Nursing Report: Mrs. Anya Strico's COPD and Self-Management Strategies

This report presents a comprehensive case study of Mrs. Anya Strico, an individual with an 8-year history of Chronic Obstructive Pulmonary Disease (COPD). The analysis utilizes the National Strategic Framework for Chronic Conditions to identify and discuss various risk factors impacting Mrs. Strico, including behavioral (alcohol consumption, smoking, medication non-adherence, poor diet and physical inactivity), biomedical (weight gain), non-modifiable (family history of COPD), and physical environment determinants (remote location limiting access to healthcare). The report outlines essential nursing assessments for COPD, such as evaluating respiratory function, medical history, and vital signs. It further explains why Mrs. Strico is categorized as a priority population, considering her diverse background, age, and rural living conditions, emphasizing the impact on her chronic condition self-management. Self-management priorities are explored, including lifestyle modifications, risk factor reduction, and enhancing quality of life. Finally, the report examines the impact of goal setting on Mrs. Strico's engagement in her care, highlighting its role in creating a health-promoting environment, guiding her social and health needs, and improving her quality of life, independence, and the prevention of adverse health outcomes. The report concludes by summarizing the key findings and implications for Mrs. Strico's care.

NURSING

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
Risk factors for Mrs Anya Strico.................................................................................................3
Nursing assessments....................................................................................................................4
Reasons for Mrs Anya may be identified as being priority population and impact on chronic
condition self management..........................................................................................................5
Self-management priorities..........................................................................................................5
Impact of Goal setting on Mrs Anya...........................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
In this essay case of Mrs Anya Strico will be discussed who has 8 years history of
Chronic Obstructive Pulmonary Disease. Using National Strategic Framework for Chronic
Conditions, different risk factors for Mrs Anya will be discussed. Along with this nursing
assessment and reasons because of which Mrs Anya becomes a priority population will be
discussed. Followed by this self-management priorities and impact of goal setting for Mrs Anya
will also be discussed in essay. National Strategic Framework for Chronic Conditions policy
document for chronic conditions and it sets direction and outcomes to help Australians live
healthier through effective management and prevention of chronic condition.
MAIN BODY
Risk factors for Mrs Anya Strico
Behavioural risk- This is a risk for Mrs Anya because she consumes alcohol and also smokes
which is not good for her health. Along with this, Mrs Anya regularly forgets to take medication
prescribed by doctors and also forget which medication to take during a COPD flare-up. In
addition to these, Mrs Anya have also become less physically active and her diet is also poor
which consists of snacks and packaged meals that is high in slat and saturated fat, these factors
create behavioural risk for Mrs Anya (Australian Government, (2017).
Biomedical Risk- This is also a risk for Mrs Anya because she is advised to lose weight and
instead she gained 6 kgs weight and this creates biomedical risk for her.
Non-modifiable risk factors- This involves individual and physiological factors and even
though in most cases COPD is a non-genetic disease and is caused because of exposure to
tobacco smoke and chemical fumes sometimes genes can have a role in it. Mrs Anya’s father
also had COPD, and this is also a risk for her.
Physical environment determinants- Physical environmental determinants do not cause her
disease. Mrs Anya lives in rural area and remote location and this is why nearest tertiary hospital,
medical centre, and Pulmonary Rehabilitation Clinic is 150 km from away. This is also a reason
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because of which she cannot regularly visit doctors and ensure follow-up. Her nearest pharmacy
is also 150 kms away and this is why she often runs out of her medications (Council, (2017).
This means that Mrs Anya has four types of risk out of five outlined in National Strategic
Framework for Chronic Conditions.
Nursing assessments
Nursing assessment for COPD includes-
Patients’ exposure to risk- This is one of the nursing assessment in which exposure of patient to
risk of COPD is assessed. This is required to determine what medication should be prescribed to
Mrs Anya. In this nurses are required to analyse potential risk that Mrs Anya is likely to expose
and how it can affect her condition.
Assessment of respiratory system- This is concerned with system required for breathing and in
COPD, nurses are required to assess respiratory system of patients. This is done to assess
effectiveness of breathing in Mrs Anya which is most likely to get affected because of COPD
(Oliveira and et.al., (2018).
Past and present medical history of patient- This is also a nursing assessment in which nurses
are required to assess past and present medical history of Mrs Anya. This is required to
determine effectiveness of past medication and this also helps in determining improvement and
decline in health of Mrs Anya.
Signs and symptoms of COPD and severity- This is also a nursing assessment in which nurses
determine extent to which Mrs Anya gets affected because of COPD. This is also done to
identify what particular problems are being experienced by Mrs Anya in relation with COPD.
This is required to ensure right medication for the patient.
Patient’s vital signs- This is concerned with measuring vital signs which means basic
functions of body. This is done to determine what is going in the body of patient and
how and in what ways disease COPD is affecting basic functions of body (Duan, 2021).
This also provides important information about organs and their functioning.
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Reasons for Mrs Anya may be identified as being priority population and impact on chronic
condition self management
According to objectives 3 of National Strategic Framework for Chronic Conditions,
chronic conditions impact overall Australian population however in Australia some population
are disproportionally affected because in their context interaction in different risk factors is
complicated. This population that is more affected because of chronic condition includes-
