Nursing Management Strategies

Running Head: NURSING STRATEGIES 1
Nursing Management Strategies
Student’s Name
Professor’s Name
Institution Affiliation
Date

NURSING STRATEGIES 2
Introduction
Palliative care is an important tactic that purposes at improving the conditions linked with
life-limiting diseases. Palliative care targets to alleviate suffering from a patient with a life
threatening diseases through providing early identification, effective assessment and holistic
treatment of physical, social, psychosocial, pain, spiritual and cultural requirements of a patient
and the family at any period of a serious illness. Palliative care helps in addressing the
requirements of a patient through the use of a highly specialized multidisciplinary team that
includes psychosocial healthcare providers, nurses, spiritual supporters, and doctors. Effective
palliative care is a significant extra layer support that aid in promoting an option for pain and
symptom management and promoting the quality of life to a patient with life restraining diseases.
This essays targets to discuss two high priority nursing strategies that are effective in a palliative
care setting.
Pulmonary Rehabilitation
Pulmonary rehabilitation is an essential nursing strategy that can help in managing
Chronic Obstructive Pulmonary Disease (COPD).COPD is a pulmonary health condition that is
characterized by limitations in airflow. The social and economic burden associated with COPD is
increasing and substantial (Cruz, Marques & Figueiredo, 2017). As evident in the case scenario,
Mrs. Brown has presented symptoms of COPD like coughing with the production of sputum and
progressive and chronic dyspnea. These symptoms of COPD deserve the blame that has led to a
burden in Mrs. Brown capability to carry out her daily activities and the inability to walk around.
As presented in the case scenario and according to existing evidence people with COPD feel

NURSING STRATEGIES 3
trapped in a vicious circle of inactivity which usually starts with breathlessness (Chen et al,
2018).
Pulmonary Rehabilitation (PR) is an all-inclusive intervention practice that is centered on
patient assessment followed by patient-centered therapies like behavior and education change
and exercise training. The therapies are intended in improving the psychosocial and physical
circumstances in a person with COPD and in promoting adherence that is long lasting to
behaviors that enhance the quality of life (Gardiner et al, 2010). The therapies can be conducted
across several settings like home, community, and hospital; nurses should understand the
multidisciplinary, multidimensional and multi-professional aspects of care in order to provide
efficient care (Crawford, Burgess, Young, Brooksbank & Brown, 2013). Exercise training forms
the base for PR exercise may include resistance training, water-based training, and cycling
training. Before conducting the exercise, the therapists (nurse) should follow the code of nursing
requirements like effective communication; maintain autonomy and informed consent
(McCabe&Coyle, 2014, November). Before undertaking the training, the therapist should
consider the circumstance of the patient like strength and endurance, health-related quality of life
and symptoms. The PR activities especially exercise training can be conducted 2 to 3 hours at a
rate of three times per week for a period of at least six weeks depending on the intensity of
COPD. Various exercise training methods like upper limb training, strength training, and adjunct
to the exercise training should be considered. During the training session the heart rate, blood
pressure, and oxygen saturation are measured to enhance the safety of the patient. As the training
continues, therapists have to adjust the intensity training in orders to enhance endurance (Toye et
al, 2011).