Chronic Obstructive Pulmonary Disease (Term Paper Sample)
In December 2014, changes were made in Medicare payment rules. Hospitals are now penalized when a patient returns within 30 days for treatment of the same problem. One of the targeted medical diagnoses for this payment change is chronic obstructive pulmonary disease (COPD). Therefore, it is essential that the interdisciplinary team be utilized to ensure a safe transition between the acute care setting and home for the patient with HF.
Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that addresses the disease management needs of adult patients with COPD for a safe transition between the acute care setting and home and the role of the interdisciplinary team in that transition.
A minimum of three (3) current professional references must be provided. Current references include professional publications or valid and current websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.
The paper will consist of four (4) parts and must be submitted by the close of week 6.
Parts 1, 2, and 3 will focus on a disease management issue for the patient with COPD and the role of the interdisciplinary team in this issue.
Part 4 is the conclusion and needs to evaluate the effectiveness of the interdisciplinary team in making this a safe transition for the patient with COPD.
Part 1: Medication Adherence
Part 1 must include the following:
1. Two common classes of medications used to manage COPD are bronchodilators and corticosteroids. Why are these medications used to manage COPD?
2.What are some common side effects of these classes of medications? Which of these side effects would be reported and why? Which side effects would not be reported and why?
3.Describe any special instructions that would be included with each class of these medications. For example, food-drug interactions and medications that should be avoided.
4.Which health care discipline, in addition to the RN, is best suited to help with medication adherence? How will this team member collaborate with the RN, the patient and the family to help promote medication adherence and a safe transition to home?
Part 2: Dietary Modifications
Part 2 must include the following:
1.What is the role of diet in managing COPD? What changes need to be made to the present diet? What role does culture play with diet?
2.What obstacles might be encountered when informing the patient about the changes in diet?
3.Which health care discipline, in addition to the RN, is best suited to help with dietary modifications? How will this team member collaborate with the RN, the patient and the family to help promote healthy eating and a safe transition to home?
Part 3: Physical Activity
Part 3 must include the following:
1.What is the role of physical activity in managing COPD?
2.How would the RN promote adherence to a daily activity routine?
3.Which health care discipline(s), in addition to the RN, are best suited to help with physical activity? How will this (these) team member(s) collaborate with the RN, the family and the patient to help promote physical activity and a safe transition home?
Part 4: Conclusion
Part 4 must include the following:
1.A detailed conclusion that includes an evaluation of the effectiveness of the interdisciplinary team in making a safe transition for the patient with COPD.
Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size, double space your work and use APA format for citations, references, and overall format. Be sure to check your work and correct any spelling or grammatical errors before you submit your assignment.
You are required to submit your paper to Turnitin (a plagiarism prevention service) prior to submitting the paper in the course submission area for grading. Acceptable ranges include a cumulative total of less than 15% for your entire paper, and no particular area greater than 2% (excluding direct quotes and/or references).
Hinkle, J., & Cheever, K. (2013). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Chronic obstructive pulmonary disease
One of the targeted medical diagnoses for the recent changes concerning making hospitals to pay when a patient comes back within thirty days of treatment of same illness is the chronic obstructive pulmonary disease. This is a kind of disease associated with shortness of breathing and wheezing sound. It requires careful medication so as to ensure that the patient gets relief and also to ensure that there is smooth transition of the patient from acute care setting to home. These efforts require collaboration f different entities. This paper analyses the efforts made by the interdisciplinary entities in ensuring fast relieve of patient as well as smooth transition from acute care setting to home.
In the management of chronic obstructive pulmonary disease; there are two commonly used classes of medication. These are bronchodilators and corticosteroids. These two classes of medication are widely used despite the availability of other classes of medication. The reason for the common usage of these two classes of medication is because of their effectiveness in managing the effects of the disease. For instance, these two classes of medication are known to be very effective in opening the airway. COPD is associated with blocked airway which causes difficulties in breathing. Opening of the airway and providing smooth breathing relaxes the patient. Zarogoulidis, Porpodis, Kioumis et al (2014) clarify that; this effect associated with bronchodilators and corticosteroids make them to be commonly used. Bronchodilators in particular are mainly associated with mitigating problems in breathing. They are most commonly used in patients whose symptoms of COPD come and go. They are most helpful in enhancing breathing. Corticosteroids are commonly used to prevent flare-ups. This is because the corticosteroids class of medicine is very effective in managing the flare-ups. This class of medicine is very effective even to patients who also have asthma.
Zarogoulidis, Porpodis, Kioumis et al (2014) note that; despite their effectiveness, these classes of medication have some side effects. These classes of medicine have been associated with preventing the symptoms and not relieving them. This is more so especially with the corticosteroids. Side effects of these classes of medicine include; thrush. This is yeast infection in the mouth. This kind of side effect may come with hoarseness. This side effect can be managed by rinsing mouth after taking the medication. Cazzola, Beeh, Price & Roche (2015) disclose that; Bronchodilators are associated with fatigue and tremors. These side effects are common with high dosages of the medication. With lower dosage there are little or no side effects. Some of the side effects may be reported while others may not. For instance, tremor may be reported. This follows the fear of patients that the tremor may increase or associating the tremors with other complications. Thrush may not be reported. This may emanate from the failure of patient to acknowledge that the hoarse feeling and yeast infection is as a result of side effects of the drugs. They may therefore not report it until it is at late.
Romem, Tom, Beauchene et al (2015) suggest that; in order to have successful management of COPD, it is crucial that medication is accompanied by guiding instructions. This view emanates from realization that; many complications could arise from failure to give/follow the necessary instructions. It is crucial that the patients are advised to eat well during the period of medication. Eating well entails taking balanced diet coupled with a lot of water. Taking much water in between meals help to eradicate the chemical concentrates of the medicine. Other instructions include avoiding smokin...
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