Chronic Obstructive Pulmonary Disease (COPD) Nursing Diagnosis And Care Plan

COPD is a respiratory disease. COPD means Chronic Obstructive Pulmonary Disease. With this the person suffers from airflow limitation or is also called as airway destruction.

This COPD mainly involves with two kinds of related diseases known as ‘Chronic Bronchitis and ‘Emphysema’. Though Asthma involves in to much of airway inflammation, mucous plugging, narrow airway, this kind of symptoms also relate to COPD.  

What is Chronic Obstructive Pulmonary Disease (COPD)

Chronic Obstructive Pulmonary Disease COPD is a very common lung disease which makes difficult to take breath andmakeobstructed airflow from the lungs. There are some basic forms of COPD.

  1. Emphysema, which involves damage to the lungs over time
  2. Chronic bronchitis, which involves a long-term cough with mucus

What is COPD Symptoms

COPD symptoms basically appears when significant lung damages occured and with time it increase and become worst. COPD basically increase with smoking exposure continues and heavy pollution in the air.For chronic bronchitis, the main symptom is a daily cough and mucus (sputum) production at least three months a year for two consecutive years. Still for more easy way to understand the Symptoms of COPD, Here is basic Symptoms of COPD.

  • Shortness of breath, especially during physical activities
  • Swelling in ankles, feet or legs
  • Wheezing
  • Having to clear your throat first thing in the morning, due to excess mucus in your lungs
  • Frequent respiratory infections
  • A chronic cough that may produce mucus (sputum) that may be clear, white, yellow or greenish
  • Chest tightness
  • Lack of energy
  • Unintended weight loss (in later stages)
  • Blueness of the lips or fingernail beds (cyanosis)

Here are basic nursing care plans (NCP) and nursing diagnosis (NDx) for Chronic Obstructive Pulmonary Disease (COPD):

  • Ineffective Airway Clearance
  • Imbalanced Nutrition: Less Than Body Requirements
  • Other Possible Nursing Diagnosis
  • Risk for Infection
  • Impaired Gas Exchange
  • Deficient Knowledge
  • Activity Intolerance
  • Ineffective Breathing Pattern

Nursing Diagnosis for COPD ( Chronic Obstructive Pulmonary Disease )

  1. There will be an Ineffective breathing pattern which is related to: shortness of breath, bronchoconstriction, mucus, airway irritants.
  2. Aso there will be an Ineffective Airway Clearance, Which is related to: increased sputum production, bronchoconstriction, ineffective cough,cbronchopulmonary infection, fatigue / lack of energy.
  3. There is an Impaired Gas Exchange which is related to: ventilation perfusion inequality.
  4. Mostly there will be an Imbalanced Nutrition: less than body requirements
  5. There is Activity Intolerance which is related to: imbalance between oxygen supply with demand.
  6. The person undergoes a Disturbed sleep pattern which is related to: discomfort, sleeping position.
  7. Anxiety grows and clearly this is related to: threat to self-concept, threat of death, purposes that are not being met.
  8. Ineffective Individual Coping to others and this further leads to disturbance of the state of mind. related to: anxiety, lack of socialization, depression, low activity levels and an inability to work.
  9. Self-care Deficit : Bathing / Hygiene Self-care deficit related to: fatigue secondary to increased respiratory effort and ventilation and oxygenation insufficiency.
  10. Consider COPD in any patient with dyspnea, chronic cough or sputum production. Consider early diagnostic case finding in persons with a history of inhalation exposures known to be risk factors for COPD.
  11. Pulmonary function testing with post-bronchodilator assessment demonstrating a reduced FEV1/FVC ratio is required for diagnosis.
  12. Assess COPD severity by determining extent of airflow limitation (spirometry), symptom severity, and exacerbation history.


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