NURS FPX4900 Assessment 2

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        NURS FPX4900 Assessment 2 consideration of the problem of Chronic Obstructive Pulmonary Disease (COPD) involves the interaction of many crucial factors. Such issues include those of quality, safety, and cost of healthcare delivery. In terms of quality considerations, care should be designed to adhere to a set of evidence-based practices and provide an improved quality of life for chronic obstructive pulmonary disease patients. Error avoidance, no complications, and a completely safe culture should be considered as safety.

Impact of a Problem on Quality, Patient Safety, And Costs

Analyzing the economic effect, of course, includes the question of medication effectiveness, ways of resource allocation without leaving them out, and measures aimed at coping with the economic burden of COPD by prevention. Healthcare providers may develop treatment tactics that make a positive difference in patients’ emergencies, monitor the treatment plan, and make sure that the COPD medicine is effective, permitted, and sustainable through the implementation of an elaborate review of COPD that considers each of the three factors as mentioned earlier (Ghamari et al., 2023).

NURS FPX4900 Assessment 2 Cast considerations

            The case presented by the patient highlights the appalling impact that is observed on treatment plans, patient safety, and healthcare expenses. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) submits that discontinuity in the treatment due to a hospital stay because of an exacerbation of COPD negatively affects the quality of awareness that Maria may get during the treatment process. It is hard for me to create a comprehensive and reliable approach to the management of her COPD because of her frequent exacerbations, which leads to an inconsistent track of the treatment plan, as per the record of Rojas et al. (2023).

The time every time Maria has been hospitalized puts her at a higher risk of exposure than normal. The center for Disease Control and Prevention (CDC) studies, COPD patients face a higher risk of getting infections, medication complications, and other health emergencies having a compromised respiratory system. Thus, the hospitalized patients with prolonged illness are the most vulnerable group. One shouldn’t disregard the threats, as Maria’s case illustrates this pointedly because each hospital visit significantly increases the likelihood of acquiring new health concerns. 

Assessing the Problem: Quality, Safety, and Cost Considerations

Among the many patients with COPD in the American Thoracic Society, it was rightly pointed out that different financial bundles were evident. Maria accrues several direct medical expenses since she stays in the hospital often; this includes payment for ER visits, inpatient treatment, and other hospital-specific bills. This places her in poor health and also impacts her ability to perform work. Maria is faced with the double-barrelled punishment: the financial burden affects her directly, and the healthcare system as a whole suffers from it, which can adversely affect her financial state.

As a targeted strategy for dealing with NURS FPX4900 Assessment 2 concerns, interventions need to have an elevation of the standard of care through patient education, customized management plans, and regular monitoring on a routine basis. Possible therapy in advance, such as pulmonary rehabilitation to achieve exacerbation prevention, is believed to play a decisive role in patient well-being. Moreover, incorporating free and early stoppage therapies, like programs to permit individuals to cease smoking, could help reduce healthcare costs for both individuals and the healthcare system. Through the application of this approach, healthcare providers could get over the issue of COPD funding, notice the improvement in patient safety, and see prominent improvement in outcomes (Ghamari et al., 2023).

State Board Nursing Practice Standards and Organizational or Governmental Policies

            COPD is a large and expensive disease that affects patient safety, treatment quality, and costs throughout the nation, and it can be mitigated by navigating state board nursing practice standards, company policies, government legislation, and evidence-based practice. The AACN made clear that the laws of specific states govern the nursing practice standards that define the boundaries of nurse intervention. The rules of one’s nurse role in the care and specific therapy of COPD, as well as education topics and pulmonary rehabilitation, are stipulated by policies like the “Nursing Scope of Practice Guidelines.” Policies that organizations would implement for harmless evidence-oriented interventions like respiratory assessments, medication management, and patient self-management projects, for instance, the creation of ‘COPD Care Pathways,’ may have various aspects of improving attention to COPD patients (Bhutani et al., 2022).

NURS FPX4900 Assessment 2

Governing strategies like those supported by the Centers for Medicare & Medicaid Services (CMS) may affect the reimbursement muddles of COPD drugs. Hence, we can consider preventive approaches such as early outpatient treatment and smoking cessation programs as the ones that will be promoted due to this. Advanced programs in rehabilitation, like “Pulmonary Rehabilitation Programs,” proposed by both recommendations of the AACN and CMS, are the right intervention to eradicate COPD. Whether it is a COPD care plan, a nurse’s scope of practice, or patient outcomes, safety, and overall healthcare spending, these two therapies and policies have an unmistakable impact on them. Much COPD treatment, patient safety, and cost-saving ultimately depend on the efforts that marry nurse behaviors with these goals. By mapping the nurse’s actions to these goals, healthcare systems improve treatment outcomes, enhance patient safety, and certainly reduce costs (Bhatt et al., 2023).

NURS FPX4900 Assessment 2 Policy Impact on Nursing Scope of Practice

Practical limits imposed by the policies of medical professionals, especially when dealing with patients with chronic obstructive pulmonary disease (COPD), are highly affected by nurses’ scope of practice. State board nursing standards of practice, including the “NURS FPX4900 Assessment 2 of Practice Guidelines,” set the legal parameters, as well as the responsibilities of nurses and who is eligible to provide care for patients with COPD. Organizational rules, such as “Advanced Practice Nursing Protocols for COPD Management,” may be more detailed in the responsibilities of the nurses with regard to their advanced practice and could broaden advanced practice nurses’ roles as well. 

