid gas producing food and carbonated beverages. […] Avoid very hot and very cold food.
- #26 10 Tips for Managing COPDhttps://www.nationaljewish.org/education/health-information/living-with-copd/managing-copd
If you have COPD, you can improve your life with good management of the disease. Always make sure you talk with your healthcare provider about questions and concerns. […] Shortness of breath that comes with COPD can make it hard to heat a balanced diet. Eating a healthy diet and exercising are important to keeping and improving your fitness level. […] Most people with COPD take medicine to help with regular and occasional breathing problems. Your drug treatment plan is tailored to your needs you need to monitor how it is working and talk with your provider when you have questions or concerns. […] Some people with COPD need oxygen therapy to help their body work properly. Oxygen therapy allows you to be more active and does not cause any harm to your lungs or body if it is used correctly.
- #27 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttps://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
Does it have any impact on patients cough reflex? […] Is patient maintaining the normal caloric need? […] Does patient take oral feeding? […] Does nutritional plan work? […] Nursing Diagnosis: #5 Activity intolerance related to ineffective breathing pattern as evidenced by fatigue and abnormal heart rate response to activity. […] Goal: The patient will accomplish activities of daily living without dyspnea or excessive fatigue. […] Intervention: Evaluate clients response to activity. […] Note reports of dyspnea, increase weakness and fatigue changes in vital signs during and after activities. […] Provide a quite environment and limit visitors during acute phase and encourage use of stress management and diversional activities. […] Explain importance of rest in treatment plan and necessity of balancing activities with rest.
- #28 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Discuss the importance of medical follow-up care, periodic chest x-rays, and sputum cultures. Monitoring the disease process allows for alterations in the therapeutic regimen to meet changing needs and may help prevent complications. […] Stress proper hand hygiene to the client, staff, and family members. Hand hygiene is an effective means of reducing the spread or acquisition of the disease. […] Encourage a balance between activity and rest. This reduces oxygen consumption or demand imbalance, and improves the clients resistance to infection, promoting healing. […] Provide information about activity limitations and alternating activities with rest periods to prevent fatigue; ways to conserve energy during activities (pulling instead of pushing, sitting instead of standing while performing tasks); use of pursed-lip breathing, side-lying position, and the possible need for supplemental oxygen during sexual activity. Having this knowledge can enable clients to make informed choices or decisions to reduce dyspnea, maximize activity levels, perform the most desired activities, and prevent complications.
- #29 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Managementhttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd/
Patient and family teaching is an important nursing intervention to enhance self-management in patients with any chronic pulmonary disorder. […] The nurse should monitor for cognitive changes such as personality and behavior changes and memory impairment. […] It is important for the nurse to assess the knowledge of patient and family members about self-care and the therapeutic regimen.
- #30 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Therapeutic interventions and nursing actions for patients with COPD may include: Assess and monitor respirations and breath sounds, noting rate and sounds (tachypnea, stridor, crackles, wheezes). Note the inspiratory and expiratory ratio. […] Educate the client regarding smoking cessation. A significant proportion of people with COPD continue to smoke despite knowing that they have a disease, and this behavior has a negative impact on the prognosis and progression of the disease. Smoking cessation has the greatest capacity to influence the natural history of COPD. […] Administer medications as prescribed. […] Monitor temperature. Fever may be present because of infection or dehydration. Clients experiencing an exacerbation may have a low-grade fever, but the presence of a fever, especially 101.3F (38.5C) should increase suspicion for an alternate diagnosis such as pneumonia.
- #31 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Quitting smoking is crucial for optimal lung function and in reducing the risk of mortality. […] Oxygen supplementation lowers mortality rates in patients with advanced COPD. […] Pulmonary rehabilitation improves the quality of life by lessening airflow limitation, preventing and treating complications, and alleviating symptoms. […] COPD is a chronic and progressive disease. Hospice and palliative care are vital services to improve the quality of life through symptom management. […] COPD exacerbations refer to a worsening in symptoms for days or weeks and often require hospitalization. […] If the patient smokes, this is one of the most important instructions that can be given. Quitting smoking is difficult but is essential in preserving lung function and preventing exacerbations.
- #32 Nursing Interventions for COPD: How Nurses Help Treat COPDhttps://www.healthline.com/health/nursing-interventions-for-copd
A nurse may teach you how to take medications or use inhalers to treat your COPD. […] A nursing care plan is simply a list of the issues your nurse identifies that you may need help managing. […] Some common nursing diagnoses that might be used in a nursing care plan for someone with COPD include: ineffective airway clearance (common in chronic bronchitis), impaired gas exchange (common in emphysema), ineffective breathing pattern, increased work of breathing, activity intolerance, imbalanced nutrition, deficient knowledge, risk for infection, fatigue. […] Once your needs (nursing diagnoses) have been established and supported with evidence from your assessment, your healthcare team will establish a care plan designed to treat your specific needs. […] Your individual care plan may involve things like: learning how to use an inhaler, receiving education on new medications, enrolling in a smoking cessation program, doing pulmonary rehabilitation, doing oxygen therapy, making diet changes, learning how to prevent exacerbations, identifying community resources, receiving physical or emotional support. […] COPD is a progressive respiratory disease that can’t be reversed, but it can be well-managed with the right care. A nursing care plan is a clinical tool that your healthcare team uses to identify all of your physical, emotional, and practical needs when it comes to managing your overall health.
- #33 What to know about a COPD care planhttps://www.medicalnewstoday.com/articles/copd-care-plan
A COPD care plan provides a list of actions that people can take to manage their condition. These actions depend on whether the person is feeling well or having a flare-up. […] A COPD care plan may involve taking certain medications, using oxygen, and engaging in healthy lifestyle practices, such as exercising and eating a nutritious diet. […] Care plans also offer instructions on when to call a doctor and seek emergency treatment. […] The purpose of the care plan is to provide guidance on what to do during every phase of COPD. […] According to the American Lung Association (ALA), a care or action plan can have the following benefits for people with COPD: It can help them know how and when to take medications. […] It can tell them when to call a doctor and when to get emergency treatment.
