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To live and not merely to exist ctp
 

To live and not merely to exist ctp

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    To live and not merely to exist ctp To live and not merely to exist ctp Presentation Transcript

    • To Live and Not Merely to Exist Ling Chen Fairfield University School of Nursing Spring 2013
    • Learning Need  The learning need is directed toward the patients and families at St. Vincent’s Medical Center as a result of the frequent re-admissions of COPD patients.  The evidence demonstrates that patients lack knowledge of the importance in the role of palliative care in COPD management.  Common Barriers to palliative care initiation:  Fear of end-of-life decisions  Fear of losing hope  Fear of medical negligence  Misconception with hospice care
    • Rationale  Lack of knowledge on the disease evolvement; COPD is a slow- progressive disease that is debilitating due to the symptoms of the illness and its impact on quality of life.  Research states that:  Dyspnea is evident in 94% of all COPD patients, increasing anxiety and depression from fear of suffocation.  COPD decrease patient’s ability to maintain ADLs and increases family burden.  Poor management is associated with acute exacerbation resulting in increased hospitalization, expenses and a decreased QOL  The learning need is affirmed by my CTA, Clinical Instructor , and Manager which resulted in the creation of the pamphlet to aid in patient education.
    • Significance to Patient Care  COPD patients on palliative care have a better Quality-of-Life with decrease in anxiety and depression that are associated with the disease.  Patients also  Achieve sense of control: allowing time to plan and prepare for the future death physically, emotionally and psychologically  Improve symptom management  Relieve burden of illness on families  Strengthen relationship with loved ones  Decrease medical expenses related to decreased acute hospitalizations
    • Project Development  This project was developed because of a learning need indicated on the Medical Respiratory unit. The Nursing staffs are well educated on the Palliative Care services available to COPD patients however, patients frequently refuse these services.  As a result, brochure is created on educating patients and family members on the importance of a Palliative Care approach to COPD including information on the differences between Hospice and Palliative Care, goals and benefits of receiving Palliative Care as well as outside resources available.
    • Benefits of the Brochure  Easy to read and understand  Accessible  Excellent to supplement with verbal teaching
    • Successes, Problems, Lessons Learned  Once I decided on COPD Palliative Care, I choose patient teaching because there is a greater need for their education.  Finding research articles from the U.S and within the last 5 years was challenging because there was not a lot of research done on COPD Palliative Care. I had to reach out to the librarian for assistance and managed to find some articles.  I learned that patient teaching brochures are important supplementations in addition to verbal education done in the hospital because patients could refer back to it in the future.
    • Implications for Professional Nursing Practice  I will be more conscientious in providing education on sensitive topics such as End-of-Life decisions.  I will be able to provide holistic care by incorporating the physical, social, psychological and spiritual aspects to a patient’s general health.