Agee, J. (2017). Reducing chronic obstructive pulmonary disease 30 day readmissi
ID: 238792 • Letter: A
Question
Agee, J. (2017). Reducing chronic obstructive pulmonary disease 30 day readmissions: A nurse led evidence based quality improvement project. JONA: The Journal of Nursing Administration, 47(1), 35-40.
In October 2014, the Centers for Medicare and Medicaid Services expanded readmission penalties to include those patients admitted with an exacerbation of COPD. Patient education is a key component in preventing readmission.
Initial Discussion Post:
What is a priority teaching intervention that the nurse must implement for these patients and how will it play a role in preventing readmission?
Identify a member of the interprofessional team and a teaching point that they can contribute to the teaching plan.
Explanation / Answer
COPD:- It s defines as a chronic obstructive lung disease chareacterized by chronic obstructon of lung air flow which interferes with normal breathing nad doesnot fully reversible. It is mainly due to chronic bronchitis and emphysema .
PRIORITY TEACHING INTERVENTIONS AND ROLE IN PREVENTING READMISSON:-
-educating the patient in usage of inhaler and techniques of inhaler.
-providing healoth education and counselling
-providing medications and educating their usage and importance
-smoking cessation counselling
-reffering to pulmonary rehablitation centre.
introducng excercise programme to the patient.
-promotion of COPD self management to the patent regarding specific disease education and medication instructions .
-follow up telephonic care.
The nurse plays a major role than a doctor in interprofessional team and a teaching point which they can contribute to teaching plan.