Nursing management of chronic obstructive pulmonary disease

Abstract

Chronic obstructive pulmonary disease (COPD) is a major cause of chronic morbidity and mortality, which imposes a major burden on both society and the health service. It is a common condition that is on the increase and predominantly caused by smoking. Progressive damage to the lung tissue renders the patient increasingly breathless resulting in a frightening existence causing varying degrees of disability and handicap. It is therefore essential that healthcare professionals understand how this condition affects patients not only from a physical perspective, but also from a psychological and social perspective to provide effective nursing management. Nursing management of patients suffering from this disease is aimed at helping to control individual patient's symptoms and improve their quality of life.

Effectiveness of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

“…Nurses who have frequent contact with people diagnosed with COPD are uniquely positioned to assess breathlessness and to initiate interventions to prevent or minimize this symptom. Given the long‐standing published recommendations for nurses to follow‐up patients diagnosed with COPD (Barnett, ; Stallard, ), it was surprising to find so few published nursing intervention studies. Nevertheless, because of the multidimensional nature of breathlessness and difficulty managing the symptom, comprehensive and multiple interventions with multidisciplinary approaches may be warranted (Kuzma et al., ; Parshall et al., ).…”

“…al. (2008) Total (95% CI) Heterogeneity: Tau 2 = 0.00; Chi 2 = 0.64, df = 1 (p = 0.42); I 2 = 0% Test for overall effect: Z = 2.56 (p = 0.01) (Barnett, 2008;Stallard, 2007), it was surprising to find so few published nursing intervention studies. Nevertheless, because of the multidimensional nature of breathlessness and difficulty managing the symptom, comprehensive and multiple interventions with multidisciplinary approaches may be warranted (Kuzma et al, 2008;Parshall et al, 2012).…”

Quality of Life in Chronic Obstructive Pulmonary Disease: An Evolutionary Concept Analysis

“…Then, the group of antecendents related to clinical-care interventions emphasizes the prominence of the contribution of nursing in the COPD patients' QoL improvement. In fact, the nurse is the protagonist of many interventions among those analyzed: educational interventions (Efraimsson et al, 2008;Wang et al, 2012), prevention (Ingadottir & Jonsdottir, 2010;Lin et al, 2012), rehabilitation (Barnett, 2008), and monitoring of clinical conditions (Bischoff et al, 2012;Caress et al, 2009).…”

“…Coping strategies Barnett, 2008;Blumenthal et al, 2009 Self-management Bentsen et al, 2012;Bischoff et al, 2012;Ingadottir and Jonsdottir, 2010;Warwick et al, 2010;Wood-Baker et al, 2012 Maintaining of physical and emotional aspects Chen, Chen, Lee, Cho, and Weng, 2008;Efraimsson et al, 2008 Exercise capacity Chan et al, 2010;Cooke et al, 2009 Positive mental attitude Cooke et al, 2009 Self-efficacy Cooke et al, 2009;Efraimsson et al, 2008;Wood-Baker et al, 2012 Disease characteristics Disease severity Ade-Oshifogun, 2012; Hrisanfow and Hägglund, 2013;van Dam van Isselt et al, 2013;Wilson et al, 2008 Symptomatology dyspnea Akinci et al, 2013;Alexander and Wagner, 2012;Bailey, 2008;Ek and Terneste...…”

Nurses' decision-making in ethically relevant clinical situations using the example of breathlessness: study protocol of a reflexive grounded theory integrating Goffman's framework analysis

“…Hence, the postulation to use NPI for breathlessness as found in reviews and studies,9 18 19 does not automatically lead to an increased use of these interventions by nurses in the management of breathlessness. In addition, nurses may use pharmacological interventions which do not fall within their responsibility 20.…”