| This is important because we need to look at the relevant data and realize that she seems to be in distress and first take care of that. Also realize that she seems to have an infection. With this information we are able to prioritize
This is a case study on a 76 year old man.Mr Alan Chari(pseudonym used to protect the identity of a patient),was admitted over night in my department.He is a divorcee who stays with son.He is a retired teacher and his son is permanently employed by a local company as an electrician.He is independent with activities of daily livings but is occasionally limited by his ill health.He used to be a heavy smoker .After realising the burden COPD has on general New Zealand population ,affecting about15% of the adult population over the age of 45 years according to asthmanz( 2010) ,l took this case study to gain in-depth understanding.
How would you describe the pathophysiology of COPD and comorbid heart failure to Charlie, considering that he has no medical knowledge/background?
Your topic is very interesting, when I practice as an ICU nurse I nursed many patients admitted with COPD exacerbations due to different etiology including unknown causes. I believe you bring up a very good point about not only obtaining an informed consent, but also offer education to the patients willing to participate in this research project. This is such a great intervention as the inform consent does not meet the educational needs required to provide full understanding of why this research needs to be completed and the benefits, and the impact that may have among this population. I am earger to read about your findings!! Great
The effectiveness of Family Support Caregiver in improving the Functional Status of Client with Pulmonary Diseases.
Mr. Bishop is here for routine followup of his chronic illness. He is treated with Alvesco 160 mcg two puffs twice daily, Atrovent two puffs three times daily and Ventolin as needed for his COPD. He reports good compliance and uses these inhalers as prescribed. He generally uses his Ventolin with exercise. He reports that he is running 1-2 miles a day and also doing a step tape daily and reports good exercise tolerance. He does not wake at night coughing or feeling short of breath. For his hypertension, he takes hydrochlorothiazide 25 mg, and amlodipine 5 mg, and simvastatin 20 mg for his hyperlipidemia. He takes these as prescribed and denies any side effects. He denies
Some of the laboratory testing used to identify COPD are arterial blood gas and increased hematocrit levels. Arterial blood gas testing will reveals hypoxemia and hypercarbia due to the retention
COPD is treatable. Most people with COPD can achieve symptom control and quality of life, with proper management, as well as reduce the risk of other associated conditions. Most people have a mild form of this disease, which little therapy is needed besides not smoking anymore. There are several kinds of medications that treat symptoms of this disease and a handful of surgeries that one may have to endure. Some medications need to be taken on a regular basis, while others are only taken when needed. These medications
I work as a respiratory therapist and treat patients diagnosed with chronic obstructive pulmonary disease (COPD). Smoking is a leading cause associated with developing COPD. As a professional working in the healthcare field, I have been fortunate and educated about the dangers and consequences linked to cigarette smoking. I have treated and have experience with individuals who have smoked and developed COPD. Also, as an educator, I have tried to help individuals quit smoking to improve overall health. As an educator, I view smoking as an addiction to the drug nicotine and managing cravings will help individuals quit smoking.
The World Health Organization (WHO) recognizes dementia as a major public health priority and a significant cause of disability. With the aging of the Canadian population, dementia as a serious public health issue will continue to grow. Several research reports point to a potential link between COPD and the development of cognitive decline.[2-5] Depending on the population group and methodology, about 10 to 61% of COPD patients have cognitive impairment.[2,6] The literature indicates that cognitive impairment in COPD patients may be associated with increased adverse outcomes such as more prolonged hospitalization, difficulty with the instrumental activities of daily living (IADL),[7,8] and trouble with managing their disease and adherence to treatment.[9-11] Moreover, the cognitive impairment could affect the success of pulmonary rehabilitation and smoking cessation programmes in patients with COPD.
Chronic obstructive pulmonary 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.
Chronic Obstructive Pulmonary Disease, also known as COPD, is the third leading cause of death in the United States. COPD includes extensive lungs diseases such as emphysema, non-reversible asthma, specific forms of bronchiectasis, and chronic bronchitis. This disease restricts the flow of air in and out of the lungs. Ways in which these limitations may occur include the loss of elasticity in the air sacs and throughout the airways, the destruction of the walls between air sacs, the inflammation or thickening of airway walls, or the overproduction of mucus in airways which can lead to blockage. Throughout this paper I am going to explain the main causes, symptoms, diagnosis, and ways to reduce COPD.
A review of his medical record indicates a medical history of COPD-chronic, CHF-chronic and NIDDM-chronic. His medical record indicates that on 10/11/16 he saw Dr Mustafa for a complaint of SOB, cough, congestion and wheezing. He was prescribed a Medrol dose pak and ABT Azithromycin. On 10/14/16 again he saw Dr Mustafa for wheezing and productive cough because he did not obtain the previously prescribed medication from the pharmacy and again on 10/21/16 he saw Dr. Mustafa for SOB, weak and dizziness at which time he was referred to palliative care.
Elevated RBCs are found in the patient’s lab values. It is common to find an increased RBC in a COPD patient because the body compensate by producing more oxygen carrying RBC. With COPD, there is a lack of perfusion in the blood to tissues. Impaired functions in the lungs can cause a decrease in oxygen because the body is not getting enough air. Therefore, RBCs are elevated to compensate for the loss of oxygen in the blood.
There are 3 wasting categories that COPD patients can be placed into according to body weight and FFM