Oxygen therapy has been used a treatment for patients for many respiratory conditions since its introduction in 1922. Oxygen therapy is prescribed to patients who are hypoxemic and have oxygen saturation level below 92%. It is recognised as drug and as such can have both benefits and side effects.
In the last few decades it has been increasingly prescribed for patients with chronic respiratory conditions to use within their own homes instead as a hospital inpatient. One of the chronic conditions that may require home oxygen therapy is Chronic Obstructive Pulmonary (COPD) disorder which used to be referred to as emphysema or chronic bronchitis. As a common cause of COPD is long term cigarette smoking a significant number of COPD patients continue
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This would include a home assessment bearing in mind if children are present within the home and the proximity of the neighbours to patient’s home. The patient’s education and awareness of the risks of continuing to smoke whilst using oxygen therapy need to be evaluated. (Hardinge et al, 2015)
I believe if this approach is taken and there is clear guidelines and adequate education to the patient however they continue to smoke the risk to themselves and the public could be greater than any possible health benefits. U
This would be the opposite for the other article under review regarding the Ethics on treating smokers by blah blah. The journal article suggests that as smokers are responsible for their conditions they should not be provided medical care. I believe this would come back to the general guidelines of nursing and medical care. Ethically we are required to treat patients regardless causation of their disease.
Most medical conditions or diseases treated in modern medicine can be related to lifestyle factors such as Type diabetes can be related to obesity. This is the same for smokers and the conditions that 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,
Oxygen can be a comforting, life sustaining treatment and a potent killer. As one of three components of the fire triangle (heat, fuel, and oxygen), it has the potential to cause great injury and even death in those who ignore the risks and fail to follow safety guidelines. The Joint Commission has identified the risk of medical oxygen home fires as serious enough to include it as the 2015 National Patient Safety Goal (NPSG) 15.02.01. It states a home care organization must “Identify patient safety areas: Find out if there are any risks for patients who are getting oxygen. For example, fires in the patient’s home.” (The Joint Commission, 2015). This work is a review of available literature on the issue, its link to nursing administration, the significance to quality and safe nursing practice, as well as potential opportunities for improvement and recommendations for strategies to improve the safety of patients, families, and nursing staff. According to 2003 – 2006 data from the Consumer Product Safety Commission’s National Injury Surveillance System, medical oxygen in the home was a factor in and average of 1,190 thermal burns seen annually in U.S. emergency rooms (Galligan, et al., 2015). Smoking is the leading cause in these incidents and several studies suggest that the incidence of burn
Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia
“We affirm that environmental tobacco smoke is a significant public health risk to young children and that parents need to know about the risks of smoking in the home around their young children. We agree to co-operate on education and public awareness efforts aimed at reducing children’s exposure to environmental tobacco smoke.”
Smoking is a severe health issue which can results in pain, sickness and depression. Not only does the misuses of tobacco and nicotine have a devastating
The Affordable Care Act established the need for medical home model of care that focus on quality and safety, which is patient-centered and team based. The providers and care team care for patient with complex health conditions. The diseases process of chronic obstructive pulmonary disease (COPD) can be treated with by using this model to coordinate and provided comprehensive care in the home. COPD is a progressive lung disease that can be prevented and treated. COPD consist of chronic bronchitis, which is a chronic productive cough for at least 3 months per year for at least 2 years and emphysema, which is characterized by permanent enlargement of the airspace beyond the terminal bronchiole, and is characterized by airflow limitations
COPD, pneumonia, asthma ,dysplasia or immature lungs in infants,heart disappointment,cystic fibrosis,lung disease, injury to the respiratory framework. To figure out if a patient will profit by oxygen treatment, specialists will test the measure of oxygen in his or her blood. Low levels imply that a man might be a decent contender for supplemental oxygen.
Chronic obstructive pulmonary disease (COPD) is in the top five principal cause of death in the U.S. The disease is an abnormal inflammatory reaction in the lungs with limited airflow. COPD characteristically arises around the age 35. Smoking continues to be the main source of COPD, but is not the only known root cause. In many studies, smoking explanations for at least three fourths of COPD cases ("Chronic obstructive pulmonary disease | University of Maryland Medical Center," n.d.). Stopping smoking has been known to improve lung capabilities and help to prevent death from COPD. Genetic conditions and introductions to airborne toxins, irritants and gasses are correspondingly involved in the growth of the illness. A complete treatment plan could comprise of lifestyle changes, one or more medications, patient education, oxygen therapy respiratory rehabilitation, and surgery ("Chronic obstructive pulmonary disease | University of Maryland Medical Center," n.d.).
As a clinical facilitator, I provide learning opportunities to staff and nursing students at St Vincent’s Private Hospital Brisbane (SVPHB). Not long after I joined St Vincent’s, I encountered a patient who was receiving high flow oxygen (7 litres/min) via high flow nasal prongs without any humidification device running with it. The scene surprised me. Supplemental oxygen is
Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to
I stayed close to the patient during this whole period, but I was not paying enough attention to her low oxygen level. The patient was a healthcare aid and she kept telling me that, “It’s ok, I am always a shallow breather”. However, I should have my own judgement ability and provide more competent care with timely evaluation of the effectiveness of the interventions.
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, 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.
Action on Smoking on Health (ASH) has also called for malpractice lawsuit against doctors who didn’t follow the new Public Health Service (PHS) clinical practice strategies for smoking leaving This strategy introduce new things and force to give nicotine replacement, it will be helpful for the patients to leave smoking.
In the community assessment of San Fernando valley part, A, it was mentioned that there are many chronic illnesses such as heart disease, asthma, diabetes and obesity that are caused by poor health management, high cost of healthcare and inadequate knowledge of the disease. One factor that could cause these chronic diseases is the Tobacco usage among adults. According to Centers for Diseases Control and Prevention (CDC) (2017), Smoking may cause cancer, heart disease, stroke, lung disease, diabetes and COPD which includes emphysema and chronic bronchitis.