The systemic framework through which the governments have regulations determines the level of importance that is attached to given projects. Restrictions in this area involve the implementation of prevention strategies and methods of financing the payment for services provided. For instance, laws that promote Smoking Cessation Counseling as community care activities in hospitals give nurses more chances to do community health nursing. These regulations bring in the concept of implementing patient safety, slanting care quality, and medical costs supporting the nurses in COPD cases. NURS FPX4900 Assessment 2 must be up-to-date and adopt suitable policies to carry out patient-focused and effective treatment for people with COPD, as they are critical success factors for COPD (Helvaci & Metin,2020).

Strategies to Enhance the Quality of Care, Patient Safety, and Cost-effectiveness

A total of integrative technologies are to be implemented to lessen the risks for COPD patients, cut costs, and improve treatment quality. One multidisciplinary COPD care team includes a number of practitioners like nurses, respiratory therapists, dietitians, and social workers, and it may be offered to patients with a holistic approach. NURS FPX4900 Assessment 2 could develop case-by-case prescriptions that support respiratory and nutritional function, periodic checkups, and COPD management education to help them improve their therapy (Rose & O’Connor, 2022).

The highly efficient treatment of chronic obstructive pulmonary disease is reduced because the guidelines contain up-to-date scientific facts that are used by certain organizations, such as the Global Initiative for Chronic Obstructive Lung Disease (GOLD). According to the expert, pulmonary rehabilitation programs along with personalized exercise regimes and smoking cessation will form the centerline of this therapy to ensure better results for the patients (Rojas et al., 2023).

NURS FPX4900 Assessment 2 Patient safety

Telehealth technologies, recommended by the American Thoracic Society, ease coping with emotional wellness issues and open the availability of therapy for patients seeking it. The use of virtual consultations and remote monitoring technologies can speed up the process of dealing with patients’ cases, thus enabling them to stay shorter in hospitalization and enhancing patients’ safety. This method of revenue generation involves less spending and follows the current healthcare administration rules (Rose & O’Connor, 2022).

The value-based COPD program called “Home-based COPD Management” would rather know the importance of prevention. Constant reference to established criteria, like protocols and the use of telehealth practice, can improve the quality of treatment as well as meet payment requirements with reduced emergency room revisits and hospitalizations (Bhutani et al.,2022). For example, the audit can disclose shortages that call for a rethink of the implementation strategy. Thus, it means that it remains evidence-based and is a key point in improving the quality of life of patients in terms of effectiveness and cost-effectiveness (Bhatt et al., 2023).


A multidisciplinary workflow seamlessly embedded into a value-based care model by means of evidence-based clinical practice guidelines and supported by telemedicine and audit processes is proposed. Healthcare providers should improve collaboration, follow the guidelines, use information technology for remote assistance, respond to the incentives based on value, and frequently monitor the processes that fit patient safety, cost-cutting, and quality health care. The uses of the methods, according to standards and as an example, offer a framework that is comprehensive and flexible in dealing with the problem of COPD, which has a lot of sides.


Bhatt, S. P., & O’Connor, G. T. (2022). Screening for chronic obstructive pulmonary disease. JAMA, 327(18), 1768.

Bhatt, S. P., Casaburi, R., Agustí, À., Celli, B. R., Miller, B. E., Putcha, N., Rommes, J., & Dransfield, M. T. (2023). Chronic obstructive pulmonary disease: hiding in plain sight, a Statement from the COPD Foundation Medical and Scientific Advisory Committee. The Lancet Respiratory Medicine, 11(12), 1041–1043.

Bhutani, M., Price, D., Winders, T., Worth, H., Gruffydd-Jones, K., Tal‐Singer, R., De Sousa, J. C., Dransfield, M. T., Peché, R., Stolz, D., & Hurst, J. R. (2022). Quality standard position statements for health system policy changes in diagnosis and management of COPD: A global perspective. Advances in Therapy, 39(6), 2302–2322.

Ghamari, S., Mohebi, F., Abbasi‐Kangevari, M., Peiman, S., Rahimi, B., Ahmadi, N., Farzi, Y., Seyfi, S., Shahbal, N., Modirian, M., Azmin, M., Zokaei, H., Khezrian, M., Sherafat, R., Malekpour, M., Roshani, S., Rezaei, N., Fallahi, M. J., Shoushtari, M. H., . . . Shahraz, S. (2023). Patient experience with chronic obstructive pulmonary disease: a nationally representative demonstration study on quality and cost of healthcare services. Frontiers in Public Health, 11.

Helvaci, A., & Metin, Z. G. (2020). The effects of nurse‐driven self‐management programs on chronic obstructive pulmonary disease: A systematic review and meta‐analysis. Journal of Advanced Nursing, 76(11), 2849–2871.

Rojas, J. C., Chokkara, S., Zhu, M., Lindenauer, P. K., & Press, V. G. (2023). Care quality for patients with chronic obstructive pulmonary disease in the readmission penalty era. American Journal of Respiratory and Critical Care Medicine, 207(1), 29–37.

Rose, E. K., & O’Connor, J. P. (2022). Addressing advance care planning in patients with COPD. Chest, 161(3), 676–683.