COPD Exacerbation Case Study Essay.

Introduction: A COPD exacerbation can be defined as “a meeting in the natural course of the disease characterized by a big change in the patient’s baseline dyspnea, cough, and/or sputum, that is beyond normal day-to-day variations, is serious in onset and could warrant a big change in medication in a patient with underlying COPD, ” in line with the Global Initiative for Obstructive Lung Disease (GOLD). COPD exacerbations are incapacitating, in and of themselves. The toll they take on patient’s body can result in impairment and even fatality. Paying attention to signs and symptoms, taking better attention of themselves and taking steps towards reduction may ultimately help patients to avoid a COPD exacerbation.COPD Exacerbation Case Study Essay.

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Clinical Focus: Effective education to increase early rehabilitation for over 20y/o both female and male adult who diagnosed COPD with acute respiratory failing in ICU.COPD Exacerbation Case Study Essay.

Overall Task Goal:

Overall goal is usually to be in a position to propose improvement early rehabilitation to achieve optimal wellbeing as well concerning promote proficient and effective do it yourself management for chronic disease.COPD Exacerbation Case Study Essay.

Nursing Theory: Roy’s version model of medical and Orem’s self care mode

Inclusion population

Patient more than 18 many years of age

Chronic obstructive pulmonary disease

Patients without sedation or catecholamine

Conscious and cooperative state

Ability for the individual to sit in a armchair

Exclusion population

Non chronic obstructive pulmonary disease

Lack of patient involvement

Patients under guardianship

Unconscious and non cooperative state

Patients unable to trip in a wheelchair

Patients under justice safeguard

Date

Objectives

Strategies

Time frame

Outcomes

10/5/10

Using Orem’s self applied good care model the college student will create needs examination tool predicated on the protocols of the organization and information obtained from medical health care team of Montefiore Medical center.COPD Exacerbation Case Study Essay.

Introduce myself to Mr. Villarente. Consult with overall job goal

1hour

Student talks about overall job goal and an idea for examination tool.

10/11/10

Using Orem’s do it yourself care model the student will establish needs evaluation tool predicated on the protocols of the institution and information collected from the health health care team of Montefiore Hospital.

Generalized all information accumulated from patient’s graph with COPD, as well as the overview of patient’s education sources.

An information form the Nurse Director, product nurses, allied team members such as Doctor of the machine, social staff member and clerk.COPD Exacerbation Case Study Essay.

Introduce master intend to Mr. Villarente. Discuss about overall project of this thing. Unit orientation, discuss about task concept, theory software.

Review current project of the machine and goals.

2hours

2hours

2hours

1hour

1hour

*Overall final result: The university student records knowledge on COPD and task of theory using nursing theory which is Orem’s home care model. Pupil also reports coaching rules and support rendered for COPD for Montefiore Medical center.

The student frequented Montefiore ICU and Med-Surg unit on the 5th floor with the preceptor and the medical practicum job was provided to the all available staffs by the student and the preceptor.

No specific and reasonable education guide was unearthed by the scholar.COPD Exacerbation Case Study Essay.

The preceptor created ongoing task of the machine. The concept is ‘decrease the pace of unscheduled extubation. ‘ The college student was able to combine her own view of the professional plan with the ongoing job in Montefiore Medical center.

10/15/10

Using Orem’s personal health care model and Roy’s adaptation model Student will identify what the obstacles are to using COPD recommendations for montefiore medical center patients.

Interview with 3patients and 3 device nurses at Montefiore Hospital about (insufficient) Understanding & knowledge-of what must change & why, (lack of) Motivation-drive & desire to boost good care, priorities, (insufficient) Approval & beliefs-perceptions of benefits vs costs of proposed change, (lack of) Skills Practicalities-(insufficient ) availability of resources, personnel Exterior environment-financial, political, and organizational.COPD Exacerbation Case Study Essay.

Review literature

9hours

(1. 5hrs for every single pt)

(1. 5hrs for each nurse)

1hour

*Overall final result: Student presents what the obstacles are with COPD patients and what COPC rules needs to change at Montefiore clinic.

The scholar interviewed 3 patients and 3 nurses to learn good interview skills as well to get their ideas or answers regarding COPD education.

The student found that there is no nursing specialist to teach about how to manage themselves for COPD to avoid exacerbation.

The nursing staffs have the ability to gain access to KRAMS which is patient education hand out via internet.

During interviewing with patients, the scholar found that solid hard hand out materials is not able to motivate pt to learn all of them.COPD Exacerbation Case Study Essay.