Essay Title: Health Promotion :Chronic Obstructive Pulmonary Disease Word count:1,905
The Nursing and Midwifery council (NMC 2008)states that a nurse should be able to protect and promote the health and well-being of those in their care. This essay will be discussing the health promotion role of a nurse looking after a patient that has Chronic Obstuctive Pulmonary Disease(COPD) .The essay will focus on a 65 year old gentleman Mr Abraham who has been admitted into a general medical ward,with an acute exacerbation of COPD. Mr Abraham is well known to the ward as he is admitted regularly, the ward staff are aware of the fact that he continues to smoke and uses his inhalers incorrectly.
World Health Organisation (WHO 2010) state "Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. Patient UK(2008) state an exacerbation of COPD can be defined as a sustained worsening of a patient's symptoms from his/her usual stable state that is beyond normal day-to-day variations, and is acute in onset. Commonly reported symptoms are worsening breathlessness cough, increased sputum production and change in sputum colour.
The risk factors which can predispose a person to be more prone to acquiring COPD are cigarette and cigar smoking,exposure to inhaled pollutants ,recurrent respiratory tract infections ,Age Process ,Male Sex, Family history of COPD, Air pollution, (O'Neill ,2002). COPD can be brought on by many of these factors but the majority of cases are brought on by smoking. Mr Abraham has continued smoking which has made his COPD progress in its pace and he has recurrent exacerbation's placing him in hospital . The nurse and Mr Abraham will need to explore ways which which will give Mr Abraham the health education to aid him in a bid to reduce /stop smoking .Mr Abraham is also not using his inhalers correctly and the nurse can show Mr Abraham how to use his inhalers correctly by teaching him how to use them this will help Mr Abraham's health and reduce the onset and severity of his exacerbation's.
The National Service framework (NSF) is a government policy used in the United Kingdom (UK). The NSF for long-term conditions was made to set national standards and identify key things that can be done for people with a particular long term condition and put in place strategies that support the implementation of these standards to ensure people have access to the care they are entitled too. NSF's try to cut down the amount of hospital stays people with long-term illnesses stay and for them to be able to manage their condition in the community. The NSF for long-term conditions is mainly written for people affected with neurological conditions but it has been used as a guideline for other long-term conditions such as COPD. (DOH 2009).The Department of Health (DOH) and The British Lung Foundation (BLF) are working together to create a NSF specifically for COPD this will be implemented as a national policy for the whole of England it will ensure everyone affected by COPD will have the same high standards of care regardless of were they live in the UK, this will also outline the minimum standards of treatment that people with COPD can expect to receive in their local area. (BLF 2009)
According to the Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), nurses and midwives must protect and promote the health and well-being of patients in their care and also their families. They must work in an open and co-operative way with other members of the multi disciplinary team by encouraging the independence of patients and showing respect with regards with their involvement in the planning and delivery of care. The health professional will promote and respect the dignity of Mr Abraham and cater to his needs and concerns without discriminating against him because of his condition. The health...
References: Department of Health (2009). Improving Chronic Disease Management. [Online] Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4075213.pdf (Accessed 10th January 2010).
Department Of Health (2009). Policy and Guidance:Long-term Conditions. [Online] Available from: www.doh.gov.uk (Accessed 6th January 2010).
O 'Neill,P.A. (2002) Caring for the older adult -A Health Promotion Perspective,1st ed ,Philadelphia:W.B. Saunders.
Patient UK (2009). Acute exacerbation 's of COPD. [Online] Available from: http://www.patient.co.uk/showdoc/40002342/ (Accessed 6th January 2010)
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