Ntroduction
Chronic obstructive pulmonary disease (COPD) is a common chronic
condition associated with a rapidly increasing. ,, physical social and
economic burden in terms of both direct healthcare costs including
hospitalisations and medication. And indirect costs (productivity loss
work, absenteeism premature, retirement). 1 It is estimated that
.Approximately 210 million people worldwide, have COPD 2 and its
incidence is believed to be rising. 3 Mortality predictions. Suggest that
COPD will become the third leading cause of death in 2020 and the
fourth leading cause of death in 2030. 4 There. Is therefore an urgent
need to develop innovative COPD management models. In this
context nurses are, uniquely positioned. To make a substantial
.Contribution as they are often the first point of contact for patients
and are actively engaged throughout the disease. Management
process frequently providing, palliative care.
In this discussion paper we explore the role of nurses in the
management. Of COPD and highlight some of the barriers which are
currently preventing nurses from expanding and strengthening their
role.We also suggest some possible strategies to help nurses
overcome these obstacles.
COPD and nursing: from prevention to
, palliation The Nursing role in COPD - and essentially in all chronic diseases - is
becoming increasingly important and is characterised. By continuity
of care. Nurses are involved in the management of COPD at, all
stagesFrom prevention to provision of end-of-life care within a
variety of settings both in, the community (including patients. ' Own
homes and family practice) and hospitals. Nurses often play a key
role in new care models based on different types of. Telemedicine
support. 5 6 Nurse-led, consultations and disease management
interventions are important interventions which. Enable nurses, to
provideComplement or extend, the care delivered by doctors.
Nurse-led consultations carried out by experienced nurses frequently
include. Tasks that traditionally belong, to physicians such as physical
examination of patients diagnosis and in countries such,,, As, the UK
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