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Section B Process Mapping Questions

By Helen Hart,2014-09-03 15:00
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Section B Process Mapping QuestionsSect

    Questions we may ask about you about

    Getting Better” with COPD

Legend:

COPD is Chronic Obstructive Pulmonary Disease. You may know it as emphysema or chronic

    bronchitis.

    A COPD flare up refers to when you have persistent worsening of your shortness of breath level, more phlegm than normal and often a change in color of your phlegm to green or yellow. It is often caused by a bronchial tube infection.

Healthcare professionals include nurses, pharmacists, therapists and others.

    Pulmonary Rehabilitation is a formal 10 week long exercise and education program held at the Kelowna General Hospital and requires a physician referral.

    Here are the questions we may ask the group of patients attending the meeting. Do not concern yourself with questions you do not understand or that do not apply to you. Experts will be on hand to explain what is meant by each question and address any of your concerns. You may write your answers in the space after each questions, email any specific answers to Jason Kennedy or discuss them out loud at the meeting. You may want to make a few notes.

Thank-you for your help

A. When you first developed COPD

    What was your first hint that something was wrong with you? What made you seek

    help when your first developed trouble breathing?

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IH COPD Working Group “Getting Better” May 13, 2006 DRAFT

B. Discuss your experiences with COPD flare ups in your home and community (not

    as an in-patient of the hospital). These may include your experiences during family

    doctor visits, medical tests, pharmacy visits and while at home.

    What was your first hint that something was wrong with you? What made you seek

    help when your first developed trouble breathing?

2

    How long does it take you to book an appointment with your doctor when you realize

    you are having more breathlessness, cough and/or phlegm? If there were delays in

    the past, why did they occur? What do you do during public holidays or weekends

    when you need to see a doctor? How can we improve access to your doctor or other

    healthcare professionals for when your COPD symptoms worsen? 3

    What do you know you about promptly recognizing and treating a COPD Flare up?

    Do you have a COPD Flare up Action Plan?

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    Who do you speak to when you notice changes in your health? Does your doctor

    ask you about your shortness of breath, your phlegm or how you are managing your

    lung disease in the doctor’s office? 5

    Do you have any ideas how we might improve your COPD flare up treatment at

    home or in the community? What are the most helpful things to help you to get

    better?

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C. Discuss your experiences in the emergency department or when you are

     admitted to hospital for a COPD flare up (bad shortness of breath, more cough

     and phlegm and perhaps green or yellow phlegm.

IH COPD Working Group “Getting Better” May 13, 2006 DRAFT

What prompted you to go to the hospital? How did you get there? How long did you

    wait to go to the hospital after your symptoms of a COPD flare up came on?

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    Describe your experiences in the emergency department. How long did you wait to see a doctor? Did you receive prompt testing and treatment? Were tests and your test

    results and diagnosis explained to you to your satisfaction?

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While in hospital did you receive education about managing your COPD? This may

    include how and when to take medications, the need to exercise, how to detect future

    COPD flare ups. Did you receive all the information you needed to feel safe going back at your residence? Were follow up appointments arranged? What could have been better? What good things did you experience?

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    If you are or were a smoker during your last hospitalization. Were you offered a nicotine patch and advice and/or support to help you stop smoking in hospital or afterward?

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Any thoughts about how we might improve hospital care for COPD patients?

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    IH COPD Working Group “Getting Better” May 13, 2006 DRAFT

D. Discuss your experiences with a lung specialist or internist. (Also called a

     Respirologist or Pulmonologist )

    Describe when and why your doctor referred you to a lung specialist from his or her

    office or the hospital? Comment about waiting to see the specialist.

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    Did the appointment cause you any inconvenience in terms of your work or daily

    schedule? Comment about the appointment. Were all of your concerns and questions

    addressed?

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    Describe any education or teaching you received about your lung disease at the lung

    specialist’s office.

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E. Discuss your experiences with stopping smoking. This may not apply to you.

    If you smoke, has your doctor advised you to stop? How often do they bring up the

    topic of smoking with you? What about with other healthcare professionals such as

    nurses, therapists or dental staff? Describe your experiences such as referrals or

    receiving information.

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IH COPD Working Group “Getting Better” May 13, 2006 DRAFT

    Were stop smoking medications such as the patch recommended to you? Who

    provided you information about correctly using these medications if you did use

    them? 16

    Describe what or who helped you the most to quit smoking. What do you need if you

    are still smoking?

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    F. Discuss your experiences with Pulmonary Rehabilitation. This may not apply to

     you.

    Where you offered pulmonary rehabilitation?

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    Are the classes held at convenient times and at a good location for you?

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    Do you have any concerns about access to the rehab exercise or education areas or

    parking?

     20

    Were you satisfied with the education you received? Tell us about it.

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    If you took Respiratory Rehabilitation, how can we make it better? If not, why didn’t

    you participate?

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IH COPD Working Group “Getting Better” May 13, 2006 DRAFT

G. Discuss your experiences with other chronic illnesses. These may include anxiety,

     panic disorder, depression, heart disease and osteoporosis.

    Do you have anxiety or any other problems that complicates your COPD?

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    If you like, you may make notes or answer any or all of the questions by in the space below the question or on another piece of paper. If you use another piece of paper write “Getting Better” on

    it and number your answers. You may also email any or all answers to Jason Kennedy. Please do not hesitate to contact me if you have any questions or concerns prior to our formal meeting.

Thank you,

Jason Kennedy. COPD Project Manager

    Central Okanagan Interior Health

    220-1815 Kirschner Road

    Kelowna, BC V1Y 4N7

    (250) 870-4688

    Email: jason.kennedy@interiorhealth.ca

IH COPD Working Group “Getting Better” May 13, 2006 DRAFT

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