- #34 COPD – nursing care and implications for nursing | Nursing Timeshttps://www.nursingtimes.net/respiratory/copd-nursing-care-and-implications-for-nursing-10-09-2002/
One of the most important tasks of the nurse is to teach patients how to use their inhaler devices correctly. […] Helping COPD patients to stop smoking is a vital part of the nurses role even if that help is referring the patient to specialist services. […] Many practice nurses have been trained in smoking cessation techniques and can offer patients a great deal of support. […] Measuring body mass index (BMI) is simple and should be a routine part of assessing patients with COPD. […] Keeping active maintains general fitness and wellbeing. […] Teaching patients how to recognise exacerbations and to seek help early may reduce the need for hospital admission. […] In-patient management is similar, but allows assessment of blood gases and closer monitoring and support. […] The role of the nurse in caring for patients with COPD is, to a large extent, dependent on her area of work.
- #35 Effective COPD Nursing Diagnosis for Smarter Interventions | Nursing Paperhttps://www.nursingpaper.com/blog/copd-nursing-diagnosis/
They must watch patients with their inhalers and see that they exhale completely, put their lips tightly around the inhaler, and breathe in slowly, tailored to each diagnosis. […] Long-term management includes regular exercise, a healthy diet, trigger avoidance, and a written plan based on diagnosis for symptomatic worsening.
- #36 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) NURSING CARE PLAN – Techawareyhttps://techawarey.com/nursing/copd-chronic-obstructive-pulmonary-disease-nursing-care-plan/
Monitor ABG value and pulse oximetry as ordered. […] Elevate head of bed or help patient to lean on over bet table. […] Administer supplemental oxygen at 2L per minute if ordered. […] Teach patient relaxation exercise, diaphragmatic (deep) and pursed lip breathing (a breathing technique that consist of exhaling through tightly pressed lip inhaling through the nose with closed mouth). […] Encourage patient to stop smoking. […] For severe dyspnea, ask physician about an order for intravenous morphine sulfate. […] Rationale: Respiratory rate less than 12 or more than 24 or use of accessory muscles indicates distress. […] Diminished lung sound indicates poor air movement and impaired gas exchange. […] Cyanosis indicates poor oxygenation. […] Oral mucus cyanosis indicates serous hypoxia.
- #37 What to know about a COPD care planhttps://www.medicalnewstoday.com/articles/copd-care-plan
It can help them track how they are doing and know what concerns to bring up with a doctor. […] Adherence to an action plan of healthy lifestyle practices can make a difference in COPD severity, the number of flare-ups, and disease progression. […] Although a care plan includes instructions concerning medications and when to call a doctor, another important section involves lifestyle change advisories. […] The Centers for Disease Control and Prevention (CDC) report that quitting smoking is the most important part of COPD treatment for people who smoke. […] Regular physical activity is part of a healthy lifestyle, even for people with COPD, states the ALA. […] The ALA recommends doing the below two breathing exercises daily to make the lungs work more efficiently. […] An occupational therapist can teach people with COPD ways to conserve their energy.
- #38 COPD Self-care: The Top 10 Most Helpful Tipshttps://www.chaptershealth.org/chapters-of-life-blog/patients/copd-self-care-the-top-10-most-helpful-tips/
Creating a cool and relaxing environment in the home can help a COPD patient relax and conserve energy, which is critically important. […] Many COPD patients struggle to open their airways and remove excessive mucus. Respiratory therapists can provide education on these different breathing and coughing techniques to help remove mucus and control shortness of breath. […] Be wary of harsh chemicals, air fresheners and scented candles that can trigger breathlessness episodes. […] Air purifiers remove allergens and irritants such as pet dander, dust, mold and pollen from the environment. […] COPD patients should eat small, balanced and more frequent meals. Avoid meals that are heavy in carbohydrates. […] Staying hydrated is important for everyone, but for COPD patients it is doubly important.
- #39 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
It is recommended that the multidisciplinary COPD team includes respiratory nurse specialists. […] Be alert for anxiety and depression in people with COPD. […] Regularly ask people with COPD about their ability to undertake activities of daily living and how breathless these activities make them. […] Consider referring people for assessment by social services if they have disabilities caused by COPD. […] Develop an individualised self-management plan in collaboration with each person with COPD and their family members or carers. […] Encourage people with COPD to respond promptly to exacerbation symptoms by following their action plan. […] Use NIV as the treatment of choice for persistent hypercapnic ventilatory failure during exacerbations despite optimal medical therapy. […] Treat hospitalised exacerbations of COPD on intensive care units, including invasive ventilation when this is thought to be necessary.
- #40 COPD Action Plan – Lung Foundation Australiahttps://lungfoundation.com.au/resources/copd-action-plan/
A COPD Action Plan is a simple guide that helps you take care of your COPD (chronic obstructive pulmonary disease). You fill it out with your GP, specialist or nurse. It helps you know what medicines to take every day, what to do if you feel worse, and when to get medical help. […] Fill out the plan with your GP, specialist or nurse. The plan has different coloured zones to show the actions to take depending on how you’re feeling. […] Ask your doctor to write down when and how to take them. […] It includes extra medicines your GP, specialist or nurse may suggest you use if you are feeling unwell. […] It explains when to contact your doctor for an urgent appointment. […] This is your plan when a flare-up is an emergency and you need to get urgent medical help. […] On the back of the Action Plan, you will find tips on how to manage your COPD. […] Ask your doctor, specialist or nurse to review your COPD Action Plan each year, or whenever you notice changes in your symptoms or after a flare-up.
- #41 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
It is recommended that the multidisciplinary COPD team includes respiratory nurse specialists. […] Be alert for anxiety and depression in people with COPD. […] Regularly ask people with COPD about their ability to undertake activities of daily living and how breathless these activities make them. […] Consider referring people for assessment by social services if they have disabilities caused by COPD. […] Develop an individualised self-management plan in collaboration with each person with COPD and their family members or carers. […] Encourage people with COPD to respond promptly to exacerbation symptoms by following their action plan. […] Use NIV as the treatment of choice for persistent hypercapnic ventilatory failure during exacerbations despite optimal medical therapy. […] Treat hospitalised exacerbations of COPD on intensive care units, including invasive ventilation when this is thought to be necessary.
- #42 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Quitting smoking is crucial for optimal lung function and in reducing the risk of mortality. […] Oxygen supplementation lowers mortality rates in patients with advanced COPD. […] Pulmonary rehabilitation improves the quality of life by lessening airflow limitation, preventing and treating complications, and alleviating symptoms. […] COPD is a chronic and progressive disease. Hospice and palliative care are vital services to improve the quality of life through symptom management. […] COPD exacerbations refer to a worsening in symptoms for days or weeks and often require hospitalization. […] If the patient smokes, this is one of the most important instructions that can be given. Quitting smoking is difficult but is essential in preserving lung function and preventing exacerbations.
