Case Study Of A Patient

COPD- preventable and treatable disease state characterized by chronic airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking.

How would Ed’s blood help protect him from a foreign invader such as the one now in his system?

Coronary Artery Disease, also known as CAD, is the most common form of heart disease. (Heart and Stroke Foundation, 2009) Coronary Artery Disease obstructs the blood flow in vessels that provides blood to the heart which is caused by the buildup of plaque on the artery walls. (Rogers, 2011, p.87) (Heart and Stroke Foundation, 2009) Plaque is a yellow substance that consists of fat substances, like cholesterol, and narrows or clogs the arteries which prevents blood flow. (Heart and Stroke Foundation, 2009) Plaque can build up in any artery but usually favors large and medium sized arteries. (Heart and Stroke Foundation, 2009)

Have you ever known a person who smokes and has a hard time doing every day activities, due to difficulty of breath, or constantly coughing. He or she may have Chronic Obstructive Pulmonary Disease, or COPD. COPD is a progressive and treatable lung disease that causes shortness of breath due to obstruction of air way (COPD, 2013). Progressive means that is gradually gets worse over time. It is a combination of chronic bronchitis and emphysema (Causes,2014). Chronic bronchitis is inflammation of the bronchioles, which causes mucus build up (Davis,2016). Emphysema is when the air sacs get enlarged (Smoking, 2016). Since the disease does not have a cure yet it is important to know pathology (path of disease), epidemiology (who is effected in a population), ethology (who is effected genetically), manifestation (symptoms), treatment, and outcome.

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

COPD is a disease that depletes a person of air. This disease is the fourth top cause of death in the United States. COPD describes several lung diseases including emphysema, chronic bronchitis, refractory asthma, and other forms of bronchiectasis. There is no average case, as every case is different from the next. This disease is long term but treatable.

Chronic obstructive pulmonary disease, commonly known as COPD, is a collection of lung conditions or diseases that, all together, block the flow of air into the lungs. This condition makes it hard for the patient have dyspnea, anoxia, or eventually apnea. COPD usually starts off small and gradually gets worse and worse over time, hints chronic in its name. Because it starts off small there are many people who have this disease but do not know it until it is further along and worse. This disease is very common for both smokers and nonsmokers and is a bigger threat to our health than most people think. < Victor >< MacGill >

COPD is an irreversible progressive lung disease that makes it harder for people to breath. According to the Centers of Disease Control and Prevention (2015), COPD is the third leading cause of death in the United States.

Chronic obstructive pulmonary disorder, or COPD, is the overarching name given to multiple lung diseases. In adults, this includes emphysema, an

Chronic Obstructive Pulmonary Disease better known as COPD is a term used to describe progressive lung diseases which includes the following: emphysema, chronic bronchitis, refractory (non-reversible) asthma, and some forms of bronchiectasis. Mainly caused from toxins in cigarette smoke. Other causes being air pollutants, chemicals fumes, and dust from work environments. COPD is the fourth most common cause of death in the United States. COPD has four stages of progression with no viable cure. The only relief persons who suffer from this condition is treatments to help manage the disease. Treatments used are determined by what stage you are in the progression of the disease.

As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.

COPD is a progressive disease that makes it difficult to breath. Loss of elasticity, the destruction of the air sacs (emphysema), airways becomes thick and inflamed (chronic bronchitis), and/or increased mucus thickness that blocks the airways. Smoking is the most common cause of COPD, however it can be caused by a long exposure to irritants to the lung, such as chemicals. COPD can be directly related to four different causes. COPD does not have a cure, it can only be managed.

Coronary artery disease (CAD), also known as coronary heart disease, is the leading cause of mortality in both men and women in the United States today. It has been reported by the Centers for Disease Control and Prevention that CAD accounted for nearly 616,000 deaths in 2011 and was responsible for 1 in 4 deaths in the U.S. in the same year. 1 Coronary artery disease is a progressive disease where the major arterial vessels supplying the heart become occluded and sclerotic due to the buildup of plaque in the inner walls of the artery through a process called atherosclerosis. 2 CAD eventually leads to heart failure and a myocardial infarction (MI).

Coronary artery disease Coronary arteries are blood vessels that carry blood to the heart muscle. The coronary artery disease (also called CAD, for its acronym in English) or coronary heart disease is caused by a thickening of the inner walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries and obstructs or delays the flow of blood. If the heart muscle does not receive enough blood to function properly, you may have angina or a heart attack.

Encompassed primarily by two conditions, emphysema and chronic bronchitis, Chronic Obstructive Pulmonary Disease (COPD) refers to a group of diseases of a debilitating and progressive nature that cause inflammation of the airway and interferes with the ability to breathe (National Heart, Lung, and Blood Institute [NHLBI], 2013). The diseases in COPD have some shared characteristics, including a progressive and irreversible limitation of the airflow associated with an abnormal inflammation of the peripheral bronchioles and considerable damage to lung parenchyma (NHLBI, 2013). In the United States (US), there are approximately 15.7 million adults diagnosed with COPD, although estimates suggest that these figures are higher