Care Plan for Managing COPD
Care Plan for Managing COPD
Category / Primary Body System
- Respiratory
Problem
- Patient is at risk for complications related to Chronic Obstructive Pulmonary Disease (COPD).
Goal
- Patient will not experience respiratory distress for the next 90 days.
Plan/Approach
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Oxygen Therapy
- Administer oxygen via nasal cannula as ordered to maintain adequate oxygen levels.
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Hydration
- Encourage adequate fluid intake if not contraindicated to help thin mucus and promote easier breathing.
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Monitoring
- Monitor for signs and symptoms of respiratory distress including shortness of breath, wheezing, and cyanosis. Notify MD if any signs are present.
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Activity Management
- Encourage the patient to pace activities as needed to avoid overexertion and manage energy levels.
- Encourage the patient to perform deep breathing exercises daily as tolerated to improve lung function.
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Positioning
- Elevate the head of the bed when the patient is in bed to facilitate easier breathing and reduce the risk of respiratory distress.
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Emotional Support
- Provide emotional support as needed to help manage anxiety and stress related to COPD.
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Medication Management
- Administer medications as ordered, including bronchodilators, corticosteroids, and any other prescribed medications. Monitor for side effects and effectiveness.
Rationale
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Oxygen Therapy
- Administering oxygen as ordered helps maintain adequate oxygen saturation, reducing the risk of hypoxia and related complications.
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Hydration
- Adequate fluid intake helps keep mucus thin, making it easier to clear from the airways and improving breathing.
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Monitoring
- Regular monitoring allows for early detection and intervention of respiratory distress, preventing further complications.
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Activity Management
- Pacing activities and performing deep breathing exercises help conserve energy and improve lung capacity, reducing the risk of respiratory distress.
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Positioning
- Elevating the head of the bed facilitates better lung expansion and airflow, making breathing easier.
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Emotional Support
- Providing emotional support helps manage the psychological impact of COPD, reducing anxiety and improving overall well-being.
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Medication Management
- Proper medication management ensures the effectiveness of treatment, reducing symptoms and preventing exacerbations.
Actions
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Oxygen Therapy
- Administer oxygen via nasal cannula as prescribed, ensuring the device is used correctly and checking oxygen saturation levels regularly.
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Hydration
- Encourage the patient to drink fluids throughout the day, unless contraindicated by other medical conditions.
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Monitoring
- Monitor respiratory status including rate, depth, and ease of breathing. Document any signs of respiratory distress and notify the healthcare provider immediately if present.
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Activity Management
- Advise the patient to pace their activities and rest as needed to avoid overexertion.
- Guide the patient in performing daily deep breathing exercises, providing instruction and support as needed.
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Positioning
- Ensure the patient’s head of bed is elevated when resting or sleeping to improve breathing.
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Emotional Support
- Offer emotional support and reassurance, addressing any concerns or anxieties the patient may have about their condition.
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Medication Management
- Administer prescribed medications, monitoring for side effects and effectiveness. Document medication administration and any observed effects.
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