- #43 COPD: Causes, Symptoms, Diagnosis, Treatment & Preventionhttps://my.clevelandclinic.org/health/diseases/8709-chronic-obstructive-pulmonary-disease-copd
Chronic obstructive pulmonary disease (COPD) is a term for lung and airway diseases that restrict your breathing. Treatments can manage symptoms and reduce exacerbations. […] People with COPD often get exacerbations, or worsening of symptoms, like severe difficulty breathing, thicker mucus, wheezing and cough. You might need to go to the hospital for severe exacerbations. […] Theres no cure for COPD. Treatment focuses on improving your symptoms and reducing and treating exacerbations. Your provider may recommend: Smoking cessation programs. If you smoke, quitting can slow down the progression of COPD. Inhaled medications. Bronchodilators and steroids can reduce inflammation and open your airways. […] The best way to prevent COPD is to avoid smoking and exposure to secondhand smoke and other pollutants that can damage your lungs.
- #44 COPD – nursing care and implications for nursing | Nursing Timeshttps://www.nursingtimes.net/respiratory/copd-nursing-care-and-implications-for-nursing-10-09-2002/
One of the most important tasks of the nurse is to teach patients how to use their inhaler devices correctly. […] Helping COPD patients to stop smoking is a vital part of the nurses role even if that help is referring the patient to specialist services. […] Many practice nurses have been trained in smoking cessation techniques and can offer patients a great deal of support. […] Measuring body mass index (BMI) is simple and should be a routine part of assessing patients with COPD. […] Keeping active maintains general fitness and wellbeing. […] Teaching patients how to recognise exacerbations and to seek help early may reduce the need for hospital admission. […] In-patient management is similar, but allows assessment of blood gases and closer monitoring and support. […] The role of the nurse in caring for patients with COPD is, to a large extent, dependent on her area of work.
- #45https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1561
If you have chronic obstructive pulmonary disease (COPD), your usual shortness of breath could suddenly get worse. You may start coughing more and have more mucus. This flare-up is called a COPD exacerbation (say „ig-ZAS-ur-BAY-shun”). […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Do not panic if you start to have one. Quick treatment may help you prevent serious breathing problems. If you have a COPD exacerbation plan that you developed with your doctor, follow it. […] Talk to your doctor if you have any problems with your medicine. And call your doctor or nurse advice line if you have to use your antibiotic or steroid pills.
- #46 Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management – Province of British Columbiahttps://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/copd
Provide appropriate immunizations to reduce the risk of exacerbation and mortality (i.e., influenza, COVID-19, RSV, and pneumococcal). […] Refer patients with moderate to severe COPD to pulmonary rehabilitation. […] When prescribing medication for patients with COPD: Choose medications based on severity. […] Evaluate the patient’s adherence and inhaler technique regularly, as up to 50% of patients use their device incorrectly. […] Develop an exacerbation action plan with patients. […] More than 80% of exacerbations can be managed on an outpatient basis with pharmacologic therapies. […] Severe AECOPD complicated by acute respiratory failure is a medical emergency and should be assessed in acute care. […] Patients with COPD are encouraged to review information on extreme climate risks and how to manage them.
- #47 Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management – Province of British Columbiahttps://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/copd
Provide appropriate immunizations to reduce the risk of exacerbation and mortality (i.e., influenza, COVID-19, RSV, and pneumococcal). […] Refer patients with moderate to severe COPD to pulmonary rehabilitation. […] When prescribing medication for patients with COPD: Choose medications based on severity. […] Evaluate the patient’s adherence and inhaler technique regularly, as up to 50% of patients use their device incorrectly. […] Develop an exacerbation action plan with patients. […] More than 80% of exacerbations can be managed on an outpatient basis with pharmacologic therapies. […] Severe AECOPD complicated by acute respiratory failure is a medical emergency and should be assessed in acute care. […] Patients with COPD are encouraged to review information on extreme climate risks and how to manage them.
- #48 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
Monitor people’s recovery by regular clinical assessment of their symptoms and observation of their functional capacity. […] Measure spirometry in all people before discharge. […] The person, their family and their physician should be confident that they can manage successfully before they are discharged.
- #49 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
Monitor people’s recovery by regular clinical assessment of their symptoms and observation of their functional capacity. […] Measure spirometry in all people before discharge. […] The person, their family and their physician should be confident that they can manage successfully before they are discharged.
- #50 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
Monitor people’s recovery by regular clinical assessment of their symptoms and observation of their functional capacity. […] Measure spirometry in all people before discharge. […] The person, their family and their physician should be confident that they can manage successfully before they are discharged.
- #51https://www.nhs.uk/conditions/chronic-obstructive-pulmonary-disease-copd/treatment/
There’s currently no cure for chronic obstructive pulmonary disease (COPD), but treatment can help slow the progression of the condition and control the symptoms. […] Treatments include: stopping smoking if you have COPD and you smoke, this is the most important thing you can do […] pulmonary rehabilitation a specialised programme of exercise and education. […] Pulmonary rehabilitation is a specialised programme of exercise and education designed to help people with lung problems such as COPD. […] It can help improve how much exercise you’re able to do before you feel out of breath, as well as your symptoms, self-confidence and emotional wellbeing. […] If COPD is affecting your breathing, you’ll usually be given an inhaler. […] A doctor or nurse will advise you on how to use an inhaler correctly and how often to use it.
- #52 COPD – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/copd/diagnosis-treatment/drc-20353685
Pulmonary rehabilitation after bouts of worsening symptoms may lessen the likelihood that you’ll need to go back into the hospital. Pulmonary rehabilitation also allows you to participate more fully in everyday activities and improves your quality of life. […] For adults with COPD related to AAT deficiency, treatment options include those used for people with more-common types of COPD. Some people can be treated by also replacing the missing AAT protein. This may prevent further damage to the lungs.
