【COPD英文精品课件】Patient Empowerment in Chronic Obstructive Pulmonary Disease (COPD)
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COPD is currently the 4th leading cause of death
By 2020 expected to rank 5th as a world wide burden of disease
Local Impact
50 practices in North and West Belfast 6 practices involved in the project Total number of patients-19,524 patients Patients on the COPD register-598 patients 75% of patients not diagnosed
Aims
To initiate change in practice using evidence based guidelines and protocols
Implement a well researched and planned pilot study
Provide a seamless carepathway between primary and secondary care from diagnosis to palliation
management and optimal treatment
Education Package
Disease / Symptom and anxiety management Exacerbation management Self management plan Smoking cessation /energy conservation/breathing
management advice Importance of referrals for holistic management
and home support were not recognised Palliative care needs were not addressed Patients choice and autonomy were ignored
Patient Empowerment in Chronic Obstructive
Pulmonary Disease (COPD)
Noreen Baxter Respiratory Nurse Specialist
May 2005
Global Impact
Only preventable cause of death currently increasing
service
Gaps in Services in Community and Primary Care
Publics lack of awareness of COPD Lack of early screening resulting in lack of health
promotion and prevention Detection of early stages ignored
Action in Secondary Care Intensive Home Support
Follow up for those with severe disease / NIV Patients commenced on Long Term Oxygen
Non attendees at clinics Regular attendees at A/E Follow up for those discharged from A/E Housebound patients referred by GP for
(30% of patients with COPD) Facilitation at COPD clinics, smoke cessation
clinics, health pEvidence based standardised care / follow-up Initiate optimal treatment / seamless care Self management strategies
Gaps in Secondary Care
Lack of support for patients / carer on discharge No formal structured education in primary care,
community care and secondary care Lack of understanding in the importance of self
COPD clinics- fragmented care Treatment and follow-up not standardised Seamless care needed addressed No support for staff Slow access to specialist clinics
techniques / nutritional advice / exercise/relaxation Goal setting /appropriate MDT referrals Advice on LTOT/nebuliser /inhalers Sexuality / travel/ benefits Advanced directives. Palliative care issues
Provide greater patient choice and individualised expert care in the patients home
Increase patient satisfaction Provide an efficient and effective patient focused
Action in Primary Care
Training needs were identified Multiprofessional study days /educational sessions
held Health screening for early diagnosis / prevention
By 2020 expected to rank 5th as a world wide burden of disease
Local Impact
50 practices in North and West Belfast 6 practices involved in the project Total number of patients-19,524 patients Patients on the COPD register-598 patients 75% of patients not diagnosed
Aims
To initiate change in practice using evidence based guidelines and protocols
Implement a well researched and planned pilot study
Provide a seamless carepathway between primary and secondary care from diagnosis to palliation
management and optimal treatment
Education Package
Disease / Symptom and anxiety management Exacerbation management Self management plan Smoking cessation /energy conservation/breathing
management advice Importance of referrals for holistic management
and home support were not recognised Palliative care needs were not addressed Patients choice and autonomy were ignored
Patient Empowerment in Chronic Obstructive
Pulmonary Disease (COPD)
Noreen Baxter Respiratory Nurse Specialist
May 2005
Global Impact
Only preventable cause of death currently increasing
service
Gaps in Services in Community and Primary Care
Publics lack of awareness of COPD Lack of early screening resulting in lack of health
promotion and prevention Detection of early stages ignored
Action in Secondary Care Intensive Home Support
Follow up for those with severe disease / NIV Patients commenced on Long Term Oxygen
Non attendees at clinics Regular attendees at A/E Follow up for those discharged from A/E Housebound patients referred by GP for
(30% of patients with COPD) Facilitation at COPD clinics, smoke cessation
clinics, health pEvidence based standardised care / follow-up Initiate optimal treatment / seamless care Self management strategies
Gaps in Secondary Care
Lack of support for patients / carer on discharge No formal structured education in primary care,
community care and secondary care Lack of understanding in the importance of self
COPD clinics- fragmented care Treatment and follow-up not standardised Seamless care needed addressed No support for staff Slow access to specialist clinics
techniques / nutritional advice / exercise/relaxation Goal setting /appropriate MDT referrals Advice on LTOT/nebuliser /inhalers Sexuality / travel/ benefits Advanced directives. Palliative care issues
Provide greater patient choice and individualised expert care in the patients home
Increase patient satisfaction Provide an efficient and effective patient focused
Action in Primary Care
Training needs were identified Multiprofessional study days /educational sessions
held Health screening for early diagnosis / prevention