The Role of the Nurse in caring for a patient receiving NIPPV Therapy for Type Two respiratory failure, secondary to an exacerbation of COPD.
Introduction
According to the National Collaborating Centre for Chronic conditions (NCCCC) (2004) there are approximately 900,000 diagnosed cases of chronic obstructive pulmonary disease (COPD) in England and Wales, carrying an economic cost of £491,652,000 per year. The NCCCC (2004) highlights an exacerbation of patient symptoms accounts for a substantial percentage of this cost, particularly those that result in hospitalisation, as identified by the Lung and Asthma Information Agency (2003) COPD is accountable for 90,000 hospital admissions per year in the UK.
This assignment will outline the anatomy and physiology of the respiratory system, define COPD, and highlight the pathological changes COPD has on the respiratory tract. It will describe the effect of COPD on patient’s lives, identifying the clinical presentation and discuss the significance of an acute exacerbation of COPD.
This assignment will examine the guidelines and research surrounding COPD, particularly focusing on the use of non-invasive positive pressure ventilation (NPPV) in patients with respiratory failure precipitated by an acute exacerbation of COPD. It will provide evidence based rational for the use of NPPV, identify the support provided to the respiratory system and highlight indications and contraindications for use.
Preston (2001) identifies NPPV is a nurse lead therapy requiring intense monitoring and observation, this assignment will detail the nurses role in initiating the therapy and highlight the essential nursing care provided with in the first four hours of therapy, incorporating reference to my experience in providing holistic care for patients receiving NPPV on the high dependency unit.
Anatomy and Physiology
According to Field (2000) nurses need an appreciation of the anatomy and physiology of the respiratory system to provide effective respiratory care. The respiratory systems primary function is to deliver sufficient oxygen to the cells, initiating chemical
According to the National Collaborating Centre for Chronic conditions (NCCCC) (2004) there are approximately 900,000 diagnosed cases of chronic obstructive pulmonary disease (COPD) in England and Wales, carrying an economic cost of £491,652,000 per year. The NCCCC (2004) highlights an exacerbation of patient symptoms accounts for a substantial percentage of this cost, particularly those that result in hospitalisation, as identified by the Lung and Asthma Information Agency (2003) COPD is accountable for 90,000 hospital admissions per year in the UK.
This assignment will outline the anatomy and physiology of the respiratory system, define COPD, and highlight the pathological changes COPD has on the respiratory tract. It will describe the effect of COPD on patient’s lives, identifying the clinical presentation and discuss the significance of an acute exacerbation of COPD.
This assignment will examine the guidelines and research surrounding COPD, particularly focusing on the use of non-invasive positive pressure ventilation (NPPV) in patients with respiratory failure precipitated by an acute exacerbation of COPD. It will provide evidence based rational for the use of NPPV, identify the support provided to the respiratory system and highlight indications and contraindications for use.
Preston (2001) identifies NPPV is a nurse lead therapy requiring intense monitoring and observation, this assignment will detail the nurses role in initiating the therapy and highlight the essential nursing care provided with in the first four hours of therapy, incorporating reference to my experience in providing holistic care for patients receiving NPPV on the high dependency unit.
Anatomy and Physiology
According to Field (2000) nurses need an appreciation of the anatomy and physiology of the respiratory system to provide effective respiratory care. The respiratory systems primary function is to deliver sufficient oxygen to the cells, initiating chemical