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CHRONIC AND COMPLE X CARE NURSING FOR COPD PATIENTS

   

Added on  2019-10-30

12 Pages3213 Words239 Views
Running Head: CHRONIC AND COMPLEX CARE NURSING FOR COPD PATIENTSChronic and Complex Care Nursing for COPD PatientsName:Institution and Affiliations:Instructor:Date:

CHRONIC AND COMPLEX CARE NURSING FOR COPD PATIENTSIntroductionGuiding principles on management and treatment of patients with chronic and complex conditions are all important for healthcare providers, the patients and their caretakers, to understanding the guiding principles in the management of chronic and complex decisions. Nursing plans in this setting must be in tandem with these guiding principles which include the need for advocacy, health coaching, self-management and empowerment (Cramm & Nieboer, 2013). This presentation will thus entail the highlights of the main guidelines on the developing of nursing plans in chronic and complex care setting and their different ways of improving healthoutcomes of patients. The discussion also focuses of highlighting the nursing plan for a patient presenting with COPD exacerbations and further, the situations at which the nurses can find opportunities to collaborate with other members of the interdisciplinary team in carrying out the nursing plan.Nursing Plan Guiding Principles in Chronic & Complex ConditionsA.Self-management and EmpowermentThe nursing plan drawn in caring for patients in chronic and complex care must include actions that will enhance self-management and empowerment, on the part of the patient. Self-management in this regard refers to the patient’s ability in conjunction with the healthcare professionals, their family members and the community, to manage the signs and symptoms of the condition, the treatment involved, necessary changes in lifestyle, and its psychosocial, spiritual and even cultural consequences (Cramm & Nieboer, 2013). The nursing plan should therefore include the facilitation of the patient to pursue optimal self-management where they arecan monitor their chronic and complex illness develop and engage behavioral, emotional and

CHRONIC AND COMPLEX CARE NURSING FOR COPD PATIENTSeven cognitive strategies that can help them sustain the quality of life that is satisfactory. Among the specific actions on self-management include facilitating the patient directly or through the family to be able to move, eat and even do grooming on their own (Sonola et al, 2013). The interdisciplinary team should ensure that as the patient’s medical needs are managed, and that thepatient is also gaining abilities to support themselves through specialized therapies such as occupational therapy, physiotherapy and respiratory therapy. The nursing plan should include a modification of the patients’ hospital and home environment including empowerment approachesso that it is healthy enough for the patient to be safe (Elder, 2017). It can also help in preventing factors which trigger the elevated levels of a condition, a case of COPD exacerbation. B.Health CoachingHealth coaching as guideline should be carried out with the intention of ensuring collaborative approach in improving the health outcomes of a patient under chronic and/or complex care. Nursing plans should thus factor in the need for health coaching of patients and their caretakers on different aspects of their complex and chronic condition (Sciarra, 2012). The nurse thus has to ensure that they focus on coaching patients and their caretakers using the healthpromotion approach. The nurse through the interdisciplinary team members recognizes and provides necessary informational needs for health coaching (Straughair, 2011). The sessions for this engagement can take a formal or even an informal approach on convenience basis. The nursecan focus on coaching the patient and their family members on personal hygiene, pain management, exercise, treatment procedure and medication, sexuality, meal-time management among others (Schiøtz et al, 2016). It is necessary that nurses and members of the interdisciplinary team identify particular coaching moments where the patients seem to present like they have some knowledge deficiency and address them adequately. The different members

CHRONIC AND COMPLEX CARE NURSING FOR COPD PATIENTSof the interdisciplinary team have specific areas of professionalism and therefore they should be facilitated to coach the patient and their caretakers on each informational need in regard to the management of their health condition.C.Advocacy In The Collaborative Management of The Patient and Her FamilyIt is necessary that nursing plans incorporate advocacy for patients and their caretaker’s rights. According to Sonola et al (2013) advocating for patient safety and health in chronic and complex care is a crucial requirement in nursing practice. The multidisciplinary team including family members has the responsibility to advocate for the rights of the patient and each other in their quest to provide a collaborated care. Under advocacy, providing culturally appropriate care that considers equity and/or social justice is important (Schiøtz et al, 2016). Advocacy also requires that the collaborating team members in patient care should in their nursing plan identify and also explain different policies and practices which can infringe patient and family’s rights. They should further provide information on policies, plans, particular guidelines on what the patients can do where these rights have been compromised (Sciarra, 2012). There is need to ensure that ethical considerations are fully complied with in the provision of patient care in complex and chronic management settings. Access to appropriate healthcare for patients with chronic and complex conditions is paramount. The multidisciplinary team including the social workers in the community, the family and home-nurses should ensure that the patient accesses medication when necessary (Sonola et al, 2013). The nurse should facilitate the continuity of care making sure that there is both connected and/or coherent care for the patient by the interdisciplinary team. The continuity of care helps in ensuring that at each stage of disease management, every member of the interdisciplinary team is able to advocate for the rights of the patient and those of their families.

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