Question

Agee, J. (2017). Reducing chronic obstructive pulmonary disease 30 day readmissions: A nurse led evidence based quality improvement project.   JONA: The Journal of Nursing Administration, 47(1), 35-40.

In October 2014, the Centers for Medicare and Medicaid Services expanded readmission penalties to include those patients admitted with an exacerbation of COPD. Patient education is a key component in preventing readmission.

Initial Discussion Post:

What is a priority teaching intervention that the nurse must implement for these patients and how will it play a role in preventing readmission?

Identify a member of the interprofessional team and a teaching point that they can contribute to the teaching plan.

Answer 1

COPD:- It s defines as a chronic obstructive lung disease chareacterized by chronic obstructon of lung air flow which interferes with normal breathing nad doesnot fully reversible. It is mainly due to chronic bronchitis and emphysema .

PRIORITY TEACHING INTERVENTIONS AND ROLE IN PREVENTING READMISSON:-  

-educating the patient in usage of inhaler and techniques of inhaler.

-providing healoth education and counselling

-providing medications and educating their usage and importance

-smoking cessation counselling

-reffering to pulmonary rehablitation centre.

introducng excercise programme to the patient.

-promotion of COPD self management to the patent regarding specific disease education and medication instructions .

-follow up telephonic care.

The nurse plays a major role than a doctor in interprofessional team and a teaching point which they can contribute to teaching plan.