- #53 Treating COPD | American Lung Associationhttps://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treating
Pulmonary rehab programs may help improve your lung function, reduce symptoms and the risk of hospital admissions, and improve your quality of life. […] Supplemental oxygen or oxygen therapy increases the amount of oxygen that flows into your lungs. […] Non-invasive ventilation is a form of noninvasive positive pressure ventilation (NPPV) and may decrease mortality and prevent re-hospitalization. […] Endobronchial valve therapy or EBVs are a non-surgical approach for select people living with advanced COPD and emphysema breathe easier. […] Some people with very severe COPD symptoms may have a hard time breathing all of the time. In some of these cases, healthcare providers may suggest lung surgery to improve breathing. […] Clinical trials are research studies that test how well new medical approaches work in people.
- #54 Treating COPD | American Lung Associationhttps://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treating
COPD treatment may improve symptoms, reduce the risk of COPD exacerbations and allow you to do more of the activities you enjoy. […] Each person’s COPD symptoms and treatment options are different. You and your healthcare team will work together to create a treatment plan that works for you. Your treatment plan will help you control your symptoms and know what to do when your COPD gets worse. […] There is no cure for COPD, but treatment options may help you: Better control symptoms, Slow the progression of the disease, Reduce the risk of exacerbations or flare ups, Improve your ability to stay active. […] Quitting smoking is an important part of your COPD treatment plan. […] Medication is often one of the first treatment options prescribed by your healthcare provider. […] A pulmonary rehabilitation program offers classes in a small group setting.
- #55 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Quitting smoking is crucial for optimal lung function and in reducing the risk of mortality. […] Oxygen supplementation lowers mortality rates in patients with advanced COPD. […] Pulmonary rehabilitation improves the quality of life by lessening airflow limitation, preventing and treating complications, and alleviating symptoms. […] COPD is a chronic and progressive disease. Hospice and palliative care are vital services to improve the quality of life through symptom management. […] COPD exacerbations refer to a worsening in symptoms for days or weeks and often require hospitalization. […] If the patient smokes, this is one of the most important instructions that can be given. Quitting smoking is difficult but is essential in preserving lung function and preventing exacerbations.
- #56 Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management – Province of British Columbiahttps://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/copd
Provide appropriate immunizations to reduce the risk of exacerbation and mortality (i.e., influenza, COVID-19, RSV, and pneumococcal). […] Refer patients with moderate to severe COPD to pulmonary rehabilitation. […] When prescribing medication for patients with COPD: Choose medications based on severity. […] Evaluate the patient’s adherence and inhaler technique regularly, as up to 50% of patients use their device incorrectly. […] Develop an exacerbation action plan with patients. […] More than 80% of exacerbations can be managed on an outpatient basis with pharmacologic therapies. […] Severe AECOPD complicated by acute respiratory failure is a medical emergency and should be assessed in acute care. […] Patients with COPD are encouraged to review information on extreme climate risks and how to manage them.
- #57 Treating COPD | American Lung Associationhttps://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treating
Pulmonary rehab programs may help improve your lung function, reduce symptoms and the risk of hospital admissions, and improve your quality of life. […] Supplemental oxygen or oxygen therapy increases the amount of oxygen that flows into your lungs. […] Non-invasive ventilation is a form of noninvasive positive pressure ventilation (NPPV) and may decrease mortality and prevent re-hospitalization. […] Endobronchial valve therapy or EBVs are a non-surgical approach for select people living with advanced COPD and emphysema breathe easier. […] Some people with very severe COPD symptoms may have a hard time breathing all of the time. In some of these cases, healthcare providers may suggest lung surgery to improve breathing. […] Clinical trials are research studies that test how well new medical approaches work in people.
- #58 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Quitting smoking is crucial for optimal lung function and in reducing the risk of mortality. […] Oxygen supplementation lowers mortality rates in patients with advanced COPD. […] Pulmonary rehabilitation improves the quality of life by lessening airflow limitation, preventing and treating complications, and alleviating symptoms. […] COPD is a chronic and progressive disease. Hospice and palliative care are vital services to improve the quality of life through symptom management. […] COPD exacerbations refer to a worsening in symptoms for days or weeks and often require hospitalization. […] If the patient smokes, this is one of the most important instructions that can be given. Quitting smoking is difficult but is essential in preserving lung function and preventing exacerbations.
- #59 COPD | Nurse Teachingshttps://www.nurseteachings.com/tag/copd
SN instructed if your breathing gets bad, oxygen can help make it easier. With COPD, your lungs don’t absorb oxygen the way they should, so they can’t get it to the rest of your body. That makes it harder for your body and your organs to do their jobs. When you use extra oxygen, breathing is easier and you’re able to do more every day. […] Instructed patient about breathing tips for people with COPD take your medicine follow the treatment plan your doctor gives you. Take your medicine exactly as prescribed and listen to any other advice she has on how to take care of your COPD. If you have any questions, be sure to ask, get good sleep sleep problems are common with COPD. […] Instructed patient about breathing tips for people with COPD be aware of your weight because it takes so much energy to breathe, you might be underweight.
- #60 Treating COPD | American Lung Associationhttps://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treating
Pulmonary rehab programs may help improve your lung function, reduce symptoms and the risk of hospital admissions, and improve your quality of life. […] Supplemental oxygen or oxygen therapy increases the amount of oxygen that flows into your lungs. […] Non-invasive ventilation is a form of noninvasive positive pressure ventilation (NPPV) and may decrease mortality and prevent re-hospitalization. […] Endobronchial valve therapy or EBVs are a non-surgical approach for select people living with advanced COPD and emphysema breathe easier. […] Some people with very severe COPD symptoms may have a hard time breathing all of the time. In some of these cases, healthcare providers may suggest lung surgery to improve breathing. […] Clinical trials are research studies that test how well new medical approaches work in people.
- #61 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
It is recommended that the multidisciplinary COPD team includes respiratory nurse specialists. […] Be alert for anxiety and depression in people with COPD. […] Regularly ask people with COPD about their ability to undertake activities of daily living and how breathless these activities make them. […] Consider referring people for assessment by social services if they have disabilities caused by COPD. […] Develop an individualised self-management plan in collaboration with each person with COPD and their family members or carers. […] Encourage people with COPD to respond promptly to exacerbation symptoms by following their action plan. […] Use NIV as the treatment of choice for persistent hypercapnic ventilatory failure during exacerbations despite optimal medical therapy. […] Treat hospitalised exacerbations of COPD on intensive care units, including invasive ventilation when this is thought to be necessary.
