The following report is a case study of an 86 year old male suffering respiratory distress as a result of chronic obstructive pulmonary disease (COPD).
Case details: 86 year old male patient. Suffering respiratory distress due to chronic obstructive pulmonary disease.
Exacerbation of SOB with onset of coughing fit.
PR 140
BP 160/90
SP02 85%.
Chronic obstructive pulmonary disease (COPD) is a broad term for people who suffer the chronic respiratory diseases chronic bronchitis and emphysema. Chronic bronchitis is inflammation of the small airway passages that leads to reduced airflow. Emphysema is the destruction of the alveolar walls resulting in minimised gas exchange and limiting airflow through the airways11. COPD is a progressive disease that can be attributed to an abnormal inflammatory response from the lungs as a result of long term exposure to noxious particles and gasses, primarily caused by cigarette smoking.
From information obtained from credible academic and industrial resources, this report focuses on the epidemiology, aetiology, pathophysiology and pre-hospital treatment of COPD in Australia in order to obtain a superior knowledge of the condition.
2.0 Epidemiology of Chronic obstructive pulmonary disease
Epidemiology as defined by the World Health Organisation is the study of distribution and causes of illnesses and health related events. The results of the study are used to help control the illness or sickness1. It is vital to the medical industry as
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).
The purpose of this paper is to discuss an exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and its effect on my patient, Mr. HS, a 78 year old male. In this paper we will look at the various facets in the disease process including its incidence, pathophysiology, presenting complaints, analysis of his clinical presentation, and discuss treatment. We will analyze the effect the disease process has on Mr. HS and will examine his clinical manifestations and laboratory work, as well as provide an outcome analysis. Understanding these various facets will enable one to understand
D.Z.is a 65-year-old man admitted to medical ward with an exacerbation of chronic obstructive pulmonary disease (COPD; emphysema). Past medical history (PMH) indicates hypertension (HTN), well managed with enalapril (Vasotec) past six years, diagnosis (Dx) of pneumonia yearly for the past three years. D.Z. appears cachectic with difficulty breathing at rest. Patient reports productive cough with thick yellow-green sputum. He seems anxious and irritable during subjective data collection. He states, he has been a 2-pack-a-day smoker for 38 years. He complains of (c/o) insomnia and
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 (COPD) refers to a recurring illness of the respiratory system that makes it difficult to breathe by restricting the flow of air in and out of the lungs. COPD includes chronic bronchitis, emphysema, and other lung conditions.
Within the confines of this assignment, it is the hope of the author that the reader will obtain an understanding of Chronic Obstructive Pulmonary Disease (COPD). This will be achieved by bringing the reader through the patients’ illness journey. The assignment will begin by defining COPD and briefly going through the pathophysiology and incidents of the condition. From there the reader will embark on the journey, starting with diagnosis.
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.
The topic is Chronic Obstructive Pulmonary Disease (COPD). It is an umbrella term used for respiratory disorders such as chronic asthma, chronic bronchitis and emphysema. It is a serious condition that restricts airflow to the lungs and is not fully reversible. It is a major cause of morbidity and mortality in Australia. More than 1 in 20 Australians over 55 have COPD and is also the fifth leading cause of death. There is also a rate of 1,008 per 100,000 of the population aged 55 and over being hospitalized for the condition. The rates among Aboriginal and Torres Strait Islanders compared with non-indigenous Australians are 2.5 times as high (Australian Institute of Health and Welfare, 2016). There is no cure however; the management can slow the disease progression and is therefore crucial to the quality of life of patients.
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,
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.
As the number of smokers are rapidly increasing recently, the number of patients with COPD (Chronic Obstructive Pulmonary Disease) is also gradually increasing. It is one of the most common chronic diseases and is considered to be one of the five leading diseases following heart disease, pneumonia, HIV and AIDS worldwide (GOLD, 2004). Smoking is the main cause of COPD. However, long term exposure to chemical fumes and air pollution could also cause COPD. This essay is all about how COPD affects individual, family and society as a whole across their lifespan. Also, it discusses the role of a nurse in caring patients with COPD.
What exactly is COPD? First of all, COPD stands for chronic obstructive pulmonary disease. It’s a disease that gets worse over time and makes it difficult for one to breath. It can also cause a cough that produces sputum, wheezing, shortness of breath, fast breathing, fatigue, chest tightness, and more. A person can get COPD from exposure to lung irritants (over a period of time) that cause harm to the lungs and the airway. Some factors are exposure to tobacco smoke, people with asthma who smoke, occupational exposure to dusts and chemicals, age (people 40 years of age or older), and genetics. Cigarette smoking remains the number one most commonly encountered risk factor in the development of COPD. The majority of cases of COPD are caused by
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,
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).
Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease in which less air can flow in and out of the lungs. COPD has two main causes; emphysema and chronic bronchitis, and most patients have elements of both and in some cases asthma. Emphysema is a disease in which the alveoli lose their elastic quality, and the walls between the alveoli are destroyed. In chronic bronchitis, the lining of the airways becomes irritated and inflamed, which causes the lining to thicken and more mucus than usual forms in the airways, making it difficult to breath. Asthma is a disease that inflames and narrows the airways. Asthma causes periods of wheezing, chest tightness, shortness of breath, and coughing.