5.2: Stanley Flemming | COPD
- Page ID
- 90002
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Concepts
- Gas Exchange
- Health Promotion
- Nutrition
Exemplar
- COPD
AACN Sphere of Care
- Chronic Disease Management
SDOH Domains
- Health Care Access & Quality
- Neighborhood & Built Environment
- Social & Community Context
- Economic Stability
- Compare and contrast the role of the home health nurse role to a nurse in an acute care setting.
- Describe how self-management interventions decrease hospital re-admissions due to COPD exacerbations.
- Identify why it is important for a home health nurse to conduct a community assessment.
- Describe the components of an initial pulmonary assessment conducted in the home environment.
Scenario Summary
A 77-year-old male who was recently hospitalized for a COPD exacerbation and referred to home health and pulmonary rehab upon discharge from the hospital.
Additional Teaching Strategies
Classroom
- Have the student conduct a community assessment via a windshield survey.
- Have the students go to the Healthy People 2030’s webpage and review the definition of and five domains of SDOH and ask them to identify how and/or if the five SDOH domains influence Stanley and his health outcomes.
Clinical
- Have each student address what factors from Stanley’s case study would apply to the client they took care of that day.
- Have the students create a discharge plan for the client they took care of that day. Additionally, have the student identify some SDOH’s that may impact their client’s discharge process or success upon leaving the hospital.
Lab
- Address home oxygen therapy safety.
- Create a short scenario utilizing Stanley’s information when teaching out inhalation medications and proper techniques for administration. Have the students practice educating one another; while the other student role play’s the client.
Simulation
- Create a home health scenario incorporating a community/home assessment.
- Create a multi-scenario incorporating a multidisciplinary approach to further enhance the scenario and Stanley’s cares.
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.
- Incorporate Stanley in the acute care setting and home setting for continuity of care.