Implement and evaluate your care for the patient

George Williamson is a 72 year old man who is a lifelong smoker. 10 years ago, George was diagnosed with COPD however he has continued to smoke with this diagnosis. George has been prescribed Salbutamol; a short acting bronchodilator (SAB) to use on a PRN basis as well as an inhaled steroid which he is supposed to use twice a day.

Today you are seeing George and his granddaughter (who is his primary carer) in the respiratory outpatient’s clinic.George’s granddaughter reports that she doesn’t think that George is using his SAB inhaler correctly and often forgets to take his steroid inhaler. She says that he is too stubborn to listen to any advice on the matter. She also comments that his exercise tolerance is decreasing, and he now spends almost all of his time lying in a reclining chair at home. She is worried that his sedentary lifestyle and lack of movement may cause other health issues.

• For each of your identified problems (Approximately 950 words for each problem): Briefly explain how it relates to the patient’s assessment data. You must demonstrate your understanding of the relevant pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO interventions to address each problem. Justify the interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant special considerations relevant to the patient or situation) and support/justify the use of these interventions with reference to current evidence-based literature (a minimum of 5 current articles for each intervention) . Outline the expected evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.

• Conclusion (150 words approximately): Briefly restate the overall clinical scenario and how your interventions can benefit the patient’s health.

Journal articles. Blogs and general healthcare websites are to be avoided and are not considered suitable for academic writing. . Remember to watch the video under the assessment task tab on how to search for evidence. References can be no more than 7 years old, i.e. prior to 2013 unless they are considered lanmark papers in the field. You need a minimum of 20 references for this essay.