By: Michele Combs, RN
February 7, 2011
Teaching Plan for Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is the 4th leading cause of death in the United States and is a major cause of morbidity (CDC, 2011). COPD is a group of diseases which cause airflow blockage and breathing related problems such as emphysema, chronic bronchitis, and some forms of asthma (CDC, 2011). COPD kills more than 120,000 Americans each year and is expected to be the 3rd leading cause of death in the United States by 2020. According to results of the Burden of Obstructive Lung Disease (BOLD) study, Kentucky is ranked one of the highest areas in the world for COPD cases (Mannino, 2008). A large portion of Kentucky’s cases has been reported in Southeastern Kentucky. A study in 2008 revealed that obstructive pulmonary function impairment affects a large portion of individuals residing in Southeastern Kentucky (Methvin, Mannino, & Casey, 2008). Individuals who have been diagnosed with COPD have comprehensive learning needs. The needs of the individual focus on managing the COPD and preventing episodes of exacerbation and any other complications which may occur as a result of the COPD. Learning needs for managing COPD effectively include general knowledge of COPD, respiratory irritants to avoid, early signs of infection and ways to prevent infection, ways to reduce bronchial secretions, improving airflow, breathing exercises, and maintaining general health with proper diet and exercise. Objectives
1. The patient will have common knowledge of chronic obstructive airway disease and be able to recognize and describe early signs of infection.
2. The patient will be able to describe the medications prescribed and how to properly take them.
3. The patient will be able to identify ways to improve airflow and respiratory pattern.
4. The patient will be able to identify ways to maintain good health such as proper diet and exercise.
5. The patient will be able to identify respiratory irritants which need to be avoided and understand why.
6. The patient will be able to identify resources which are available to assist them in their community.
The COPD teaching plan is geared at helping the individual make educated lifestyle modifications that will promote better health and reverse airflow obstruction. Each patient requires an individualized treatment plan appropriate for his/her lifestyle. The teaching plan will focus on the importance of taking medications as directed and complying with treatment programs. Each individual’s teaching plan should be centered around the individual’s developmental stage, learning abilities, and his/her needs. This teaching plan is an educational program designed to help individuals who have been diagnosed with COPD. The plan will help them understand COPD and its physiology. The plan will give the individual information needed to allow them to manage their COPD effectively and prevent further complications. Teaching Plan for COPD
This teaching plan includes 5 classes which will consist of 1-2 hour sessions of education and discussion. The outline of the plan is as follows. Day 1
- General overview of chronic obstructive pulmonary disease, altered physiology, causes of COPD, and clinical features
- Health maintenance and prevention, clinical manifestations, and medications
- Complications from COPD, ways to reduce bronchial secretions and improve airflow, and controlled coughing techniques and breathing exercises
- Proper diet and how it affects COPD, exercise and activity levels, and ways to cope with COPD and preserve existing function.
- Evaluation of teaching plan, questions and...