Discharge Planning among Chronic Obstructive Pulmonary Disease patients with acute exacerbation symptoms experience frequent hospital admissions
Keywords:
Discharge Planning, Chronic Obstructive Pulmonary Disease, Acute ExacerbationAbstract
Chronic Obstructive Pulmonary Disease patients with acute exacerbation symptoms have experience
frequent hospital admissions. Numerous hospital admissions have been demonstrated to have physical,
psychological, emotional, financial, and social impact inthese patientsand their caregivers. After critical
condition improved then led to discharge planning process, patients and caregivers often feel stress, anxious,
and less confident in providing self- care. The discharge planning is very important process to make patient and
caregiver's confident for caring at home. Nurse plays a significantly important roleon discharge planning
process including health education, giving information, practice demonstration, health team coordination,
and referral for continuous care. The discharge planning process on based on the same principles as the
nursing process which cover 4 dimensions, including health promotion, prevention, treatment, rehabilitation
and then apply it in conjunction with patient discharge planning. The discharge planning used in this study is
based on the D-METHOD model, consisting of the data collection on mental and physical needs, the patient
wholistic care plan, tailored nursing care activities as well as the outcome measures designed to evaluate the
effectiveness of the care plan both in organizational and individual level. The ultimate goals of the discharge
planning are to increase patients' and their caregivers' capability of self-management, prevent hospital
readmission, and enhance the quality of life.
References
Alexopoulos, E. C., Malli, F., Mitsiki, E., Bania, E. G.,
Varounis, C., & Gourgoulianis, K. I. (2015).
Frequency and risk factors of COPD exacerbations
and hospitalizations: A nationwide study in
Greece (Greek Obstructive Lung Disease
Epidemiology and health economics: GOLDEN
study). International Journal Chronic Obstructive
Pulmonary Disease, 2015(1), 2665-2674.
Boonchoo, D., Somboontanont, W., Thongcharoen, V.,
& Wattanakitkrileart, D. (2015). The relationships
between age, caregiving burden, social support, and
adaptation of caregivers of older persons with chronic
obstructive pulmonary disease. Songklanagarind
Journal of Nursing, 35(2),61-78. [In Thai].
Boonsawat, W. (2013). Trends in new guideline for
COPD. In J. Chaikuna, (Ed.), Current chest
(pp. 59-70). Bankok: Parbpim printing. [In Thai].
Crisafulli, E., Barbeta, E., Lelpo, A., & Torres, A.
(2018). Management of severe acute exacer
bations of COPD: an updated narrative review.
Multidisciplinary Respiratory Medicine, 13(1),
-15. from https://doi.org/10.1186/s40248-018-
-0
Dickens, C., Katon, W., Blakemore, A., Khara, A.,
Tomenson, B., Woodcock, A., … Guthrie, E.
(2014). Complex interventions that reduce
urgent care use in COPD: A systematic review
with meta-regression. Respiratory Medicine, 108(3),
-437. from https://doi.org/10.1016/j.rmed.2013.
011
Flattet, Y., Garin, N., Serratrice, J., Perrier, A.,
Stirnemann, J., & Carballo, S. (2017). Determining
prognosis in acute exacerbation of COPD.
International Journal of Chronic Obstructive
Pulmonary Diseasde,12,467-475.
Gaude, S. G., BP, R., Chaudhury, A., & Hattiholi, J.
(2015). Outcomes associated with acute exacerbation of chronic obstructive pulmonary disorder
requiring hospitalization. Lung India, 32(5),
-472. from https://doi.org/10.4103/0970-2113.
Global Initiative for Chronic Obstructive Lung
Disease. (2021). Global strategy for diagnosis,
management and prevention of Chronic Obstructive
Pulmonary Disease. Retrieved 15 September
from https://goldcopd.org/wp-content/uploads/2020/11/GOLD-REPORT-2021-v1.1-25
Nov20_WMV.pdf
Gundry, S. (2020). COPD 2: management and nursing
care. Nursing Times,116(5), 49-52.
Halpin, D. M.G., Miravitlles, M., Metzdorf, N., &
Celli, B. (2017). Impact and prevention of severe
exacerbations of COPD: a review of the evidence.
International Journal of COPD, 12, 2891- 2908.
Harnyoot, O. (2014). Nursing process and implications.
Journal of The Royal Thai Army Nurses, 15(3),
-143. [In Thai].
Howes, S., Hartmann-Boyce, J., Livingstone-Banks, J.,
Hong, B., & Lindson, N. (2020).Antidepressants
for smoking cessation. The Cochrane database of
systematic reviews, 4(4), CD000031. from https://
doi.org/10.1002/14651858.CD000031.pub5
Hsu, K. Y., Lin, J. R., Lin, M. S., Chen, W., Chen, Y.
J., & Yan, Y.H. (2013). The modified Medical
Research Council dyspnea scale is a good
indicator of health-related quality of life in
patients with chronic obstructive pulmonary disease.
Singapore Medical Journal,54(6),321-327.
from https://doi.org/10.11622/smedj.2013125
Jo, Y. S., Rhee, C. K., Kim, K. J., Yoo, K. H., & Park,
Y. B. (2020) Risk factors for early readmission
after acute exacerbation of chronic obstructive
pulmonary disease. Therapeutic Advances in
Respiratory Disease, 14, 1-11.