- #62https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
Chronic obstructive pulmonary disease (COPD) is a common lung disease causing restricted airflow and breathing problems. […] COPD is not curable but symptoms can improve if one avoids smoking and exposure to air pollution and gets vaccines to prevent infections. It can also be treated with medicines, oxygen and pulmonary rehabilitation. […] There are several treatments available for COPD. […] Inhaled medicines that open and reduce swelling in the airways are the main treatments. […] Bronchodilator inhalers are the most important medicines for treating COPD. […] Pulmonary rehabilitation teaches exercises to improve your breathing and ability to exercise. […] People living with COPD must be given information about their condition, treatment and self-care to help them to stay as active and healthy as possible.
- #63 Patient education: Chronic obstructive pulmonary disease (COPD) treatments (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/chronic-obstructive-pulmonary-disease-copd-treatments-beyond-the-basics
Bronchodilators â Medications that help open the airways, called bronchodilators, are a mainstay of treatment for COPD. […] Glucocorticoids â Glucocorticoids are a class of medication that has anti-inflammatory properties. […] Some medications, like roflumilast and theophylline, are only used for people who still have symptoms even after trying the usual therapies. […] Supplemental oxygen must never be used while smoking. […] Palliative care refers to treatments that do not cure disease or stop disease progression, but may relieve symptoms and improve quality of life. […] Hospice care may be recommended when a person is unlikely to live longer than six months.
- #64 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Administer supplemental oxygen. Oxygen should be administered at the lowest concentration indicated, usually 2-4L continuously via nasal cannula. […] Pursed lip breathing helps bring more oxygen into the lungs while removing carbon dioxide. […] Administer mucolytics. Mucolytics can reduce sputum viscosity and improve secretion clearance. […] Huff coughing is a method used in patients with COPD to loosen and force mucus through the airways without collapsing the airways. […] An ineffective breathing pattern may be caused by or due to anxiety. […] Bronchodilators relax the airways and inhaled steroids reduce inflammation to prevent exacerbations.
- #65 Patient education: Chronic obstructive pulmonary disease (COPD) treatments (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/chronic-obstructive-pulmonary-disease-copd-treatments-beyond-the-basics
Bronchodilators â Medications that help open the airways, called bronchodilators, are a mainstay of treatment for COPD. […] Glucocorticoids â Glucocorticoids are a class of medication that has anti-inflammatory properties. […] Some medications, like roflumilast and theophylline, are only used for people who still have symptoms even after trying the usual therapies. […] Supplemental oxygen must never be used while smoking. […] Palliative care refers to treatments that do not cure disease or stop disease progression, but may relieve symptoms and improve quality of life. […] Hospice care may be recommended when a person is unlikely to live longer than six months.
- #66https://www.nhs.uk/conditions/chronic-obstructive-pulmonary-disease-copd/treatment/
If your symptoms are not controlled with inhalers, a doctor may recommend taking tablets or capsules as well. […] If you have a particularly bad flare-up, you may be prescribed a short course of steroid tablets to reduce the inflammation in your airways. […] Surgery is usually only suitable for a small number of people with severe COPD whose symptoms are not controlled with medicine.
- #67 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
Do not use oral corticosteroid reversibility tests to identify which people should be prescribed inhaled corticosteroids, because they do not predict response to inhaled corticosteroid therapy. […] Be aware of, and be prepared to discuss with the person, the risk of side effects (including pneumonia) in people who take inhaled corticosteroids for COPD. […] Make pulmonary rehabilitation available to all appropriate people with COPD, including people who have had a recent hospitalisation for an acute exacerbation. […] Offer pulmonary rehabilitation to all people who view themselves as functionally disabled by COPD. […] When appropriate, use opioids to relieve breathlessness in people with end-stage COPD that is unresponsive to other medical therapy. […] COPD care should be delivered by a multidisciplinary team.
- #68 Patient education: Chronic obstructive pulmonary disease (COPD) treatments (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/chronic-obstructive-pulmonary-disease-copd-treatments-beyond-the-basics
Bronchodilators â Medications that help open the airways, called bronchodilators, are a mainstay of treatment for COPD. […] Glucocorticoids â Glucocorticoids are a class of medication that has anti-inflammatory properties. […] Some medications, like roflumilast and theophylline, are only used for people who still have symptoms even after trying the usual therapies. […] Supplemental oxygen must never be used while smoking. […] Palliative care refers to treatments that do not cure disease or stop disease progression, but may relieve symptoms and improve quality of life. […] Hospice care may be recommended when a person is unlikely to live longer than six months.
- #69 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Administer supplemental oxygen. Oxygen should be administered at the lowest concentration indicated, usually 2-4L continuously via nasal cannula. […] Pursed lip breathing helps bring more oxygen into the lungs while removing carbon dioxide. […] Administer mucolytics. Mucolytics can reduce sputum viscosity and improve secretion clearance. […] Huff coughing is a method used in patients with COPD to loosen and force mucus through the airways without collapsing the airways. […] An ineffective breathing pattern may be caused by or due to anxiety. […] Bronchodilators relax the airways and inhaled steroids reduce inflammation to prevent exacerbations.
- #70 Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management – Province of British Columbiahttps://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/copd
Provide appropriate immunizations to reduce the risk of exacerbation and mortality (i.e., influenza, COVID-19, RSV, and pneumococcal). […] Refer patients with moderate to severe COPD to pulmonary rehabilitation. […] When prescribing medication for patients with COPD: Choose medications based on severity. […] Evaluate the patient’s adherence and inhaler technique regularly, as up to 50% of patients use their device incorrectly. […] Develop an exacerbation action plan with patients. […] More than 80% of exacerbations can be managed on an outpatient basis with pharmacologic therapies. […] Severe AECOPD complicated by acute respiratory failure is a medical emergency and should be assessed in acute care. […] Patients with COPD are encouraged to review information on extreme climate risks and how to manage them.
- #71 COPD – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679
COPD is treatable. With proper management, most people with COPD can control symptoms and improve their quality of life. Proper management also can lower the risk of other conditions linked to COPD, such as heart disease and lung cancer. […] Talk with your doctor or other healthcare professional if your symptoms don’t get better with treatment or if symptoms get worse. […] If you smoke and have COPD, stopping now can slow how fast the condition worsens. […] It’s critical to find a stop-smoking program that can help you quit for good. It’s your best chance for lessening damage to your lungs. Talk with your healthcare professional about options that might work best for you. […] Here are some steps you can take to help prevent complications linked with COPD: Quit smoking to help lower your risk of heart disease and lung cancer. Get an annual flu vaccination and vaccination against pneumococcal pneumonia to lower your risk of or prevent some infections. Also talk with your doctor or other healthcare professional about when you need the COVID-19 vaccine and the RSV vaccine.
