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Patient centered approach in nursing
Chronic Obstructive Pulmonary Diseases
Patient centered approach in nursing
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Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease that includes many different chronic lung conditions, such as chronic bronchitis, emphysema and asthma (Hodson & Sherrington, 2014). COPD is a leading cause of emergency hospitalization in the United States and European countries. The most common causes of COPD are tobacco, environmental factors, occupation exposures and genetics (Hodson & Sherrington, 2014). For some patients COPD can add difficulties and hinder their everyday activities. Patients with COPD have many stages of medical and social healthcare needs. This makes it difficult for health care providers to manage their symptoms (Hodson & Sherrington, 2014). Throughout this paper I will be discussing the pathophysiology practice management, and the population health as it pertains to COPD. I will also be examining the Dorothy Orem theory and the scope and role of an Advance …show more content…
Licensure is the granting the authority to practice. Accreditation is the formal review by an accredited agency of education, Credential is the recognition of education and knowledge skills obtained by nurse practitioners and education is the preparation the nurse practitioner must have to graduate with a masters or doctrine degree (Gordreau, 2011). With this model in place it has made it possible for nurse practitioners to be able to care and manage patients with all different types of illnesses (Gordreau, 2011). The Lace model has also provided nurse practitioners with a good understanding of our scope to practice (AANP, 2012). Adhering to the lace model can help the nurse practitioner continue to follow her scope of practice (Gordreau, 2011). With the Lace model is how we can help our patient Mr. D.A. with his COPD symptoms and assist him in managing the disease (Gordreau,
Below will be looking into the progression of the disease and effects it will have on bill and his family, also will look into the pathophisology of COPD, nursing considerations, treatment management and the community services available to Bill so he can return home safely.
Both Nurse Practitioners and Nurse Practitioner-students work closely with patients to monitor their health and provide care for acute and chronic illnesses. However, in the academic-clinical setting, the NP-student may only perform this function at the discretion of the supervising NP. Although work environments and responsibilities bestowed upon these distinctive nurses can be quite different, Nurse Practitioners, Registered Nurses and students is bound to the same laws and regulations governed by all states and territories that have enacted a nurse practice act (NPA). The NPA itself is insufficient to provide the necessary guidance for the nursing profession, therefore each NPA establishes a state board of nursing (BON) that has the authority to develop administrative rules or regulations to clarify or make the governing practice law(s) more specific (NCSBN
Carone M, D. C. ( 2007). Clinical Challenges In COPD[e-book]. (Oxford: Clinical Pub) Retrieved March 24, 2014, from (EBSCOhost).
This assignment will examine the case of a man admitted to hospital with an exacerbation of chronic obstructive pulmonary disease (COPD). Firstly there will be a definition of COPD and COPD exacerbation. Then there will be a short discussion of how the patient’s data relates to pathophysiology of COPD exacerbation. This information is used to decide what the patient’s first two priority problems are, and two nurse interventions used to best treat those problems.
Chronic obstructive pulmonary disease (COPD) is preventable disease that has a detrimental effects on both the airway and lung parenchyma (Nazir & Erbland, 2009). COPD categorises emphysema and chronic bronchitis, both of which are characterised by a reduced maximum expiratory flow and slow but forced emptying of the lungs (Jeffery 1998). The disease has the one of the highest number of fatalities in the developed world due to the ever increasing amount of tobacco smokers and is associated with significant morbidity and mortality (Marx, Hockberger & Walls, 2014). Signs and symptoms that indicate the presence of the disease include a productive cough, wheezing, dyspnoea and predisposing risk factors (Edelman et al., 1992). The diagnosis of COPD is predominantly based on the results of a lung function assessment (Larsson, 2007). Chronic bronchitis is differentiated from emphysema by it's presentation of a productive cough present for a minimum of three months in two consecutive years that cannot be attributed to other pulmonary or cardiac causes (Marx, Hockberger & Walls, 2014) (Viegi et al., 2007). Whereas emphysema is defined pathologically as as the irreversible destruction without obvious fibrosis of the lung alveoli (Marx, Hockberger & Walls, 2014) (Veigi et al., 2007).It is common for emphysema and chronic bronchitis to be diagnosed concurrently owing to the similarities between the diseases (Marx, Hockberger & Walls, 2014).