Kamthong, S., Supametaporn, P., & Juntarawijit,
Y. (2019). Factors predicting acute exacerbation
in patients with chronic obstructive pulmonary
disease. Nursing Journal, 46(1), 126-136.
Li, S., Li, Z., Wu, Q., Liu, C., Yan, Z., Lan, C., …,
Zichao, C. (2021). Effect of exercise intervention
on primary insomnia: a meta-analysis. The Journal
of Sports Medicine and Physical Fitness, 61(6),
-866.
Luangaram, S., Srisopa, P., & Chanavirut, R. (2018).
Home-based exercise in COPD patients. Journal
of Medical Technology and Physical Therapy,
(2), 226-236. [In Thai].
Maneewong, P., Churaitatsanee, N., & Sereewichayasawad,
N. (2017). Nursing of patient with chronic
obstructive pulmonary disease at home.
Journal of Public Health Nursing, 31(3), 163-178.
[In Thai].
Mullerova, H., Shukla, A., Hawkins, A., & Quint, J.
(2014). Risk factors for acute exacerbations
of COPD in a primary care population: a retrospective observational cohort study. BMJ Open,
(12), e006171.from https://doi.org/10.1136/
bmjopen-2014-006171
Nursing Division Department of Medical services,
Ministry of Public Health. (2007). Nursing standard
in hospital. Nonthaburi: The War Veterans Organization of Thailand. [In Thai].
Pattarakantakul, P., & Donlao, J. (2017). Effects of
nutritional promotion program for chronic
obstructive pulmonary disease patients with malnutrition. Nursing Journal of the Ministry of Public
Health, 27(2), 69-79. [In Thai].
Pirnia, B., Akhondi, M., Pirnia, K., Malekanmehr, P.,
Farzaneh, H., Deilam, K.,…Zahiroddin, A.
(2019). A single-caseexperimental design to
study the combination of cognitive-behavioral
therapy and pharmacotherapy for smoking
cessation. Crescent Journal of Medical and
Biological Sciences, 6(1),136-139.
Ruangritchankul, S. (2018). Polypharmacy in the elderly.
Ramathibodi Medical Journal, 41(1), 95-104. from
https://doi.org/10.14456/rmj.2018.9. [In Thai].
Rinne, T. S., Graves, C. M., Bastian, A. L., Lindenauer,
K.P., Wong, S.E., … Hebert, L.P. (2017).
Association between length of stay and
readmission for COPD. The American Journal
of Managed Care, 23(8), e253-e258.
Srirat, C., & Panuthai, S. (2017). Readiness for hospital
discharge, coping difficulty following discharge
and health care utilization on persons with chronic
obstructive pulmonary disease. Nursing Journal,
(1), 13-15. [In Thai].
Srisopa, P., & Luangaram, S. (2019). The combination
effects of home-based pulmonary rehabilitation
program and chest wall compression with elastic
band in patients with chronic obstructive pulmonary disease. The Journal of Physical Therapy,
(3), 138-147. [In Thai].
Sukhonthachit, P., Wattanakitkrileart, D., Pongthavornkamol,
K., & Chuchottaworn, C. (2017). Insomnia
experience, insomnia management strategies
and quality of life in patients with chronic
obstructive pulmonary disease. Journal of Nursing
Science, 35(2), 100-111. [In Thai].
The Thoracic Society of Thailand under Royal
Patronage. (2017). Recommendations for the
treatment of chronic obstructive pulmonary
disease in 2017. Bangkok: Beyond Enterprise
Co., Ltd. [In Thai].
Veiga, G., Rodrigues, A. D., Lamy, E., Guiose, M.,
Pereira, C., & Marmeleira, J. (2019). The effects
of a relaxation intervention on nurses' psychological and physiological stress indicators:
A pilot study. Complementary Therapies in
Clinical Practice, 35, 265-271. from https://doi.org/
1016/j.ctcp.2019.03.008.
Vogelmeier, C. F., Roman-Rodriguez, M., Singh, D,
Han, M. K., Rodriguez-Roisin, R., & Ferguson,
G. T. (2020). Goals OfCOPD treatment: Focus
on symptoms and exacerbations. Respiratory
Medicine,166,1-7. from https://doi.org/10.1016/
j.rmed. 2020.105938.
Wedzicha, J. A., Miravitlles, M.,Hurst, J. R., Calverley,
P. M. A., Albert, R. K., Anzueto, A., … Krishnan,
J. A. (2017). Management of COPD exacerbations: AEuropean respiratory society/American
Thoracic Society guideline. European Respiratory Journal, 49(3), 1600791. from https://doi.org/
1183/13993003.00791-2016.
Wongmanee, K., & Sirichana, W. (2020). Effect of
structured information on anxiety among family
caregivers of patients Withrespiratory disease
using oxygen delivery devices. Thai Red Cross
Nursing Journal, 13(1), 163-178. [In Thai].
Wangsom, A. (2016). Dyspnea management in patients
with chronic obstructive pulmonary disease.
Thai Journal of Cardio-Thoracic Nursing, 27(1),
-12. [In Thai].
Zapatero, A., Barba, R., Ruiz, J., Losa, J. E., Plaza, S.,
Canora, J., & Marco, J. (2013). Malnutrition and
obesity: influence in mortality and readmissions
in chronic obstructive pulmonary disease
patients. Journal of Human Nutrition and
Dietetics, 26, 16-22.
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