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UZWSVS203 Chronic Obstructive Pulmonary Disease

tag 0 Download 10 Pages / 2,315 Words tag 09-11-2020


The aim of this case study is for you to be able to demonstrate that you understand key issues involved in the diagnosis, assessment and management of somebody who has COPD. You must also demonstrate that you can access the relevant evidence and guidance, and can use that evidence and guidance, along with your clinical experience, to construct a plan for care. The structure of your case study should flow logically from a clear introduction through the content to a conclusion which draws together the key issues explored.
Remember to state that patient and organisational anonymity is ensured.
Discuss the holistic care of a patient in your area of work with a diagnosis of COPD. Your discussion of the care and issues involved should include a clear rationale for each suggested intervention, using relevant literature, research and evidence based guidelines to link theory to clinical practice
When writing your case study you should include:
Introduction: This should identify the background / key issues that you are going to discuss within the main body of the assignment and contain a clear statement that anonymity has been ensured as per professional body e.g. NMC, GMC guidance.
Main Body: This should form the bulk of your essay. This is where you can discuss and expand on the issues identified in your introduction. The main content should demonstrate learning objectives have been met and include.
1. History taking resulting in a diagnosis of COPD –if you were not involved in this you need to discuss how it was achieved and comment on any gaps to include an explanation as to the presenting symptoms, risk factors for COPD how the history taking, clinical assessment and exclusion of differential diagnosis (C1)
2. An explanation of patient’s symptoms should relate to the pathophysiology of COPD and how this can be utilised in patients education to enable informed decision making specific to self-management of both acute exacerbations and on-going management of COPD (A1, C1)
3. The psychosocial impact associated with the diagnosis of COPD on the patient, family and/or carers. Consider family dynamics, change in roles, financial impact, admission risk, risk of anxiety depression and how they may signpost patients to other services (C3)
4. The management of exacerbations to include self-management – self management should be discussed briefly in the context of your patient. If your patient has not had an exacerbation discuss this in general terms and what information/advice you would give for the future regarding self-management (B1)
5. Cost effective, appropriate and evidence based pharmacological and non-pharmacological treatment – this needs to demonstrate your knowledge and skills and should include non-pharmacological interventions to support your patient together with your patients current medications with discussion around class of medication, devices, drugs and doses chosen and why. You will be expected to discuss how you would review and assess the benefits or not of any intervention/ changes you have made and the reasons for those changes. An understanding of the roles of community teams, and how/why they might form a part of the holistic approach to care for patients with COPD (A2, B1)
6. A reflective evaluation of the diagnostic and assessment tools used both in diagnosis and review of on-going treatment which may result in referral to other teams. Reflectively evaluation of the care and treatment that patients with COPD receive and how this might have affected some of the key aspects of the plan for care.
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