Jennifer Rhae Lim
Trinity University of Asia, Philippines
Title: The effect of community acquired pneumonia bundle of care in the acute care setting
Biography
Biography: Jennifer Rhae Lim
Abstract
Background: A standardized group of interventions which is what we call “Bundle of Care” holds a promising future in the healthcare industry and how this set of interventions promote faster recovery from the disease process will definitely break grounds in healthcare. The study aimed to seek specific bundle of care for Community Acquired Pneumonia to avoid exacerbations and complications.
Methods: The study utilized quasi-experimental non-equivalent comparison group to compare the subject groups and measure the degree of change as a result of the CAP Bundle of Care. Patients received the CAP bundle that includes 4 nursing interventions: deep breathing and coughing exercises, moderate high back rest, effective clinical assessment and decision making include oxygen monitoring and assessment of patient which also involved monitoring of oxygen saturation, and turning. Status of both control and experimental group was sought pre and post intervention and described using mean and SD. Significant difference between the control and experimental group was also investigated utilizing t-test.
Results: The pretest status shows low risk interpretation for the confusion parameter of the subjects. Urea level and respiratory rate are above normal while blood pressure remains to be normal. CURB score requires inpatient hospitalization and chest radiographic findings show positive infiltrations suggestive of pneumonia. The post -test status shows an interpretation of low risk for the confusion parameter. Respiratory Rate, Blood pressure and urea levels became normal with negative infiltrations in the chest radiographic findings suggestive of home treatment or management. There was a significant difference with the CURB 65 score specifically in confusion score of patients.
Conclusions: CAP Bundle of Care is effective to be implemented in the acute care setting. The CAP Bundle of care is effective to avoid further complications and comorbidities as well as mortality, could fasten up recovery and wellness, and optimizes patient comfort and satisfaction.