5.1: Stanley Flemming | COPD Exacerbation
- Page ID
- 90001
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CONCEPTS
- Gas Exchange
- Perfusion
- Collaboration
- Clinical Judgment
EXEMPLAR
- COPD
AACN SPHERE OF CARE
- Chronic Disease Management
SDOH DOMAINS
- Health Care Access & Quality
- Social & Community Context
- Neighborhood & Built Environment
- Identify objective assessment findings indicative of COPD exacerbations.
- Differentiate between COPD, pneumonia, pulmonary embolism, and asthma.
- Interpret appropriate collaborative measures for a client with COPD.
- Determine elements of a teaching plan to address health promotion
Scenario Summary
A 77-year-old male with a history of chronic obstructive pulmonary disease (COPD) is being admitted to the medical-surgical floor with acute COPD exacerbation for the fifth time in the past six months.
Additional Teaching Strategies
Classroom
- Have students complete a Venn diagram of Chronic Bronchitis and Emphysema.
- Introduce Stanley’s information and have students align environment factor and individual factor examples with layer 4 of the clinical judgment measurement model®.
Clinical
- Create a clinical card utilizing Stanley’s information. Have the students compare and contrast treatments and therapies of a clinical patient they find on the floor. Have students address at least one of the five SDOH domains in their care strategy.
Lab
- Create a short scenario utilizing Stanley’s information when teaching about oxygen devices .
- Have students relate the respiratory disease processes exhibited in Stanley’s case and relate them to different oxygen therapies; compare and contrast how different oxygen devices can improve or potentially have adverse effects.
Simulation
- Create a scenario where Stanley has an acute COPD exacerbation and have the students intervene with treatment plan.
- Create a multi-scenario simulation that incorporates interdisciplinary collaboration.
Across the Curriculum
- Utilize this case study across the curriculum to establish a sense of continuity of care. Introduce Stanley in multiple courses and methods of instruction per ideas listed above. In a fundamentals course, introduce Stanley when discussing oxygenation, and again in an advanced medical surgical course when discussing respiratory concepts. Utilize Stanley’s case when addressing the concepts such as culture, religion, ethics, collaboration.