Jane Smith Is A 56 Year Old Caucasian Female Small Build Weighting 96 Pounds

This case study incorporates a common presentation seen by the nurse in clinical practice: community acquired pneumonia with a history of COPD causing an acute exacerbation. Principles of spiritual care are also naturally situated in

You will listen to my voice taking you through the changes you want to make… As you are completely relaxed… you will respond to my suggestion… From now, you will stop smoking… This is your wish and desire on which you will act on from now… No one is able to make the change except yourself… Think of the positives gained by yourself in total command… your response is yours only… You are the only benefactor… Think of the harm cigarettes cause...think of lungs being completely black… foul smell from your mouth…your clothes smelling … continue with your breathing in and out...think of your family… Think of spending money on buying cigarettes as money going down the drain…Don’t turn them into passive smokers… your health and that of your family matters…You will continue with further sessions which will help you achieve the change…

The positive outcome of the acute treatment of the patient helped me feel more confident in communicating with patients. The patient commented on his appreciation of having the ambulance service available, in his time of need. I told the patient this was my first week on the road, and he said that he was happy with my performance. My paramedic mentor gave me positive feedback on my ability to communicate well with the patient. The treatment package contributed to a good understanding of how the therapeutic respiratory drugs worked and how quickly they became effective. I found out that COPD patients should only permitted to have increased oxygen levels for no longer, than six minutes as stated in (section 27 of B R O’Driscoll, etal

2/10/2016, 1600, Vital Signs: BP 140/85 P132 RR32 Temp 102.2 SpO2 85% on 2 liter by nasal cannula. Jacquline Catanzaro is 45 years old female on disability admitted to Medical Unit Hospital. Sister with patient. Reason to admit is can’t breathe. Diagnosis is 30 year of asthma exacerbation, psychiatric schizophrenia, obesity, pneumonia and herniated disc. Smokes 40 packs year. Drinks 2 pots of coffee a day. Drinks 3 beers each day. Frequency ED visits and hospitalization dependence on rescue inhaler. Patient refuses wear nasal cannula because of worry that it contains poison. Patient has a long history of stopping taking psychiatric medication and asthma medications. Patient has isolated herself from others. Sister is only caregiver. Neuro

The loss of control experienced by Ann may have had an impact on the time it took to progress through the stages. Involving Ann in the decision making, discussing options and offering continuity of care would help make the transition from her home environment easier.

According to Herman et al 2011, when we, as humans, hear reasons why we should change, our minds automatically contemplate reasons why we shouldn’t. In this situation the patient has other “issues” going on in her life at the present moment rather that quitting smoking. As a nurse I have to accept this. It was poorly portrayed in the digital recording in my opinion.

On February 23, 2016, I was confronted with a scare that changed my life dramatically. My Mother Colleen Micele was admitted into Bayonne Hospital due to feeling ill, however, rapidly circumstances changed for the worst. My mother was rushed to the ICU unit and her time she had left us had been decreasing by the hour. My mother developed a condition called Pulmonary Edema which is when the lungs fill with fluid. This condition had caused my mother's lungs to then collapse which lead to my mother develop Atrial Fibrillation. Matters had become extremely severe and life threatening once my mother had become Septic. The uncertainty and living second to second not knowing if my mother would make it through her illness for 5 weeks emotionally destroyed

This assignment will discuss the nurse's role in devising of a care plan for a patient, including the rationale upon which this care plan has been based, evaluating that the goals intended are met or amended. The patient's identity will be protected using a pseudonym of Kora in keeping with the standards of maintaining confidentiality set by Nursing and Midwifery (NMC, 2015). The patient has Chronic Obstructive Pulmonary Disease (COPD) which is a long-term health condition which is slowly progressive, cause’s obstruction to airway that cannot be reversed, alterations in breathing with exacerbation often suggesting worsening of the disease (Currie, 2007). Kora is 63 years has three young grandchildren permanently in her care, Kora being in

I selected this article, because it is relevant in my life. My sister, passed in August. She had suffered from lung disease for over 10 years, even though she was totally dependent on the ventilator, she was conscious and alert. She was weak but, could still walk across the room unaided. And if it meant that she could go shopping, she would have you pack up the whole house; 3 tanks of oxygen, portable ventilator, suction machine, and wheelchair.

History of Present Illness: Ms. Manock is a very pleasant 60-year-old woman with a history of severe COPD. She was previously seen by Elvira Aguila, MD. Her last office visit was in February 2015. Since that time, she states that over the last few weeks, she feels her dyspnea has worsened which is a result of increased humidity, which is normal for her. She has had a stable cough over the last six months, which is intermittently productive of sputum. She is using her supplemental oxygen at 2 L/minute with exertion and with sleep. She also notes postnasal drip, which is related to seasonal allergies.

A cousin of mine, Susan, approached me after her father received open heart surgery. Susan’s father, age 59, has been a chronic smoker since the age of 19. What went from two cigarettes a day quickly become two packs a day, with no end in sight. During July of 2015 he complained of feeling dizziness, shortness of breath,

“Teaching patients about promoting, maintaining, and restoring their health is a required nursing skill that most often results in a positive outcome, enhancing the patient 's quality of life” (Lewis et al., 2014, p.52). The intent of this analysis is to educate patients with chronic obstructive pulmonary disease on means that can enhance their quality of life and avert the progression of their disease. More specifically, it will focus on the aspect of teaching Mrs. N, a patient, how to effectively handle certain symptoms experienced with techniques like pursed-lip breathing and also, to upsurge the client’s awareness on preventative measures to abate the possibility of acute exacerbations. Mrs. N is a 100-years-old woman of Canadian and Arabic background. In mid-September, she was rushed to the hospital after experiencing worsening dyspnea and a fever. The doctors deduced a diagnosis of pneumonia and therefore, she was transferred to the medical unit at the Lakeshore hospital in order to be treated with intravenous antibiotics. Mrs. N has a past medical history of chronic obstructive pulmonary disease, hypertension, anemia, deep vein thrombosis and mixed dementia. Mrs. N is a retired widow with two daughters, who come and visit her on a daily basis at the hospital and encourage her to mobilize and eat because she has an extremely poor appetite on most days. She’s well cared for by a team of care workers in the nursing home where she lives and her daughters and

Nurses are a vital component in patient care. The importance of conducting efficient nursing assessments is critical in order to provide both patient-centered care and safe, effective patient healing. Nurses are often responsible for taking care of patients with very complex disease processes. They frequently provide care to patients with illnesses such as Chronic Obstructive Pulmonary Disease (COPD). According to the Centers for Disease Control and Prevention, in 2014, approximately 6.8 million adults were diagnosed with COPD within the Unites States. The completion of proper assessments and initiation of interventions for these patients are crucial in order to prevent further complications of the illness.

CASE ONE: Mrs. L. Windermere is a 73-year-old woman under your care for more than a decade. She has no chronic medical conditions and comes in once a year in the spring just to “catch up.” In this visit her only complaint is a cough. It started a month or two ago following a cold. She hadn’t been very ill – just some congestion and rhinorrhea. After those symptoms mostly resolved, she developed this cough. She asks, “Is there something you can give me for this cough?”

During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but