PATIENT UNIT IS DEDICATED TO THE MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE


Vol. 8 No. 1
March 1998

Insuring Quality Community Healthcare

Winthrop's Advance Directive Initiative

The Winthrop South Nassau University Health System Opens Homecare*America Superstore in Mineola

Winthrop Welcomes Three New Directors

Winthrop Opens a Second, Fully Monitored Neurosurgical Intermediate Care Unit

Winthrop's $12 Million New Life Center is on Track for July, l998

Winthrop's Long Island Regional Poison Control Center Observes Fifth Anniversary of Averting Danger, Saving Lives

Patient Unit is Dedicated to the Management of Chronic Obstructive Pulmonary Disease

Long Island's First Dual Chamber Defibrillator is Implanted in Winthrop's Electrophysiology Lab

Report from The Heart Institute at Winthrop: Third Cardiac Catheterization Lab is Authorized by State Department of Health

Winthrop's Artificial Heart Device Program: A Revolutionary Treatment for End-Stage Heart Disease Patients

Winthrop's Dialysis Centers Receive National Award for Patient Encouragement - One of Only Six Programs in the United States to be Recognized

Endoscopic Ultrasound: On The Forefront of Technology

Long Island Chapter of Impotents Anonymous Meets at Winthrop, Filling an Intimate Need ---Confidentially

Winthrop's Stem Cell Autologous Transplantation Therapy Program Saves a Life - And Can Save More!

Winthrop Adds Powerful New Radiological Intervention

Winthrop Auxilians Donate Service, Talent, and Creative Fundraising

Winthrop's Division of Reproductive Medicine Makes Parenthood Possible

Dialysis is technology...but caring is an art.

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Winthrop's COPD Management Team, awarded for its achievements in Continuing Quality Improvement on Hoag 2, include (L-R) Joan Marchiselli, RN; Michael Niederman, MD, Chief of the Division of Pulmonary Medicine; Mara Bernstein, RT; Gerald Stanick, MPA, RRT, Administrator, Respiratory Services; Jane Cordova, Placement Worker, Department of Social Work; Teresa Rodgers, RN, MSW, CSW, ACSW, Social Worker; Marisa Cassamassino, PT, Physical Therapist; and Janis Scocozzo, RNC, Hoag 2, with Martin J. Delaney, President and Chief Executive Officer of the Winthrop South Nassau University Health System.


When you can't breathe, you can't live - it's that elementary. Pulmonary disease is frightening, and with each struggle for breath, the patient's anxiety level mounts.

Now, Winthrop's adult patients who suffer from serious chronic obstructive pulmonary disease (COPD) are admitted to Hoag 2, which was designated on June 1, l997 as a multidisciplinary specialized care unit for patients requiring oxygen therapy, respiratory treatments, and close monitoring of their respiratory status.

The Unit's goals are to improve patient outcome, decrease length of stay, discharge the patients securely to their own homes, and provide appropriate homecare.

Jeanine Paul, MA, RN, Nurse Clinician/Pulmonary Nurse Practitioner, oversees the unit, with the help of Nurse Manager, Mary Day, RN. Each patient's individualized plan of care is based on a COPD caremap, which defines daily goals and criteria - such as "achieved decrease in shortness of breath" resulting in "experienced decrease in anxiety."

Care is provided through a professional multidisciplinary team, whose members actively collaborate in planning and delivering patient care and in educating the patient and family about COPD. Contributors to the care plan include the patient's primary attending physician, pulmonary consultants, house staff, nurses, social workers, case managers, dietary staff, discharge planners, physical and respiratory therapists, home care specialists, outpatient pulmonary rehabilitation therapists, the emergency department staff, and pharmacists.

Initially, patients admitted to Hoag 2 must be either the primary patient of a pulmonologist, or have had a consult with one. (In the future, admissions may be expanded to all COPD patients admitted through the Emergency Department or the Medical Intensive Care Unit.)

To assist patients with a smoother adaptation to their illness and to help prevent readmission, patients and their families receive a newly-developed COPD patient information packet. The patients' home living environments are also evaluated by professionals. Hoag 2 caregivers work closely with the outpatient pulmonary service to refer the patient to the external services needed, which might include pulmonary rehabilitation, smoking cessation groups, or the adult asthma program.

Through the active cooperation of all the disciplines, the staff of Hoag 2 helps patients with COPD to live with their disease, and become active partners in treatment. For further information, contact Jeanine Paul, MA, RN at 516/663-8322.



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