Chronic Obstructive Pulmonary Disease – COPD can come in many names like chronic obstructive airway disease, chronic obstructive lung disease or chronic bronchitis. This is one of the most common lung diseases that are encountered by nursing personnel.There are two forms of COPD; one for instance is composed of long-term occurrence of productive cough which is classified as chronic bronchitis. Emphysema on the other hand is the second form of COPD; it involves slow-moving destruction of the bronchioles.

A patient with COPD may have a long history of smoking. On rare situations, non-smokers can even develop emphysema when they lack the enzyme called alpha-1 antitrypsin. Work-related emphysema is also common for workers who work in gas-filled environment, secondhand smokers as well as utilization of fire for cooking without ventilation. An individual may manifest COPD if he or she has a cough either productive or non-productive, complains of easy fatigability and complains of shortness of breath or sometimes catches his or her breath whenever there are mild activities.

Nursing Priorities:

  • To assess the patency of airway and provide means to maintain its patency throughout the nursing care.
  • To expectorate secretions thus providing more means of comfort and oxygenation to the body.
  • To provide ease in mobilization and provide additional knowledge for compliance.

 Ineffective Airway Clearance-Nursing Care Plan for COPD