- #72 8 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans – Nurseslabshttps://nurseslabs.com/chronic-obstructive-pulmonary-disease-copd-nursing-care-plans/
Discuss the importance of medical follow-up care, periodic chest x-rays, and sputum cultures. Monitoring the disease process allows for alterations in the therapeutic regimen to meet changing needs and may help prevent complications. […] Stress proper hand hygiene to the client, staff, and family members. Hand hygiene is an effective means of reducing the spread or acquisition of the disease. […] Encourage a balance between activity and rest. This reduces oxygen consumption or demand imbalance, and improves the clients resistance to infection, promoting healing. […] Provide information about activity limitations and alternating activities with rest periods to prevent fatigue; ways to conserve energy during activities (pulling instead of pushing, sitting instead of standing while performing tasks); use of pursed-lip breathing, side-lying position, and the possible need for supplemental oxygen during sexual activity. Having this knowledge can enable clients to make informed choices or decisions to reduce dyspnea, maximize activity levels, perform the most desired activities, and prevent complications.
- #73 10 Tips for Managing COPDhttps://www.nationaljewish.org/education/health-information/living-with-copd/managing-copd
If you have COPD, you have an increased risk of lung infections. […] When mucus collects in the airways, it can make breathing difficult and can lead to infection. […] Your doctor or healthcare provider will help you understand when your symptoms are getting worse and what you can do about it. […] You can live a healthy and happy life with COPD. Learn about the disease. Write down your concerns or areas where you want to see change and talk with your provider. Understanding how the disease can impact your life and what you can do to prevent or fix problems can help you take charge of your life and live the way you want to live.
- #74 COPD Self-care: The Top 10 Most Helpful Tipshttps://www.chaptershealth.org/chapters-of-life-blog/patients/copd-self-care-the-top-10-most-helpful-tips/
Here are the 10 most important self-care tips that can help. […] COPD patients need Education on oxygen safety. Some COPD patients, especially those in later stages of the disease, may need to use portable oxygen tanks if their blood oxygen levels are too low. In this case, do not underestimate the education respiratory therapists can provide on the safe storage and use of oxygen. […] COPD medication needs to be taken exactly as itâs prescribed. Whether itâs comfort medications, corticosteroids, or antibiotics, patients should always follow their prescriptions. […] The normal human lung has several defense mechanisms against microorganisms such as bacteria. For COPD patients, those defense mechanisms are severely weakened. Thatâs why it is very important to regularly clean any Nebulizers, inhalers, CPAP and BiPAP machines with water and vinegar to reduce the risk of infections such as pneumonia.
- #75 COPD: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/chronic-obstructive-pulmonary-disease-copd-nursing-diagnosis-care-plan/
Quitting smoking is crucial for optimal lung function and in reducing the risk of mortality. […] Oxygen supplementation lowers mortality rates in patients with advanced COPD. […] Pulmonary rehabilitation improves the quality of life by lessening airflow limitation, preventing and treating complications, and alleviating symptoms. […] COPD is a chronic and progressive disease. Hospice and palliative care are vital services to improve the quality of life through symptom management. […] COPD exacerbations refer to a worsening in symptoms for days or weeks and often require hospitalization. […] If the patient smokes, this is one of the most important instructions that can be given. Quitting smoking is difficult but is essential in preserving lung function and preventing exacerbations.
- #76 Patient education: Chronic obstructive pulmonary disease (COPD) treatments (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/chronic-obstructive-pulmonary-disease-copd-treatments-beyond-the-basics
Bronchodilators â Medications that help open the airways, called bronchodilators, are a mainstay of treatment for COPD. […] Glucocorticoids â Glucocorticoids are a class of medication that has anti-inflammatory properties. […] Some medications, like roflumilast and theophylline, are only used for people who still have symptoms even after trying the usual therapies. […] Supplemental oxygen must never be used while smoking. […] Palliative care refers to treatments that do not cure disease or stop disease progression, but may relieve symptoms and improve quality of life. […] Hospice care may be recommended when a person is unlikely to live longer than six months.
- #77 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
Do not use oral corticosteroid reversibility tests to identify which people should be prescribed inhaled corticosteroids, because they do not predict response to inhaled corticosteroid therapy. […] Be aware of, and be prepared to discuss with the person, the risk of side effects (including pneumonia) in people who take inhaled corticosteroids for COPD. […] Make pulmonary rehabilitation available to all appropriate people with COPD, including people who have had a recent hospitalisation for an acute exacerbation. […] Offer pulmonary rehabilitation to all people who view themselves as functionally disabled by COPD. […] When appropriate, use opioids to relieve breathlessness in people with end-stage COPD that is unresponsive to other medical therapy. […] COPD care should be delivered by a multidisciplinary team.
- #78 Treating COPD | American Lung Associationhttps://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treating
Complementary therapies refer to the many therapies, philosophies and practices that are not considered conventional or standard medical care in the United States. […] Palliative care is a specialty in medicine that focuses on relieving the discomfort of symptoms, anxiety, pain and stress that accompany serious illnesses like COPD. […] Advanced directives are medical treatment and care decisions written out ahead of time.
- #79 Palliative Care and COPD (Chronic Obstructive Pulmonary Disease)https://getpalliativecare.org/whatis/disease-types/chronic-obstructive-pulmonary-disease-copd-palliative-care/
Palliative care teams also help manage your shortness of breath by using medications that reduce the feeling of breathlessness. They can treat anxiety and depression with medications as well as talk therapy, massage and relaxation techniques. […] Palliative care specialists can help educate you on how to stay as healthy as possible during the course of the disease. […] Palliative care teams are there to start and ease discussions between you and your family about your goals and what type of care is best for you.
- #80 Patient education: Chronic obstructive pulmonary disease (COPD) treatments (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/chronic-obstructive-pulmonary-disease-copd-treatments-beyond-the-basics
Bronchodilators â Medications that help open the airways, called bronchodilators, are a mainstay of treatment for COPD. […] Glucocorticoids â Glucocorticoids are a class of medication that has anti-inflammatory properties. […] Some medications, like roflumilast and theophylline, are only used for people who still have symptoms even after trying the usual therapies. […] Supplemental oxygen must never be used while smoking. […] Palliative care refers to treatments that do not cure disease or stop disease progression, but may relieve symptoms and improve quality of life. […] Hospice care may be recommended when a person is unlikely to live longer than six months.
