Developing a Chronic Obstructive Pulmonary Disease (COPD) Case-Finding Program in an Indigent Care Clinic

2.50
Hdl Handle:
http://hdl.handle.net/10755/308211
Category:
Abstract
Type:
Presentation
Title:
Developing a Chronic Obstructive Pulmonary Disease (COPD) Case-Finding Program in an Indigent Care Clinic
Author(s):
Estes, Tracy; Bowser, Donna; Short, Nancy; Boyle, Anne H.
Lead Author STTI Affiliation:
Non-member
Author Details:
Tracy Estes, PhD, RN, FNP-BC, tsestes@southuniversity.edu; Donna Bowser, DNP, RN, FNP-BC; Nancy Short, DrPH, MBA, RN; Anne H. Boyle, PhD, RN
Abstract:

Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013

Chronic Obstructive Pulmonary Disease (COPD) is an insidious and heterogeneous pulmonary condition characterized by a symptom cluster of cough, breathlessness, and sputum coupled with progressive airflow obstruction causing significant morbidity, mortality, and healthcare cost burden in the United States (Dijk et al., 2011; Price, Freeman, Cleland, Kaplan, & Cerasoli, 2011; Frith et al., 2011; American Lung Association, 2012). Although early recognition is imperative to initiate interventions, COPD diagnosis usually occurs later in the disease trajectory with urban and underserved areas experiencing a disproportionate lack of diagnosis and treatment (Stoloff, 2011; Lyngso et al., 2010; Duvall & Frank, 2010). The objective of this evidence-based practice project was to design, implement, and evaluate a trial COPD case-finding program based on the International Primary Care Respiratory Group Guideline recommendations at an urban, underserved, indigent care clinic (Halbert & Isonaka, 2006; Levy et al., 2006). The clinic did not screen for COPD but instead was empirically treating patients with COPD symptoms without the use of a screening tool or spirometry. The trial COPD case-finding program was a prospective, descriptive design informed by the Diffusion of Innovation Model, whereby patients (n=39) meeting screening criteria (i.e. patients 40 years of age with a history of cigarette smoking and no pulmonary disease history) completed the COPD Questionnaire and pre-post bronchodilator challenge spirometry. Patients with a diagnosis of COPD (n=4) were tracked for appropriateness of care based on the Global Initiative for Chronic Obstructive Lung Disease COPD criteria (Greenhalgh, Robert, Bate, Macfarlance, & Kyriakidou, 2005; Global Initiative for Chronic Obstructive Lung Disease, 2011). Data were analyzed using the Statistical Software Package for Social Sciences version 20. The sample was described, the epidemiological characteristics of the COPD Questionnaire were estimated, and recommendations for sustaining the COPD case-finding program as standard of care were made.
Keywords:
Screening; Case-finding; COPD
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDeveloping a Chronic Obstructive Pulmonary Disease (COPD) Case-Finding Program in an Indigent Care Clinicen_GB
dc.contributor.authorEstes, Tracyen_GB
dc.contributor.authorBowser, Donnaen_GB
dc.contributor.authorShort, Nancyen_GB
dc.contributor.authorBoyle, Anne H.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsTracy Estes, PhD, RN, FNP-BC, tsestes@southuniversity.edu; Donna Bowser, DNP, RN, FNP-BC; Nancy Short, DrPH, MBA, RN; Anne H. Boyle, PhD, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308211-
dc.description.abstract<p>Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013</p>Chronic Obstructive Pulmonary Disease (COPD) is an insidious and heterogeneous pulmonary condition characterized by a symptom cluster of cough, breathlessness, and sputum coupled with progressive airflow obstruction causing significant morbidity, mortality, and healthcare cost burden in the United States (Dijk et al., 2011; Price, Freeman, Cleland, Kaplan, & Cerasoli, 2011; Frith et al., 2011; American Lung Association, 2012). Although early recognition is imperative to initiate interventions, COPD diagnosis usually occurs later in the disease trajectory with urban and underserved areas experiencing a disproportionate lack of diagnosis and treatment (Stoloff, 2011; Lyngso et al., 2010; Duvall & Frank, 2010). The objective of this evidence-based practice project was to design, implement, and evaluate a trial COPD case-finding program based on the International Primary Care Respiratory Group Guideline recommendations at an urban, underserved, indigent care clinic (Halbert & Isonaka, 2006; Levy et al., 2006). The clinic did not screen for COPD but instead was empirically treating patients with COPD symptoms without the use of a screening tool or spirometry. The trial COPD case-finding program was a prospective, descriptive design informed by the Diffusion of Innovation Model, whereby patients (n=39) meeting screening criteria (i.e. patients 40 years of age with a history of cigarette smoking and no pulmonary disease history) completed the COPD Questionnaire and pre-post bronchodilator challenge spirometry. Patients with a diagnosis of COPD (n=4) were tracked for appropriateness of care based on the Global Initiative for Chronic Obstructive Lung Disease COPD criteria (Greenhalgh, Robert, Bate, Macfarlance, & Kyriakidou, 2005; Global Initiative for Chronic Obstructive Lung Disease, 2011). Data were analyzed using the Statistical Software Package for Social Sciences version 20. The sample was described, the epidemiological characteristics of the COPD Questionnaire were estimated, and recommendations for sustaining the COPD case-finding program as standard of care were made.en_GB
dc.subjectScreeningen_GB
dc.subjectCase-findingen_GB
dc.subjectCOPDen_GB
dc.date.available2013-12-19T17:28:20Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:28:20Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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