Chronic Obstructive Pulmonary Disease Research
Order ID:89JHGSJE83839 Style:APA/MLA/Harvard/Chicago Pages:5-10 Instructions:
Chronic Obstructive Pulmonary Disease Research
Running Head: PHASE 4 1
PHASE 4 4
A Chronic Obstructive Pulmonary Disease Self-Management Program to Reduce Readmissions
Lidislay Gonzalez Fuentes
Florida National University
11/06/2019
A Chronic Obstructive Pulmonary Disease Self-Management Program to Reduce Readmissions
Readmission and the length of stay at the hospital were assessed one year before the program and one year after the program. Other specific factors that were evaluated were the function of the lungs, the quality of life, and the capacity of the patient to exercise. The assessment of these factors was to compare the changes that patients went through before and after the program. Patient assessment is crucial to determine the success or failure of the program (Benzo et al., 2016). All patients who were part of the program had given their consent verbally to allow the use of their clinical data collected during the program.
The program sessions on education were conducted in sessions that lasted not more than an hour. General knowledge concerning chronic obstructive pulmonary disease was provided to the patients regarding simple pathology, symptoms of the disease, and treatment options. The specific techniques for their inhalers were checked and corrected, where errors were found. Nurses in charge of the respiratory aspects checked on their patients, including outpatient physiotherapy options up to 4 times a week. Patients who were not able to return to the hospital had specialized home training similar to the one received at the hospital. However, patients were advised not missing the appointment to the doctor on specific days of each month for progress evaluation.
According to the results, the demographic data of patients included gender (male/female), the age of the patient (years), the patient’s history of smoking (current, ex-smoker, non-smoker), and post-bronchodilator. Five of the subjects passed away before the second follow up session conducted by the doctor, and 20 patients did not return to the hospital for a check-up and follow-up procedures. During the initial follow up at the hospital, five patients refused to undergo specific tests (spirometry), and they could not be forced to take the test. Amazingly, the sex of the patients who did not return to the hospital for a check-up was similar, but their ages varied. The majority of the patients were male and had usual predictions during the first follow-up session.
Description Data Gender (M/F) 80/70 Age (years) 25-65 History of smoking Current
Ex-smoker
Non-smoker
24 110
16
Post bronchodilator 32 The total number of patients for the program was 150, with 80 males and 70 females all above the age of 18 years. They had all agreed to receive phone calls from nurse practitioners from the hospital to check on them when they were at home. This would help in continuous data recording even when the patients were away from the hospital attending to their regular life duties. Given that the patients were from different backgrounds and lived separate lives, it would be crucial to determine the success or failure of the program under various occupations and lifestyles. One hundred forty patients attended at least two physiotherapy training after the commencement of the program. They had also agreed to have the assessments at the hospital during their follow-up sessions.
References
Benzo, R., Vickers, K., Novotny, P. J., Tucker, S., Hoult, J., Neuenfeldt, P., & McEvoy, C. (2016). Health coaching and chronic obstructive pulmonary disease rehospitalization. A randomized study. American journal of respiratory and critical care medicine, 194(6), 672-680.
Prieto-Centurion, V., Markos, M. A., Ramey, N. I., Gussin, H. A., Nyenhuis, S. M., Joo, M. J., … & Jaffe, H. A. (2014). Interventions to reduce rehospitalizations after chronic obstructive pulmonary disease exacerbations. A systematic review. Annals of the American Thoracic Society, 11(3), 417-424.