Acute Obstructive Pulmonary Disease ( Copd )

2076 Words9 Pages
Based on a case study for a 76 year old female, Betty White, presenting to a medical ward with an acute exacerbation of chronic obstructive pulmonary disease (COPD), this paper will firstly outline a brief summary of COPD and discuss the associated risk factors. Secondly, the patient’s information will be summarised. From the perspective of the primary Registered Nurse, this paper will detail steps of an initial clinical assessment of the patient. In doing this, the priorities and considerations involved in order to provide best patient care for this scenario will be addressed. A discussion of information and suggested interventions will be integrated as to how the nurse shall develop a plan of care. Furthermore, it will outline…show more content…
Her background is COPD, osteoporosis, hypertension, left total hip replacement (1997), gall stones (2005) and long term right lower leg ulcer. She is an ex-smoker with no known allergies recorded. Mrs White has poor English skills, is widowed and currently lives alone in her own home, with community services providing assistance three times per week for washing and dressing her leg ulcer. She does have strong ties within the local Italian community who check on her daily. Her only son lives in Melbourne. She has been experiencing shortness of breath on exertion, which has limited her mobility and exercise. Mrs White states she has had a decreased appetite and that she usually drinks two glasses of red wine per day. Her other presenting symptoms are peripheral oedema, a productive cough and increased work of breathing. She is currently on 6L of oxygen via a Hudson Mask with Sp02 87%. After considering Mrs White’s available medical information upon her presentation to the medical ward, the nurse would introduce themselves as the primary carer, in order to create a rapport with the patient. Being aware of the language/communication barrier, the nurse would focus on eye contact, facial expression and may use closed ended questions, requiring the patient to nod her head in ‘yes’ or ‘no’ to be able to establish her understanding of what is happening. The nurse would express empathy and act in a culturally sensitive manner (Schouten, 2006). Primarily, the
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