COPD Patients: A Case Study

R.W. appears with progressive difficulty getting his breath while doing simple tasks, and also having difficulty doing any manual work, complains of a cough, fatigue, and weight loss, and has been treated for three respiratory infections a year for the past 3 years. On physical examination, CNP notice clubbing of his fingers, use accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs, and also pulmonary function studies show an FEV1 of 58%. These all symptoms and history represented here most strongly indicate the probability of chronic obstructive pulmonary disease (COPD). COPD is a respiratory disease categorized by chronic airway inflammation, a decrease in lung function over time, and gradual damage in quality of life (Booker, 2014).

| 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

History of Present Illness: Ms. Manock is a very pleasant 60-year-old woman with a history of severe COPD. She was previously seen by Elvira Aguila, MD. Her last office visit was in February 2015. Since that time, she states that over the last few weeks, she feels her dyspnea has worsened which is a result of increased humidity, which is normal for her. She has had a stable cough over the last six months, which is intermittently productive of sputum. She is using her supplemental oxygen at 2 L/minute with exertion and with sleep. She also notes postnasal drip, which is related to seasonal allergies.

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.

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 the body.

According to the Centers for Disease Control and Prevention (CDC), COPD is the fourth leading cause of death in the United States. Approximately 12 million people in the United States have been diagnosed with COPD. Many more may be affected and don’t know they have it. Its generality increases with age. Men are more likely to have the disease, but the death rate for men and women is the same (2014).

The effectiveness of Family Support Caregiver in improving the Functional Status of Client with Pulmonary Diseases.

D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years. He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a-day smoker for 38 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. D.Z. seems irritable and anxious; he complains of sleeping poorly and states that lately feels tired most of the time. His vital signs (VS) are 162/84, 124, 36, 102 F, SaO2 88%. His admitting diagnosis is an acute

Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to portray dynamic lung sicknesses including emphysema, constant bronchitis, unmanageable (non-reversible) asthma, and a few types of bronchiectasis. This malady is described by expanding shortness of breath (What is COPD?). Many individuals botch their expanded shortness of breath and hacking as an ordinary piece of maturing. In the early phases of the infection, you may not see the side effects (What is COPD?).

There are multiple questions that can be drawn from this case study; chronic obstructive pulmonary disease (COPD) clients, will always have multiple readmissions as oppose to other patients with diagnosis. “If all readmissions were counted regardless of diagnosis, one out of five index admissions for COPD (20.5 percent) were followed by a readmission within 30 days (Elixhauser, Au, and Podulka, 2011). Mary’s history of diabetes; the sole care taker of her ailing husband and an untimely recommendation of transitioning to a skilled facility, put her at risk for some kind of psychosocial issue, for example depression. Also, her days are stressful, and she has no family support. Care givers do need to take a break periodically, or they will

The World Health Organization (WHO) recognizes dementia as a major public health priority and a significant cause of disability.[1] 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[12] and smoking cessation programmes[13] in patients with COPD.

COPD disease is caused by disorders of the respiratory tract with obstruction of the trachea caused congestion of the lungs as a result, the internal resistance of the pharynx increased while exhaling. The patient with dyspnea that is difficulty breathing because of the force required to breathe more. The patient was suffered from COPD especially in a chronic elderly patient to perform activities or do activities of daily living were decreased. In addition the length of hospitalization for long time, the cost of treatment is high, the loss of income that inability to work normally and when the disease get worsened which these are result in patients suffering, disillusionment and depression. The lack of control exacerbations on COPD potentially

The positive outcome of the acute treatment of the patient helped me feel more confident in communicating with patients. The patient commented on his appreciation of having the ambulance service available, in his time of need. I told the patient this was my first week on the road, and he said that he was happy with my performance. My paramedic mentor gave me positive feedback on my ability to communicate well with the patient. The treatment package contributed to a good understanding of how the therapeutic respiratory drugs worked and how quickly they became effective. I found out that COPD patients should only permitted to have increased oxygen levels for no longer, than six minutes as stated in (section 27 of B R O’Driscoll, etal

All over the world, chronic obstructive pulmonary disease (COPD) is a very significant and prevalent cause of morbidity and mortality, and it is increasing with time (Hurd, 2000; Pauwels, 2000; Petty, 2000). Due to the factor of COPD being an underdiagnosed and undertreated disease, the epidemiology (Pauwels, Rabe, 2004) is about 60 to 85 % with mild or moderate COPD remaining undiagnosed (Miravitlles et al., 2009; Hvidsten et al., 2010).

The article “The COPD Exacerbation Experience: A Qualitative Descriptive Study” explains the health behavior of a selected population with Chronic obstructive pulmonary disease. The author of the article conducts a research study on individuals suffering from the condition due to the high prevalence of the disease in the United States. The article undertakes a qualitative and descriptive study in a bid to understand all aspects associated with the condition and the reasons for its high prevalence. This essay will focus on analyzing the application of Social Cognitive theory to explain the health behavior of a patient population with the COPD condition. The Social Cognitive Theory focuses on understanding an individual’s behavior, based on their observations. In the health behavior, the theory explains that a patient may learn different aspects of their illness considering the signs and symptoms that they may have.