The type of education varies based on the type nurse one pursues to become. Becoming a licensed practical nurse (LPN) or licensed vocational nurse (LVN) requires you to attend a yearlong educational program. This program is offered at technical schools, vocational schools, or community colleges. At these various programs, the student will receive lectures and hands on clinical practice. However, those seeking to be become registered nurse (RN) must receive at the least, an associative degree in nursing. After obtaining an associative or bachelor’s degree in nursing, the graduate will have to pass the licensing exam to officially become a registered nurse. Being successful on the licensing exam is required to become a registered nurse. Becoming an advanced practical nurse (APN), requires the student to obtain a Master’s of Science in Nursing. After graduating, the graduate will have to successfully pass the licensing exam also. The type of nurse one chooses to become dictates the type of education he or she has to
In 1990 a group of educators, called the National Task Force for Family Nurse Practitioner Curriculum and Evaluation, created the initial curriculum guidelines for nurse practitioners (Graduate nurse practitioners education competencies, n.d.).Today, the NONPF represents most NP educational institutions worldwide and they continue to develop/improve the NP competencies and guidelines in order to prepare healthcare professionals across the world (Graduate nurse practitioners education competencies,
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
WHO (2005). Preparing a health care workforce for the 21st century. The Challenge of Chronic Conditions. World Health Organization, Non-communicable Diseases and Mental Health Cluster, Chronic Diseases and Health Promotion Department. http://www.who.int/chp/knowledge/publications/workforce_report.pdf?ua=1 [Accessed 1/4/2014]
Research Demonstration: The False Consensus Effect In science, we emphasize systematic, careful observation as a key to overcoming the limits of other methods of acquiring knowledge. That is, we trust systematic observation more than we trust our own intuition. We can actually investigate this issue. The following description provides you with the details necessary to conduct a simple study to investigate the accuracy of human intuition. We often believe that others are more like ourselves than they really are.
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...
It was a clear and calm morning, you decide to go for a run at your favorite park. As you finish up your run you notice an old man in his 60’s sitting on a bench have trouble breathing. You went over to help him and he said to you, “I don’t need your help, I have COPD and I never smoked.” As you walk off, you started to think how is this possible. What is COPD and can anyone get it? After reading this paper you understand the diagnosis, treatment of COPD, pathophysiology of COPD. What is COPD? COPD or chronic obstructive pulmonary disease is a chronic lung disease that makes it hard to breath. Chronic obstructive pulmonary disease changes patient’s everyday lifestyles.
All databases were searched from September 2017 to October 2017. Main topics and key terms were identified and used throughout search to limit the results. The key phrase “Self- management education programs” was used to initiate the search among the different databases. However, the use of key terms: “Chronic obstructive pulmonary disease” and “Quality of Life” were then incorporated within the search criteria to further limit the search results. In addition, articles were selected by an inclusion and exclusion criteria. The inclusion criteria of this review were as follows: (1) original articles, (2) patients with confirmed diagnosis of COPD, (3) self- management education as a major intervention and (4) HRQoL outcomes. Articles were excluded if they were (1) systematic review articles, (2) greater than 6 years old and (3) published in a language other than English. Upon application of the mentioned inclusion and exclusion search criteria 7 articles were examined, and 3 were chosen for interpretation and analysis. Articles were then critiqued and analyzed with the use of evidence-based table formats (Appendix A). The use of guidelines, such as key terms, inclusion and exclusion criteria, aided in the identification of strengths and weakness of individual
Paradigms are models of how ideas relate to one another. (Pollack, 2015). It's a function of how the human mind works. The consensus paradigm views how individuals agree on important goals for survival. Conflict paradigm sees society as being made of competing conflicting interests. Society is at odds with one another and hose with power rule it. In the issues of medical marijuana consensus paradigm would rule that marijuana is illegal and that there are other medical alternatives to use while conflict paradigm recognizes that there are some medical benefits to marijuana use and that it helps some. If money can be made off of it's legalization it will be legalized. Stem cell research although controversial can be useful in the future of medicine
I really didn’t know very much about COPD. I knew that COPD makes it hard to breathe and that sometimes you need to use oxygen to help you breathe. I’ve never heard very much about it other than my grandpa had it and there are a lot of commercials about it. It makes your life a lot harder and you can’t do daily tasks with the ease we take for granted because you’re lugging around your oxygen tank or, ultimately you just can’t breathe.