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Vol 10, No 1 (2011)
Review articles
Published online: 2011-04-26
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Role of nurse coordinator in the integrated care of patients with advanced chronic obstructive pulmonary disease

Iwona Damps-Konstańska, Piotr Krakowiak, Lidia Werachowska, Bogumiła Cynowska, Ewa Jassem
Advances in Palliative Medicine 2011;10(1):11-16.

open access

Vol 10, No 1 (2011)
Review articles
Published online: 2011-04-26

Abstract

The need to improve the care of patients coping with advanced chronic obstructive pulmonary disease (COPD) is well documented. Patients suffering from advanced COPD present a lot of co-morbidities: pulmonary hypertension, cor pulmonarae, coronary heart disease, malnutrition, vascular disease, osteoporosis, skeletal muscle dysfunction. Depression and anxiety, impaired mental function, decrease of cognitive activity may add to patients’ deteriorated self-management, and poor compliance. The insufficient self-management and poor compliance result in unfavorable course of the disease, and frequent exacerbations requiring hospitalization. Not every patient could be supported by the family. Lack of knowledge on the disease itself and on the management of COPD, inability to take everyday care of patient, and in some families the shortages in their income may lead to improper support given to patient by his or her relatives. Integrated respiratory care was defined as the holistic coordinated, patient-focused and multidisciplinary delivery of high-quality, both pharmacological and non-pharmacological care. In practice it means the management of the disease is provided by well cooperated and coordinated team. Such multidisciplinary team usually includes physicians (primary care physician, respiratory specialist), nurses, psychologists, physiotherapists, social workers, volunteers. The care can be organized into five kinds of intellectual and physical activities: assessing, planning, implementing, evaluating, and communicating. These activities must be integrated and often introduced simulatneously. Coordinator plays a pivotal role a care process in patients with advanced COPD.

Adv. Pall. Med. 2011; 10, 1: 11–16

Abstract

The need to improve the care of patients coping with advanced chronic obstructive pulmonary disease (COPD) is well documented. Patients suffering from advanced COPD present a lot of co-morbidities: pulmonary hypertension, cor pulmonarae, coronary heart disease, malnutrition, vascular disease, osteoporosis, skeletal muscle dysfunction. Depression and anxiety, impaired mental function, decrease of cognitive activity may add to patients’ deteriorated self-management, and poor compliance. The insufficient self-management and poor compliance result in unfavorable course of the disease, and frequent exacerbations requiring hospitalization. Not every patient could be supported by the family. Lack of knowledge on the disease itself and on the management of COPD, inability to take everyday care of patient, and in some families the shortages in their income may lead to improper support given to patient by his or her relatives. Integrated respiratory care was defined as the holistic coordinated, patient-focused and multidisciplinary delivery of high-quality, both pharmacological and non-pharmacological care. In practice it means the management of the disease is provided by well cooperated and coordinated team. Such multidisciplinary team usually includes physicians (primary care physician, respiratory specialist), nurses, psychologists, physiotherapists, social workers, volunteers. The care can be organized into five kinds of intellectual and physical activities: assessing, planning, implementing, evaluating, and communicating. These activities must be integrated and often introduced simulatneously. Coordinator plays a pivotal role a care process in patients with advanced COPD.

Adv. Pall. Med. 2011; 10, 1: 11–16

Get Citation

Keywords

advanced COPD; integrated respiratory care; coordinator

About this article
Title

Role of nurse coordinator in the integrated care of patients with advanced chronic obstructive pulmonary disease

Journal

Advances in Palliative Medicine

Issue

Vol 10, No 1 (2011)

Pages

11-16

Published online

2011-04-26

Bibliographic record

Advances in Palliative Medicine 2011;10(1):11-16.

Keywords

advanced COPD
integrated respiratory care
coordinator

Authors

Iwona Damps-Konstańska
Piotr Krakowiak
Lidia Werachowska
Bogumiła Cynowska
Ewa Jassem

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