National and State Prevalence and Incidence of COPD
Chronic obstructive pulmonary disease (COPD) refers to a wide range of lung illnesses characterized by flow of air obstruction that interrupts the normal breathing. COPD is composed of chronic bronchitis and emphysema and they usually coexist (Halpin, 2008). American Lung association documented that COPD was the third leading cause of mortality in United States in 2009. Prevalence of an illness indicates the proportion of a disease in a particular population who has COPD at a specified period (Lazare, 2013). Data from the Center of Disease Control and Prevention shows that approximately 12.7 million American adults are diagnosed with the disease.
However, reports indicated that COPD is underdiagnosed and that more than 24 million Americans are likely to have impaired lung function. In 2011, 1.3 million blacks (48.6 per 1000 people), 7.5 million whites (47.3 per 1000 people) and 943 000 Hispanics (28.8 per 1000 people) were diagnosed with chronic bronchitis (Lazare, 2013). In the state of California, approximately 1 331 210 people have been diagnosed with chronic bronchitis while 460 873 (1.3%) were diagnosed with emphysema in 2011 (Seemungal and Wedzicha, 2006). In California, COPD is the fourth leading causes of death.
Group Care model
The Community Health care model involves a team that is composed of members of the community, nurse managers, pulmonologists and nurse practitioners who work harmoniously to ensure a quick recovery of the CO