- #81 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
Do not use oral corticosteroid reversibility tests to identify which people should be prescribed inhaled corticosteroids, because they do not predict response to inhaled corticosteroid therapy. […] Be aware of, and be prepared to discuss with the person, the risk of side effects (including pneumonia) in people who take inhaled corticosteroids for COPD. […] Make pulmonary rehabilitation available to all appropriate people with COPD, including people who have had a recent hospitalisation for an acute exacerbation. […] Offer pulmonary rehabilitation to all people who view themselves as functionally disabled by COPD. […] When appropriate, use opioids to relieve breathlessness in people with end-stage COPD that is unresponsive to other medical therapy. […] COPD care should be delivered by a multidisciplinary team.
- #82 Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICEhttps://www.nice.org.uk/guidance/ng115/chapter/recommendations
It is recommended that the multidisciplinary COPD team includes respiratory nurse specialists. […] Be alert for anxiety and depression in people with COPD. […] Regularly ask people with COPD about their ability to undertake activities of daily living and how breathless these activities make them. […] Consider referring people for assessment by social services if they have disabilities caused by COPD. […] Develop an individualised self-management plan in collaboration with each person with COPD and their family members or carers. […] Encourage people with COPD to respond promptly to exacerbation symptoms by following their action plan. […] Use NIV as the treatment of choice for persistent hypercapnic ventilatory failure during exacerbations despite optimal medical therapy. […] Treat hospitalised exacerbations of COPD on intensive care units, including invasive ventilation when this is thought to be necessary.
- #83 Outpatient care of patients with COPDhttps://www.myamericannurse.com/outpatient-care-of-patients-with-copd/
Controlling symptoms and preventing exacerbations are the key to patient quality of life. […] Nurses must be able to identify patients with chronic obstructive pulmonary disease (COPD) early in the disease process to provide education that helps prevent exacerbations, decreases co-morbidities, and improves quality of life. […] Nurses play an important role throughout COPD treatment, educating patients, assisting with medication plans, and helping to prevent exacerbations. […] When COPD exacerbations occur, lung function is lost and doesn’t return, so treatment focuses on preventing and minimizing them. Nurses play an important role throughout treatment, educating patients, assisting with medication plans, and helping to prevent destructive exacerbations. […] Nurses provide vital education and care coordination for patients with COPD to prevent costly and life-threatening exacerbations.
- #84 Outpatient care of patients with COPDhttps://www.myamericannurse.com/outpatient-care-of-patients-with-copd/
Controlling symptoms and preventing exacerbations are the key to patient quality of life. […] Nurses must be able to identify patients with chronic obstructive pulmonary disease (COPD) early in the disease process to provide education that helps prevent exacerbations, decreases co-morbidities, and improves quality of life. […] Nurses play an important role throughout COPD treatment, educating patients, assisting with medication plans, and helping to prevent exacerbations. […] When COPD exacerbations occur, lung function is lost and doesn’t return, so treatment focuses on preventing and minimizing them. Nurses play an important role throughout treatment, educating patients, assisting with medication plans, and helping to prevent destructive exacerbations. […] Nurses provide vital education and care coordination for patients with COPD to prevent costly and life-threatening exacerbations.
- #85 Diffusion Marketplacehttps://marketplace.va.gov/innovations/copd-care
By implementing the COPD CARE service, your VA site will have the opportunity to be involved in a nationally-recognized, interprofessional service that uses a collaborative approach to improve COPD management. […] Through coordination of existing care structures, including the Patient Aligned Care Team (PACT), COPD CARE has been shown to increase patient access to timely care post-discharge and reduce COPD 30-day readmission rates. […] In summary, the COPD CARE service improves access to care, reduces readmission rates, and identifies more patients for referral services compared to the current standard of care, which can significantly improve patient care outcomes. […] COPD CARE offers a means of interprofessional coordination for enhanced COPD management, resulting in a statistically significant reduction in a 30-day readmission rate reduction and almost doubling access to care within 30 days of discharge.
- #86 Diffusion Marketplacehttps://marketplace.va.gov/innovations/copd-care
By implementing the COPD CARE service, your VA site will have the opportunity to be involved in a nationally-recognized, interprofessional service that uses a collaborative approach to improve COPD management. […] Through coordination of existing care structures, including the Patient Aligned Care Team (PACT), COPD CARE has been shown to increase patient access to timely care post-discharge and reduce COPD 30-day readmission rates. […] In summary, the COPD CARE service improves access to care, reduces readmission rates, and identifies more patients for referral services compared to the current standard of care, which can significantly improve patient care outcomes. […] COPD CARE offers a means of interprofessional coordination for enhanced COPD management, resulting in a statistically significant reduction in a 30-day readmission rate reduction and almost doubling access to care within 30 days of discharge.
- #87 A Caregiverâs Guide to Building a COPD Care Planhttps://www.aarp.org/caregiving/health/info-2024/copd-care-plan.html
COPD chronic obstructive pulmonary disease is a tough disease, says Colleen Brennan-Martinez, 64, a retired nurse practitioner from New York City whose father, James Brennan, died from COPD in 2020 at age 84. Its tough for those who have it and struggle to breathe, she says, and its tough for those who watch them struggle. […] But these veteran caregivers, along with medical professionals who treat COPD, say caregivers should know that COPD is more treatable than many people realize and that they can help their loved ones live better, longer lives. […] Heres what experts say caregivers for people with COPD should know. […] The primary treatments for COPD are medicines called bronchodilators that help open airways. […] Caregivers who show up for medical appointments and hospitalizations can help by learning how and when to use each medication, says Martinez.
- #88 A Caregiverâs Guide to Building a COPD Care Planhttps://www.aarp.org/caregiving/health/info-2024/copd-care-plan.html
COPD chronic obstructive pulmonary disease is a tough disease, says Colleen Brennan-Martinez, 64, a retired nurse practitioner from New York City whose father, James Brennan, died from COPD in 2020 at age 84. Its tough for those who have it and struggle to breathe, she says, and its tough for those who watch them struggle. […] But these veteran caregivers, along with medical professionals who treat COPD, say caregivers should know that COPD is more treatable than many people realize and that they can help their loved ones live better, longer lives. […] Heres what experts say caregivers for people with COPD should know. […] The primary treatments for COPD are medicines called bronchodilators that help open airways. […] Caregivers who show up for medical appointments and hospitalizations can help by learning how and when to use each medication, says Martinez.
