NR 601 Week 4 Collaboration Café; Holistic Assessment of COPD Patient
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c. Medication-He is only on 3 medications so we want to prevent polypharmacy with more medications to be added with his new diagnosis d. Multi complexity-he lives with is wife and is still social so monitoring that his new dx and increased symptoms do not stop him from wanting to be social and become immobile. e. Matters Most-centering care to what is most important for Vincent. Reassuring and performing adequate testing to help him feel at ease with his concern of early death like his friend. 3. Consider the client’s current presentation and initial diagnosis. What plan of care would you recommend and why? Since symptoms only started a few months ago and he has not had a hospitalization for these symptoms, treatment plan would consist of a bronchodilator such as a SABA like albuterol which will provide quick relief. Then add a maintenance LABA like salmeterol to add sustained bronchodilation and reduce frequent dosing from SABA. I would consider referring to pulmonology to continue consistent care as well as routine follow-ups with me to ensure adherence to the treatment plan. As well as making sure he is getting relief with medications. I would also encouraged Vincent to be part of the COPD management plan and add in mental health counseling to help with his depressive symptoms. 4. Consider the provider’s role in delivering culturally sensitive care, eliminating health disparities, fostering health promotion and disease prevention, and preventing polypharmacy. What strategies will you use to address at least one of these concerns in your client’s situation? I would ensure health promotion and disease prevention with ensuring he is up to date on his vaccines. Making sure his is current on his pertussis, influenza, pneumococcal and RSV are very important. These illnesses could worsen lung conditions and lead to complications and hospitalizations.
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