Prof Name Course Name Student Name Capella University Assessment 2 Change Strategy and Implementation NURSFPX com June 30 2024 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample Change Strategy and Implementation NURSFPX com While the focus of COPD treatment has traditionally been on physical health mental health aspects are frequently overlooked COPD patients often experience anxiety and depression in addition to their respiratory symptoms which can lead to higher hospitalization rates extended hospital stays and increased mortality after discharge A comprehensive health management approach must address both mental and physical health as untreated psychological distress can hinder treatment adherence Pooler Beech 2014 Respiratory ailments often result in hospitalizations in the pulmonary ward with chronic obstructive pulmonary disease COPD being a major concern that necessitates specialized treatment Treatments typically include courses of antibiotics non invasive ventilation and specialized pulmonary rehabilitation programs NHS 2016a Anxiety particularly symptoms like dyspnea shortness of breath often accompanies COPD exacerbating patients distress Patients with COPD might misinterpret anxiety as a worsening of their condition leading to increased anxiety levels Heslop et al 2013 Although anxiety does not directly cause dyspnea it can indicate an acute exacerbation Pooler Beech 2014 Anxiety and COPD Depression and COPD Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample Strategies for Change Depression is also closely associated with COPD affecting patients differently from anxiety Depressive symptoms are linked to a perceived decline in quality of life and physical activity often resulting in underdiagnosis and undertreatment in COPD patients Pooler Beech 2014 Patients with depressive symptoms may show reduced adherence to treatment worsening their condition and increasing their need for medical intervention which can lead to hospitalization Dursuno lu et al 2016 Addressing depression and anxiety in COPD patients requires collaboration with mental health professionals Cognitive Behavioral Therapy CBT has proven effective in managing various mental health conditions including anxiety and depression In CBT sessions patients work with therapists to identify and modify maladaptive thoughts and behaviors NHS 2016b However challenges such as patient willingness commitment and therapist availability can limit its effectiveness To overcome these challenges a combination of group and individual therapy sessions is recommended Training nurses in CBT or employing CBT trained professionals can improve access to mental health support This comprehensive approach aims to enhance patients quality of life by addressing both physical and mental health conditions Howard Dupont 2014 NURSFPX com Ensure therapist availability train nurses in CBT organize regular group therapy sessions Provide access to therapists offer CBT and group therapy sessions Pharmacological interventions may also be considered but their use should be carefully tailored to individual patient needs potential contraindications and patient preferences Tselebis et al 2016 Improved ability to differentiate between anxiety and COPD symptoms better preparedness for managing both COPD and depressive symptoms Enhanced accessibility to mental health services improved management of COPD patients physical and mental health conditions COPD patients experiencing symptoms of anxiety and depression Limited accessibility to mental health services for COPD patients Strategies for Change Expected Outcomes Current Outcomes Data Table Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample References Dursuno lu N K kt rk N Baha A Bilge A K B rek i ift i F et al 2016 Comorbidities and their impact on chronic obstructive pulmonary disease T berk loz ve Toraks 64 4 289 298 NHS 2016b Cognitive behavioral therapy CBT https nhs uk conditions cognitive behavioural therapy cbt Howard C Dupont S 2014 The COPD breathlessness manual A randomized controlled trial to test a cognitive behavioral manual versus information booklets on health service use mood and health status in patients with chronic obstructive pulmonary disease npj Primary Care Respiratory Medicine 24 Heslop K Newton J Baker C Burns G Carrick Sen D De Soyza A 2013 Effectiveness of cognitive behavioral therapy CBT interventions for anxiety in patients with chronic obstructive pulmonary disease COPD undertaken by respiratory nurses The COPD CBT CARE study ISRCTN55206395 BMC Pulmonary Medicine 13 1 NHS 2016a Chronic obstructive pulmonary disorder COPD https nhs uk conditions chronic obstructive pulmonary disease copd treatment NURSFPX com Pooler A Beech R 2014 Examining the relationship between anxiety and depression and exacerbations of COPD which result in hospital admission A systematic review International Journal of Chronic Obstructive Pulmonary Disease 9 1 315 330 Tselebis A Pachi A Ilias I Kosmas E Bratis D Moussas G Tzanakis N 2016 Strategies to improve anxiety and depression in patients with COPD A mental health perspective Neuropsychiatric Disease and Treatment 12 297 328 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample