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Self-Management of Dyspnea in Chronic Obstructive Pulmonary Disease Patients.

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Abstract
Background: Patients with chronic obstructive pulmonary disease (COPD) exacerbation are reported to have a decreased quality of life relating to their health. In 2015 it was reported that over three million COPD patients died as a result of their disease. Although COPD patients are receiving medication, they still struggle with dyspnea as they carry out their daily activities. Purpose: To implement an evidence-based educational program to assist COPD patients in self-management of dyspnea. Methods: The DNP student obtained consent from prospective participants and assigned a unique identifier, which included his or her first and last initial and three digits. A total of 15 participants completed the project. The evidence-based educational tools included inhaler technique, assessment of medication adherence using the Four-point Morisky Adherence Scale (MMA-4), the Modified Borg Scale for patients to assess the severity of their dyspnea, and the St George Respiratory Questionnaire-C for self-reporting of their quality of life. A booklet entitled “What You Can Do About a Lung Disease called COPD” was used for information and as a visual aid for inhaled medications, nebulizers and inhalers. Results: The results indicate that the expected outcomes were met with the exception of the Activity score on the SGRQ-C which had an average of 75 (poorer health). Conclusion: An evidence-based educational program that covered topics such as COPD, smoking cessation, medication adherence, inhaler techniques, and a written action plan for acute exacerbation is effective in avoiding dyspnea symptoms Bourbeau et al., 2017). The development of a Medical Home Model is highly recommended and would be beneficial to COPD patients who are elderly and or too ill to leave their homes.
Type
Capstone Project
Date
2019-05
Publisher
License
Attribution-NonCommercial-NoDerivatives 3.0 Unported
License
http://creativecommons.org/licenses/by-nc-nd/3.0/