- #89 Virtual Pulmonary Rehabilitation an Accessible Solution for Patients With COPD on Oxygenhttps://www.hcplive.com/view/virtual-pulmonary-rehabilitation-an-accessible-solution-for-patients-with-copd-on-oxygen
Virtual pulmonary rehabilitation enhances access and improves outcomes for COPD patients, demonstrating safety and effectiveness in individualized care. […] Virtual pulmonary rehabilitation (PR) was safe, feasible, and effective for patients with chronic obstructive pulmonary disease (COPD) on oxygen. […] „Our findings demonstrate the need to increase use of virtual pulmonary rehabilitation programs to help improve the quality of life for people with COPD. By evaluating each patient’s situation and incorporating virtually accessible programs, we can offer more individualized care for patients.” […] Experienced respiratory therapists and exercise physiologists from American Association of Cardiovascular and Pulmonary Rehabilitation certified programs developed the virtual PR program, which program lasted 8 weeks, with 16 semiweekly sessions of 90 minutes each.
- #90 Virtual Pulmonary Rehabilitation an Accessible Solution for Patients With COPD on Oxygenhttps://www.hcplive.com/view/virtual-pulmonary-rehabilitation-an-accessible-solution-for-patients-with-copd-on-oxygen
Virtual pulmonary rehabilitation enhances access and improves outcomes for COPD patients, demonstrating safety and effectiveness in individualized care. […] Virtual pulmonary rehabilitation (PR) was safe, feasible, and effective for patients with chronic obstructive pulmonary disease (COPD) on oxygen. […] „Our findings demonstrate the need to increase use of virtual pulmonary rehabilitation programs to help improve the quality of life for people with COPD. By evaluating each patient’s situation and incorporating virtually accessible programs, we can offer more individualized care for patients.” […] Experienced respiratory therapists and exercise physiologists from American Association of Cardiovascular and Pulmonary Rehabilitation certified programs developed the virtual PR program, which program lasted 8 weeks, with 16 semiweekly sessions of 90 minutes each.
- #91 Virtual Pulmonary Rehabilitation an Accessible Solution for Patients With COPD on Oxygenhttps://www.hcplive.com/view/virtual-pulmonary-rehabilitation-an-accessible-solution-for-patients-with-copd-on-oxygen
Virtual pulmonary rehabilitation enhances access and improves outcomes for COPD patients, demonstrating safety and effectiveness in individualized care. […] Virtual pulmonary rehabilitation (PR) was safe, feasible, and effective for patients with chronic obstructive pulmonary disease (COPD) on oxygen. […] „Our findings demonstrate the need to increase use of virtual pulmonary rehabilitation programs to help improve the quality of life for people with COPD. By evaluating each patient’s situation and incorporating virtually accessible programs, we can offer more individualized care for patients.” […] Experienced respiratory therapists and exercise physiologists from American Association of Cardiovascular and Pulmonary Rehabilitation certified programs developed the virtual PR program, which program lasted 8 weeks, with 16 semiweekly sessions of 90 minutes each.
- #92 Virtual Pulmonary Rehabilitation an Accessible Solution for Patients With COPD on Oxygenhttps://www.hcplive.com/view/virtual-pulmonary-rehabilitation-an-accessible-solution-for-patients-with-copd-on-oxygen
Following PR, all functional outcomes showed statistically significant improvement. […] While larger trials are needed to confirm our findings, this offers hope for reducing health disparities in COPD and contributes to the growing literature on virtual PR to help individualize treatment decisions moving forward.
- #93 COPD 2: management and nursing care | Nursing Timeshttps://www.nursingtimes.net/respiratory/chronic-opd-2-management-and-nursing-care-06-04-2020/
Nurses have an important role in the care and management of patients with chronic obstructive pulmonary disease. […] Although there is no cure for this progressive respiratory disease, nurses have a crucial role in its treatment and management, including helping patients to minimise and control their symptoms, and improve the quality of their lives. […] Most nurses not just those who are specialist chronic obstructive pulmonary disease (COPD) or respiratory nurses will routinely care for people who have COPD. […] Although COPD cannot be cured, nurses have a crucial role in the care and management of people living with it, including helping them to minimise and control their symptoms, and improve the quality of their lives. […] Many nursing roles are ideally placed to support patients to live well with COPD.
- #94 Video: Chronic Obstructive Pulmonary Disease-V: Nursing Managementhttps://www.jove.com/science-education/v/16359/chronic-obstructive-pulmonary-disease-v-nursing-management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here’s an overview of the critical steps in nursing management for COPD. […] Based on assessment results, nurses identify critical issues such as: […] Goal Setting is a collaborative approach that involves setting realistic goals with the patient to enhance respiratory function, such as improving airway clearance and optimizing gas exchange. […] Providing emotional support and comprehensive education is essential throughout the nursing management process. Nurses help patients understand their condition and emphasize the importance of adhering to management strategies. This comprehensive approach encompasses COPD patients’ physical, emotional, and educational needs. Effective nursing management significantly improves the quality of life and health results for individuals living with COPD.
- #95 Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD) | Free NURSING.com Courseshttps://nursing.com/lesson/nursing-care-plan-for-chronic-obstructive-pulmonary-disease-copd?parentId=242934
- #96 Nurse-Led Interventions in Chronic Obstructive Pulmonary Disease Patients: A Systematic Review and Meta-Analysis – PubMedhttps://pubmed.ncbi.nlm.nih.gov/35897469/
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide, causing 3.32 million deaths in 2019. COPD management has increasingly become a major component of general and hospital practice and has led to a different model of care. Nurse-led interventions have shown beneficial effects on COPD patient satisfaction and clinical outcomes. This systematic review was conducted to identify and assess nurse-led interventions in COPD patients in terms of mental, physical, and clinical status. […] Nursing management was shown to be highly effective in improving quality of life, emotional state, and pulmonary and physical capacity in COPD patients. In comparison, hospital and respiratory nurses carried out interventions with higher levels of effectiveness than community nurses.