disease (COPD) remains a major financial burden to our healthcare system. In 2015, the Centers for Medicare & Medicaid Services started imposing a financial penalty for hospitals with excess rates of COPD readmissions. We investigated the effectiveness of a Discharge Checklist in reducing the rates of 30-day readmission in a cohort of high risk patients admitted with COPD exacerbation. METHODS We conducted a 12 month randomized prospective case-control study on patients diagnosed with acute COPD exacerbation
Airway/Breathing (Oxygenation) Pneumonia/Chronic Obstructive Pulmonary Disease Clinical Reasoning Case Study STUDENT Worksheet JoAnn Walker, 84 years old Overview This case study incorporates a common presentation seen by the nurse in clinical practice: community acquired pneumonia with a history of COPD causing an acute exacerbation. Principles of spiritual care are also naturally situated in this scenario to provide rich discussion of “how to” practically incorporate this into the nurse’s
What clinical findings are likely in R.S. as a consequence of his COPD? How would these differ from those of emphysematous COPD? Patients that do have chronic bronchitis ( B COPD) typically exhibit shortness of breath on exertion, excessive amounts of sputum, chronic cough, and evidence of excess bodily fluids (edema, hypervolemia). Chronic cough tends to be most severe in the mornings, is productive, and occurs for more than 3 months and occurring each year for at least 2 consecutive years. In
A REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically, psychologically ,and socially ,I will also explain how the disease affects his daily routine and how it impacts on his family life. I will give an overview of the clinical signs and symptoms, how the disease alters the pathphysiology of the lungs, and what these changes cause within
Pulmonary Case Study Analysis and Care Plan Chronic obstructive pulmonary disease (COPD) is most prevalent in the older adult and smokers. It is the third leading cause of death in the United States and affects 329 million people worldwide. The disease also carries a burden on the economy with an estimated cost of $29.5 billion annually for treating exacerbations (Hattab, Alhassan, Balaan, Lega, & Singh, 2016). It is defined as the limitation of airflow within the airway and lungs secondary to
environment to impact our lives. Figure 1. Scope of Environmental Health Services (NHS Health Development Agency, 2002) In 2002, Chronic Obstructive Pulmonary Disease (COPD) was identified as the 5th leading cause of death worldwide, and it is forecast to become the 3rd leading cause of death by 2030 (WHO, 2016). COPD is an umbrella term used to describe a group of irreversible but treatable lung diseases including emphysema and chronic bronchitis. The disease, which primarily affects the respiratory
Pulmonary Disease (COPD) is a progressive and irreversible disease that is characterized by reduced inspiration and expiration capacity in lungs. In COPD airflow limitation occurs due to an abnormal immune response of the airways and lung parenchyma to harmful particles and gases (Global Initiative for Chronic Obstructive Lung Disease (GOLD), 2015). The COPD is one of leading causes for morbidity and mortality around the world. This essay will discuss the pathophysiology of COPD, its risk factors
In this assignment, a case study will be discussed regarding a patient who is admitted for pneumonia and has a chronic obstructive pulmonary disease (COPD) as the comorbidity. To begin with, the epidemiology will be explored along with the NHS medical costs of pneumonia and COPD as the main rationale for the selected patient. Secondly, COPD and pneumonia 's pathophysiology will be looked at and the bio-psycho-social model will be used to present the impact on the patient. Thirdly, a systematic approach
full exhalation, a significant amount of air remains in the lungs. This remaining air cannot be exhaled owning to narrowed pulmonary airways (The Lung Institute, 2016). Common obstructive lung diseases include chronic obstructive pulmonary disease (COPD) and asthma (Harpreet Ranu et al., 2011). A restrictive lung disease, however, describes conditions where the total lung capacity is abnormally low (Klaus-Dieter Lessnau, MD, FCCP et al., 2016). Pulmonary fibrosis (the diagnosis of RL) is a common
The rise of professional nursing as a significant discipline in its own right rests on the competence of practicing nurses to correctly address concerns of healthcare clients for which they are distinctively qualified to cater to. It demands that nurses be equipped with the necessary intellectual skills to integrate and use the vast amount of facts derived from patients to be able to discern the actual problem. It is clinical reasoning that allows nurses to do this (Simmons, 2009). Clinical reasoning