Dr Wilson's Health Problems

In conclusion, the respiratory and cardiovascular systems are directly related in a complex manner, relying on one another to perform their physiological functions. Only together can both systems work to maintain the body’s internal balance, this is evident when physical demand is higher than normal. In order to meet this demand, the heart must pump more nutrient-rich blood around the body; however it needs oxygen to do this, in response the

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

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

The presence of fluid in the alveolar space could potentially cause the lung capacity to be effected as well.

The patient is 72 year old female who smokes. She complains of extreme fluid retention in lower two limbs and lower abdomen. Breathing is difficult and she is only able to sleep while sitting erect in a reclining chair.

Throughout my clinical rotation, the only concern for this patient was pain management and discomfort from the chest tube site. The patient was given Ketorolac for a pain of 4/10 using the numeric pain sale. The patient was also at risk for pneumonia and pressure ulcers from immobility and not coughing/deep breathing. Nursing interventions were getting the patient up to the chair and using the incentive spirometer ten-times per hour. Another concern was SOB and fatigue with activities.

The most serious health problem that the client has is impaired gas exchange. According to Sue Galanes (2007), impaired gas exchange is result from the balance between ventilation and perfusion is offset by a certain condition which affects the efficiency of the gas exchange. On account of client has congestive heart failure that can contribute to dyspnea, which means the efficiency of gas exchange is decreased. One of the significant defining characteristics of impaired gas exchange is dyspnea (Sabtu, 03 Agustus 2013). In addition, it was hard for the patient to talk in long sentence due to difficulty in breathing. Hence, impaired gas exchange is one of the health problems that the client suffered from. In regards of O2 is the basic element that all of cells and organs need, it can be considered as a fuel of human body. Therefore, impaired gas exchange is the most severe health problem the patient has currently.

The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines.

A person with left sided heart failure my experience SOB and increased episodes of coughing caused by fluid buildup in the lungs. Pulmonary edema often causes a patient to cough up blood-tinged phlegm. (Cadwallader p. 1143). The PMI is displaced toward the left anterior axillary line, and there is a presence of S3 caused by ventricular filling, and/or S4 resulting from atrial contraction against a noncompliant ventricle. (Schilling-McCann p. 176). The person may have cool, pale skin resulting from peripheral vasoconstriction. Restlessness and confusion is normally due to decreased cardiac output.

Progressive hepatolenticular disease, or more commonly known as Wilson’s Disease, is a rare autosomal recessive genetic disorder of copper metabolism that is characterized by hepatic and neurological disease. While there is no cure for Wilson’s Disease, there are several treatments that can effectively manage the symptoms. The predominant form of treatment for Wilson’s Disease is heavy metal toxicity medication which utilize copper chelators to prompt the organs in the body to release copper into the bloodstream and excreted via urine after kidney filtration or zinc to reduce copper absorption (Ala et. al, 2007). Medications for Wilson’s Disease include penicillamine, trientine, and zinc acetate. Besides medications, other current therapeutic

About 1 in 30,000 people have Wilson disease. Wilson’s disease happens equally in men, women and children. Most people with Wilson’s disease are born with it. Wilson’s disease is more common in Eastern Europe. Wilson’s disease symptoms typically appears in people under 23 years old. In children, it is rarely diagnosed before the age of 4 years. Younger children rarely show any symptoms. The increased frequency in certain countries is due to higher rates of consanguinity.

The purpose of this paper is to explore the Etiology, Pathophysiology, Clinical Presentation and treatment of Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) when coincided with each other. They share similar symptoms and signs, both having increased work of breathing and wheezing when minimal exercise is done. Swelling of the extremities due to the fluid overload on the body from the heart not being able to pump efficiently and back flowing blood into the lungs. Majority of people with COPD also tend to have CHF from the stress put upon the heart from the demand needed by the lungs. But there is help with managing them and helping cope with the disease process and allowing them to live a semi “normal” life.

My recommendations for Lucio would be to go back to the doctor and follow up with his sleep apnea on a more regular basis. Explain to the doctor how he feels currently using the continuous positive airway pressure and the mask and not to hold back any information. I would have him write down everything he would want to discuss or ask the doctor before his appointment. I would also remind him to tell the doctor he does still feel tired while he is awake, still falls asleep when sitting still for long periods, still has occasional migraines, and still snores through the night even with the full face mask on. Due to his current symptoms I would suggest another sleep study to possibly try a machine with a varying pressure like Adaptive Servo-Ventilation

In the case study it discusses a patient, Mrs. Harris, who is a 72 year old and is complaining of fatigue and swelling in her feet. Mrs. Harris also expresses her concern on the swelling, as some days she is unable to put her shoes on despite proper elevation. She also states walking to her mailbox can be challenging because it causes her to feel more tired and to have shortness of breath, also known as dyspnea. Mrs. Harris is currently taking medication for high blood pressure, hypertension; and is also drinking approximately 8-12 glasses of wine a week. While examining Mrs. Harris it’s clear she is a little overweight and has swollen ankles. Upon listening to Mrs. Harris’s breathing, crackles are heard. Therefore, Mrs. Harris seems to have congestive heart failure.