Name: K,P
Age: 78 years
Gender: Male
Ethnicity: Caucasian
Allergies: Pork
Past and Current Medical History: AICD/pacemaker,Atrial fibrillation, Benign hypertension, Chronic obstructive pulmonary disease, Coronary arteriosclerosis, Coronary artery bypass graft (in 2010), Diabetes mellitus, Home oxygen supply (4 liters) Transient cerebral ischemia (in 1989),Kidney stones, Partial nephrectomy.
Chief Complaint: Shortness of breath, rapid heart rate at home
History of Present Illness on Admission:
Laboratory and Diagnostic Testing
Laboratory Testing
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
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Patients with COPD should consume more calories to help produce energy in order to prevent weakening of the pulmonary muscles.Watching your sodium intake can help control additional water retention which will breathing more difficult.Increasing water intake by 2-3 liters can help liquefy mucus making it easier to breath, (Stonham,2017).
Overview of Health Care Team and their role The role of the pulmonologist is to perform additional diagnostic test and prescribing the right medication that works for the patient. The role of the respiratory therapist is provide patient with nebulizer treatment and patient education such as inhaler training. The role of pulmonary rehabilitation therapists is to provide care for COPD patients to improve their symptoms, endurance and quality of life, (Lilly & Senderovich,2016).
Nurse's Role
The nurse’s primary goals were to provide continuous monitoring over patient’s weight, administer prescribed medications and provide teaching on purse lip breathing, using the incentive spirometer and living with COPD. In order
I will analyse the prevalence of the condition and what the potential causes may be. My interests have been directed to pre hospital care and community lead treatment packages, which are potentially available to the patient, as this is the acute environment, which I will have contact with in my employment as a paramedic. The initial reading was to understand COPD as a chronic condition, what is COPD? and its prevalence in the population. The (World health organisation, 2000), states that one in four deaths in the world are caused by COPD. In 2010 (Vos T Flaxman etal, 2012), says globally there were approximately 329 million, which is 4.8% of the population who are affected by this chronic condition, In the UK (NICE, 2010), have estimated that 3 million people suffer from COPD, with more yet to be diagnosed. This information about the amount of people living with this condition was surprising, as I little knowledge of its existence. During the early 1960’s (Timothy Q. Howes, 2005), says the term COPD had been designated as a single term unifying all the chronic respiratory diseases. Since then the term COPD, has been sub divided in to three umbrella areas, Bronchitis, Emphysema and Chronic asthma, which are separate conditions, which I have been previously aware of as their individual conditions. The 58 year old patient who we visited,
Some of the symptoms of COPD are similar to the symptoms of other diseases and conditions.
The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).
There are no cure for this disease. However, there are different treatment to prevent further deterioration of the lungs function in order to improve the quality of life of the patient by increasing capacity of their physical activity. One of the main severe complication a patient with COPD can develop is exacerbation. Increased breathlessness, increased sputum volume and purulent sputum are the signs and symptoms of exacerbation. Early detection of the signs of exacerbation can help keep the condition of the patient from worsening. The treatments of COPD mainly aims at controlling the symptoms of exacerbation such as taking inhalers. Patients who are over the age of 35 and ex-smokers with chronic cough and bronchitis are recommended to have spirometer (NICE, 2004). This is because it is possible to delay or prevent patients from developing severe case of COPD is identified before they lose their lungs functions. Oxygen therapy is another treatment for COPD as the patients with this condition has high
COPD is one of the many preventable diseases that health care providers deal with. Nurses needs to familiarize themselves with this disease process and how it affects the body, preventative methods, and treatment plans, so that they can be well informed when it comes to patient education. Education is a big part of nursing and considering COPD is the third leading cause of death, nurses will be in frequent contact with
Two protocols were administered; the first group only did the exercise without any help from the NIV. The patients were asked to lift containers with weights in them, ranging from 0.5 to 5 kg during a five minute period. Their arms had to be extended and move them from a waist high shelf to one above their head. The second group performed the same procedure, but had assistance from the BiPAP ventilator. The settings were an IPAP of 10 cmH2O and an EPAP of 4 cmH2O using a facemask. The COPD patients had to become accustomed to
Shortness of breath and wheezing are classical signs of COPD. The first part of the essay is discussed on pathophysiology of COPD. Another part is going to be informing on the pharmacology aspect of treating the disease. Nutrition also plays as a critical component of relieving the symptoms of the disease or aiding the work of medication. One of the signs that COPD can be established as a primary cause of illness is by receiving lab report on Arterial Blood Gases ABG.
Another treatment is and oxygen treatment which gives you extra oxygen and you wear a mask which you can carry with you or go to the doctor. Some have small oxygen where you carry in backpack but you would need to carry with you at all times. Lastly, surgery with is not really used when someone has COPD and only for those whom have a severe COPD and the treatment does not improve with other treatment listed above. Prevention really is to just stop smoking and exposure to
The main symptoms of COPD are long lasting cough, mucus that come up when you cough, and when you exercise (or even just walk up the stairs) shortness of breath can get worse. When COPD gets worse, it gets harder to eat or exercise, and breathing takes much more energy. People often lose weight and get weaker. Symptoms might even flare up and get much worse. This is called COPD exacerbation. An exacerbation can range from mild to life threatening. The longer you have this disease, the more severe the flare up can get.
A. has a history of smoking for 50 years and being diagnosed with COPD 2 years ago. Development of COPD and its exacerbations may be a leading caused by bacteria, viruses, or environmental pollutants, including cigarette smoke. Coussa, et al, “Expiratory flow limitation (EFL), as a consequence of airway inflammation is the pathophysiological hallmark of COPD.” Exacerbations fundamentally reflect acute worsening of EFL and there is evidence for both increased airway inflammatory activity and worsening airway obstruction as likely explanations.
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.
The effectiveness of Family Support Caregiver in improving the Functional Status of Client with Pulmonary Diseases.
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.
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.
COPD exhibits physiological symptoms such as dyspnea, chronic cough, cyanosis, weight loss, and wheezing. The disease process also exhibits psychological manifestations such as depression, difficulty with coping, altered body image disturbances, and anxiety. Inaccurate assessment of these symptoms could deter proper treatment of these patients or possibly worsen these patients’ conditions. According to McGinley’s (2014), “The role of nutrition in the management of COPD patients,” “Those patients identified as malnourished or at risk of malnutrition are more likely to be admitted to hospital, experience increased length of hospital stay, have earlier readmission rates and have a poorer prognosis. In particular to COPD, malnutrition can impair pulmonary