Care Delivery

Care Delivery 2 NUR: 555

The aim of this assignment is to provide an evaluation of the National Institute for Health and Clinical Excellence (NICE) (2010) guidelines for Chronic Obstructive Pulmonary Disease (COPD). COPD is a term used to describe a variety of conditions which includes asthma, chronic bronchitis and emphysema. COPD is characterised by airflow obstruction. It is usually a long term progressive disease which does not change over several months and is not fully reversible (NICE 2010). The main cause of COPD is cigarette smoking (Doherty and Lister 2008). However, occupational exposures, air pollution and hereditary problems are also factors that may contribute to a person developing COPD (British Lung Foundation 2012). Due to the word limitation and volume of the guidelines related to COPD, only one chapter will be discussed. This discussion will include the strengths and weaknesses of inhaler technique and patient compliance. This assignment will then be concluded by drawing key points together.

NICE (2010) guidelines provide a framework for diagnosing and managing COPD and are based on current evidence for best practice, which healthcare professional should take into account fully when utilizing their clinical judgement. Healthcare professionals have a responsibility in the development and implementation of the NICE guidelines. However, the guidance does not override the individual responsibility. There is evidence to suggest that these guidelines are not often adhered to. This will now be discussed further.

Patient education is essential in the management of COPD, it not only involves teaching it promotes learning by helping patients and their family or carer/s to improve knowledge, increase self-confidence and to take responsibility of the disease (Nault and Sedeno 2006). This can be achieved by taking actions that allow the prevention and management of early disease exacerbation (Nault and Sedeno 2006). NICE (2010) clinical guideline...