COPD Patients: A Case Study

Nordtug, B., Krokstad, S., Sletvold, O., & Holen, A. (2013). Differences in social support of caregivers living with partners suffering from COPD or dementia. International Journal Of Older People Nursing, 8(2), 93-103. doi:10.1111/j.1748-3743.2011.00302.x

The purpose of this assignment is to address five case studies assigned by the instructor. The case studies include restrictive lung disease, dementia, renal impairment, and osteoporosis, and heart failure. Diagnosis and management of the disease process will be discussed.

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

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.

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

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.

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

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.

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.

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.

COPD patients need adequate amounts of fluids in order to help thin out and clear out lung secretions. It is important that COPD patients drink about 8 to 12 cups of non-caffeinated liquids per day. However, COPD can lead to fluid retention in some patients. If a patient is experiencing edema then they might be placed on a fluid restriction ("Nutrition Tips for Someone with COPD - COPD Foundation", 2016). Mr. Hayato had signs of swelling in his lower extremities. Mr. Hayato needs adequate amounts of fluid, but needs less than 8 cups of non-caffeinated liquids due to his fluid retention.

A patient arrived at the emergency room previously healthy 39-year-old who presents with a three-day history of worsening cough and shortness of breath. After symptoms began there was worsening dyspnea and pain with chest tightness, which caused him to go to the ER. The patient has a history of smoking, he smokes almost an entire pack a day. The patient also notes that within these three days he had decreased appetite, poor sleep, chills and a fever. A chest X-ray and a chest CT was Performed on this patient.

According to the reporter, Glenda has Sclerosis of the Liver and has Pulmonary Disease. She is mentally competent and has a history of drinking and drugs. Glenda has been on Hospice since November 2014. She complains to the reporter that her son and daughter are asking for her pain narcotics that the agency provides to her once a month. She began complaining two days ago. The daughter took something from her and said if she (Glenda) did not give her narcotics she would not give her nebulizer. The narcotics is given once a month in a locked box that she can only get so many out based on her condition. They have taken her medication before, and she would call 2-3 after she received her medication for a refill. The medication is only given once

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