The two nursing diagnosis I will continue to focus on are ineffective airway clearance and ineffective family coping. Ineffective airway clearance is the first step in managing Bud's respiratory problems. Focusing on airway, we can enable Bud to breath with more ease and address his nagging cough. Ineffective family coping will address one of the other main functions of hospice. Hospices goal is not only to alleviate any pain and suffering for the patient, but also provide support to families. Each of the five nursing diagnosis listed above form a consistent cycle of affect and effect. When looking at Bud's health in a holistic manner it is easy to see these two nursing diagnosis as a smear of grey, instead of black and white. To start off, the respiratory problems is what ultimately is …show more content…
The article directly relates to Bud in terms of identifying, management and adapting to late stage COPD. Bud has experienced increased dyspnea. Leyshon (2012) explains how "in COPD, progressive airflow obstruction, collapse of small airways, air trapping, breathing at reduced lung volumes, respiratory muscle weakness..." (P. 49). will all contribute to his dyspnea. Each of these factors blend into one another. His ineffective airway clearance leads to an obstructed airway and this contributes to his decreased perfusion in his lungs, which is why he experiences restlessness and shortness of breath. All of the factors listed above plus many more result in his progressing COPD and ultimately his decreasing health. Leyshon (2012) promotes palliative care for those who in the terminal phase of the disease. When placing a patient on hospice or palliative care "they are more likely to receive co-ordinated support, including classification of their specific needs, advance care planning discussion, prevention of crisis admissions and a proactive approach to symptom management" (P.