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Health Promotion and Health Education in patients with COPD

As healthcare professionals it states in the NMC code of conduct that we have

a duty to work with others to protect and promote the health and wellbeing

of those in your care, their families and carers, and the wider community

(NMC 2010)

Because the main cause of COPD is through tobacco smoke (either tobacco use

or passive smoking) In 1995 smoking accounted for 120,000 deaths in the UK

(Callum,1998)

The government policy making a difference states nurses have a key role in

promoting health and preventing illness. This enables the patient and/or family

carer to manage and control their condition t hrough programmes by providing

one-one support to the patient and/or family the main health promotion issue

is to help the patient and /or other family members to give up smoking.

(Department of Health (DOH) 1999)This would mean referring the patient to a

smoking cessation nurse.

NHS Stop Smoking Services were set up in 1999 to provide evidence -based

behavioural and medical support for people who wish to stop smoking.(A

smoke-free future 2010)

We as healthcare professionals play a vital role in encouraging and influencing

smokers to give up.

This is done by using the 5 As approach

ASK - about tobacco use at every visit to doctors or clinic

ADVISE all tobacco users to quit.

Use clear strong language for example Quitting tobacco is the most important

thing you can do to protect your health

ASSESS

Ask every tobacco user if they are willing to give up.

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y  If so provide resources and assistance (leaflets and smoking cessation

advice)

y  If not try to motivate the patient find out if there is any reasons not to

quit and build the patients confidence about quitting.

ASSIST tobacco users with a quit plan.

ARRANGE follow up visits (Coleman 2004)

As healthcare professionals we have a duty to offer the patient the

opportunity to manage their own symptoms of the conditi on if they have the

capacity to do so. This is done by establishing a good relationship between the

patient and the healthcare professional. Helping the patient become moreactive in their own care is the main goal.

The Pulmonary Rehabilitation Programme (PRP) is a structured exercise and

education programme put in place by a multi disciplinary team. This has been

available in America for some time but is slowly being introduced in the UK

usually being set up in out patients clinics. (NICE 2010)

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References

Nursing and Midwifery Council(NMC) 2010 The Code in Full. [online] Available

at: http://www.nmc-uk.org/Nurses-and-midwives/The-code/The-code-in-full/  

Department of Health(DOH) 2010. Smokefree England-one year on. [online]

Available at: www.dh.gov.uk/publications  

Callum,1998 British Journal of Nursing (BJN),2001 Jan 11-24, Vol 10 Issue 1 Pg

22-24

Coleman,T. 2004 British Medical Journal (BMJ) Cessation interventions in

routine health care. Issue 328 Pg 631 633

Department of Health, 2010. Strategy for services for Chronic Obstructive

Pulmonary Disease (COPD) in England: consultation document. [online]

Available at:

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsP

olicyAnd Guidance/DH_116716 [Accessed 13 March 2011]

National Clinical Guideline Centre. (2010) Chronic obstructive pulmonary 

disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care. [Online] Available from:

http://guidance.nice.org.uk/CG101/Guidance/pdf/English Accessed

on:13/3/11