Nursing care for patients with chronic obstructive pulmonary disease and uncontrolled diabetes mellitus : Two case studies.

Abstract

      This study is a case study of two patients, aiming to compare the disease progression, treatment, and nursing care of patients with chronic obstructive pulmonary disease combined with poorly controlled diabetes who were admitted to Kalasin Hospital. They received care in the medical intensive care unit and the male medical ward at Kalasin Hospital, covering the critical stage, continuous care stage, rehabilitation stage, and discharge planning. Data were collected from patients, their relatives, and medical records, including symptom assessment, history taking, and physical examination, to identify patient problems and needs. This information was used to establish nursing diagnoses and nursing care plans, using Gordon's 11 health patterns for patient assessment and Orem's self-care theory for patient care. The nursing outcomes were evaluated in three stages: critical care nursing, rehabilitation nursing, and discharge nursing.

      Study Results: From the case studies of both cases, it was found that nurses play a crucial role in patient care, from collecting information, taking medical histories, assessing symptoms, monitoring patient conditions, to organizing nursing activities that meet the individual needs and problems of each patient.