COPD Patients: A Case Study

| 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.

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?).

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.

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

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).

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.

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 (Chronic Obstructive Pulmonary Disorder) is a chronic disease of the lungs that makes it hard for gas exchange to occur in the body. Cigarette smoke is the main cause of COPD, although other lung irritants can contribute to the disease. Some examples of irritants include pollution in the air, chemical fumes, or excessive dust or particle inhalation. Breathing is very difficult for a person with COPD, and there are a few reasons why. The air sacs of the lungs (alveoli) get damaged and lose elasticity. Airway walls become thickened and inflamed. Excess production of mucus clogs the airways. COPD is a collective term for emphysema and chronic bronchitis. Signs and symptoms of the disease include frequent cough with excessive mucus production,

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

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.

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

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

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