Nursing diagnosis for COPD

COPD stands for Chronic Obstructive Pulmonary disease. COPD is not just a single disease but it is the name for a collective group of diseases which result in the obstruction of airflow to the lungs.

The main 3 diseases which formed the COPD are:

1. Pulmonary emphysema
2. Asthma bronchiale
3. Chronic bronchitis

We would be highlighting some of the symptoms of COPD, which would help you in detecting the problem in time to start the treatment. Along with the symptoms, we would also be highlighting some of the probable solutions which would help you in eliminating such health problems.

Please make sure that you verify these solutions from a certified medical practitioner and then implement these.

Symptoms of COPD:

-Difficulty in breathing
-Difficulty in breathing on exercising or while physical exertion
-Unusual breathing sound
-Frequent tiredness
-Frequent coughing
-Suffering from lung infections like bronchitis and pneumonia for extended period of time
-Whistling sound is produced while breathing
-Muscle wasting resulting in weight loss

If you’re suffering from any of these symptoms frequently then there are high chances that you might be suffering from COPD.

We would be discussing about the nursing diagnosis of COPD below to help you better understand the problem.

COPD nursing diagnosis:

We would be dividing the diagnosis into 3 parts which would help identify the exact problem and suggest proper treatment as well.

1. Obstruction in the respiratory system due to bronchitis:
what is copdThis can result in unusual coughing or phlegm collection and it can also result in difficulty in breathing as well.

Goal: Clearing the air flow
Nursing suggestions:
-The patient needs to take up to 8 glasses of fluid in day but only when the patient does not have cor pulmonale.

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-The patient needs to adopt diaphragmatic breathing techniques and similar coughing techniques. This ensures that the problem is reduced and the phlegm is excreted on coughing as well which reduces the problem of bronchitis.

-The patient needs to use the nebulisers with strictly measured dose of inhalers. This further reduces the probability of asthma or obstruction of air flow.

-The patient needs to be supported with postural drainage to remove the mucus so that the patient is able to breathe properly. This procedure can be performed in the morning as well as evening.

-The patient needs to be strictly prevented from using any substances which work as a irritant like cigarette or alcohol or aerosols or even very hot or very cold food or liquids.

-The patient needs to be taught to detect the problems related to COPD like increased Phlegm, or change in the viscosity of Phlegm, or shortness of breath or getting tired and needs to contact the doctor immediately in case of any of these symptoms.

-The patient needs to be given the proper antibiotics if required.

-The patient needs to be advised regarding the immunization against diseases like influenza and Streptococcus strain.

2. Nursing diagnosis for shortness of breath or excessive mucus presence or treating effects of irritants or unusual breathing pattern:

Goal: To bring the breathing patterns back to normal
Nursing suggestions:
-The patient needs to be taught diaphragmatic breathing exercises while the lips of the patient are sealed to avoid mouth breathing. This would ensure that the patient breathes entirely through the nose and the respiratory system becomes accustomed to diaphragmatic breathing which eases the problem of breathing and improper airflow.

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-The patient needs to be made accustomed with intermittent activity between resting. The level of activity needs to be decided by the patient depending on the physical ability of the patient. This would make the respiratory system then it currently is and thereby reducing the occurrences of COPD.

-The patient needs to be taught proper usage of respiratory muscles to aid in breathing and to make the respiratory system stronger.

3. Nursing diagnosis for improper gas exchange offer due to ventilation perfusion inequality:

Goal: To bring the gas exchange back to normal
Nursing Suggestions:
-Procedure to detect the presence of bronchospasm.

-Monitor the client for hypoxia and the patient also needs to be monitored for dyspnea.

-Check the allergies which the patient is suffering from and if none, administer the drugs.

-Check the side-effect symptoms after the administration of the drugs.

-The patient needs to be provided with the aerosol therapy in order to help the patient improve his/her lung ventilation power.

-The oxygen which is administered to the patient needs to be monitored.

This is the entire procedure of nursing diagnosis which you have to follow in order to detect and help the patient in case of COPD.

About COPD:

Many people are under the impression that there is a longer term cure for COPD but this is not true. The problem of COPD is a recurring unless and until you avoid certain circumstances or uncertain foodstuffs which cause it. The frequency of occurrence can be reduced but COPD cannot be treated entirely.

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The treatments of COPD are plenty but permanent cure is hardly any. We have discussed below some of the ways in which you can keep the COPD at bay so that you do not suffer from such problems again.

1. You need to completely quit smoking and you need to stay away from polluted air and you have to stay away from particulate pollutants and air pollution as well.

2. You have to continuously opt for COPD inhaler so that you are able to minimize the problem and you are able to keep the problem of away as well. You can opt for inhalers or pills or even external source of oxygen as well.

3. You can even opt for the rehabilitation program which would ensure that the respiratory system capacity and it’s strength is increased and therefore the occurrence of COPD would automatically be reduced. You can opt for increasing your immunization power as well so that you do not suffer from the problem of COPD again.

These are some of the ways in which you can keep the COPD diseases at bay but there is no permanent cause because if you are once again exposed to the above-mentioned circumstances like polluted air or if you’re putting extra strain on your respiratory system, you would be suffering from the problem of COPD again. That is why, it is important to look into the above few tips which we have highlighted to keep the COPD diseases at bay.