Aboriginal and Torres Strait Islander people, People from diverse cultural and linguistic
background, Australian who are old, those who are caring for people with chronic condition,
people who have socio-economic disadvantage and people living in remote and rural and
regional location.
Among these elements that make population as priority population, there are certain criteria in
which Mrs Anya is from diverse and linguistic background and she is also old. Along with she is
also living in remote rural location (Australian Health Ministers' Advisory Council, (2017). This
means that there are several reasons because of which Mrs Anya Strico is identified as priority
population.
This has very important impact on chronic condition self management by Mrs Anya
Strico. Self management of chronic condition requires that individuals with chronic condition
have adequate information about their condition. This is very important for managing condition.
However, those populations that is identified as priority population does not have adequate
information. Mrs Anya Strico also considered and believed that there is little that she can do to
slow progression of COPD. Other than this, they also have limited information about their health
condition, because they do not regularly get health assessment and this is why self-management
becomes difficult for priority population.
Self-management priorities
Self-management priorities involves those priorities in which patients take active
participation in management of their disease and this involve positively adapt their behaviours
and develop skills to better manage their disease (Newham and et.al., (2017). Self-management
priorities that is to be developed in collaboration with Mrs Anya includes-
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Encouraging Lifestyle- This is one of the self-management priorities in which individuals are
encouraged to change their lifestyle and improving in order to effectively manage their disease.
In case of Mrs Anya this is very important because she also consumes alcohol and also smokes
and this is why encouraging healthy lifestyle is self-management priority for Mrs Anya.
Reducing health risk factor- This is also a very important healthcare priority in which focus is
placed on reducing factors that cause risk to health of patients with COPD. This involves
reducing biomedical risk factors such as reducing blood pressure, reducing high blood
cholesterol, working on weight management and obesity, and along with this reducing and
managing stress and mental illness. This factor can also contribute in disease and this is why this
also becomes a self-management priority for Mrs Anya.
Helping people to improve quality of life- This is also a self-management priority in which
Mrs Anya should be collaborated with. In this Mrs Anya should be helped with improving their
quality of life and these factors include improving surroundings in which one lives and also
improving built in environment for improvement of quality of life of Mrs Anya (Sandelowsky
and et.al., (2019). Mrs Anya can also be encouraged to live in area where she can have easy
access to medical and healthcare condition.
Impact of Goal setting on Mrs Anya
Goal setting have very important impact on Mrs Anya Strico actively engaging in her
care. This is because setting goal contributes in creating health promotion environment. Goal
setting guides their health and social needs and values and because of this they become able to
ensure self-management through consideration of social needs and values. Setting personalized
goals also enhance social, economic and community engagement through which Mrs Anya
Strico’s quality of life can be improved. Mrs Anya was earlier involved in community
engagement and social work and setting personalized goals will encourage her to again start
social work and get involved in community engagement. This will also enhance her quality of
life and will contribute to improve her health.
Setting goals is also helpful for setting direction in which Mrs Anya can work on
improving her health care and self-management practices. Goal setting for Mrs Anya is also
important for maintaining independence of the patient (Chan and et.al., (2021). In which their
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requirement for healthcare assistance reduces and they become able to take care of themselves
without assistance of healthcare service provider. Goal setting is also important for preventing
adverse outcomes for health of Mrs Anya. This is because of their active involvement enables
them to have effective understanding of their condition and medication and they become able to
prevent any adverse impact on their health.
CONCLUSION
On the basis of above discussion, it can be concluded that among five risks outlined in
National Strategic Framework for Chronic Conditions Strategic, Mrs Anya has 4 risks. This
means that she exposed to several risks. For the condition of Mrs Anya there are several nursing
assessment are required, so that her condition can be adequately determined and medication can
be suggested. National Strategic Framework for Chronic Conditions also suggests that Mrs Anya
is also in a prioritized population. Self-management priorities and impact of goal setting was also
discussed in report.
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REFERENCES
Books and Journals
Australian Government. (2017). National strategic framework for chronic conditions.
Australian Health Ministers' Advisory Council. (2017). National strategic framework for chronic
conditions.
Chan, C. H., Conley, M., Reeves, M. M., Campbell, K. L., & Kelly, J. T. (2021). Evaluating the
Impact of Goal Setting on Improving Diet Quality in Chronic Kidney
Disease. Frontiers in Nutrition. 8.
Council, A. H. M. A. (2017). National Strategic Framework for Chronic Conditions. Government
A, ed. Canberra: Australian Government.
Duan, Y., 2021. 26. Risk Factors Analysis and Nursing Measures of Viral Infection in
Hospitalized Patients with Acute Exacerbation of Chronic Obstructive Pulmonary
Disease. Acta Microscopica. 30(1).
Newham, J. J., Presseau, J., Heslop-Marshall, K., Russell, S., Ogunbayo, O. J., Netts, P., ... &
Kaner, E. (2017). Features of self-management interventions for people with COPD
associated with improved health-related quality of life and reduced emergency
department visits: a systematic review and meta-analysis. International journal of
chronic obstructive pulmonary disease. 12. 1705.
Oliveira, A. S., Munhá, J., Bugalho, A., Guimarães, M., Reis, G., & Marques, A. (2018).
Identification and assessment of COPD exacerbations. Pulmonology. 24(1). 42-47.
Sandelowsky, H., Krakau, I., Modin, S., Ställberg, B., & Nager, A. (2019). COPD patients need
more information about self-management: a cross-sectional study in Swedish primary
care. Scandinavian journal of primary health care. 37(4). 459-467.
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