Medicine Advantages And Disadvantages

The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).

There are no cure for this disease. However, there are different treatment to prevent further deterioration of the lungs function in order to improve the quality of life of the patient by increasing capacity of their physical activity. One of the main severe complication a patient with COPD can develop is exacerbation. Increased breathlessness, increased sputum volume and purulent sputum are the signs and symptoms of exacerbation. Early detection of the signs of exacerbation can help keep the condition of the patient from worsening. The treatments of COPD mainly aims at controlling the symptoms of exacerbation such as taking inhalers. Patients who are over the age of 35 and ex-smokers with chronic cough and bronchitis are recommended to have spirometer (NICE, 2004). This is because it is possible to delay or prevent patients from developing severe case of COPD is identified before they lose their lungs functions. Oxygen therapy is another treatment for COPD as the patients with this condition has high

INDICATIONS FOR SURGERY: The patient is a 62-year-old Caucasian male who has pneumonia. The patient has been on a ventilator for over 2 weeks and appears to require long-term ventilator. The patient is undergoing tracheostomy for this purpose.

When the organs fail the only option is a transplant. With lungs there is only a 50% rate of a five year survival rate after a lung transplantation involving the end-stage respiratory disease. With such a drastic survival rate a study was completed to determine if patients could have a better outcome. This study was done to help determine effective methods to enhance lung transplants before surgery; the Doctors placed the recipients on bi-level positive airway pressure ventilation (BIPAP.) “BIPAP is a noninvasive mode of ventilation administered through a tight-fitting mask to assist spontaneously breathing patients”

The study began with 32 patients having stages II to IV COPD. They had to meet the criteria pertaining to the Global Initiative for Chronic Obstructive Pulmonary Disease; total lung capacity >120%, (FEV1/FVC) <70%, FEV1 <80%, RV/TLC >140% and >40% of predicted values in stable conditions. Patients were removed from the study if they had asthma, heart failure, orthopedic impairments of the shoulder girdle, recent surgery, past thoracic fractures, pneumothorax, and claustrophobia.

The study included 100 patients with COPD. All patients fulfilled the inclusion and exclusion criteria. According to its demographic and clinical parameters and treatment groups differ among themselves. Completed the study, all patients included in the study. The therapy in all patients with a clinically meaningful improvement of symptoms was observed.

Chest tubes are used to drain fluid or remove air from the patient’s chest area. My patient had a chest tube to drain his pleural effusion 26mL

In order to treat this disease, smokers need to participate in smoking cessation which involves the most important step, to stop smoking. Medications to help treat COPD include bronchodilators, such as inhalers, which relax muscles around the air way. Inhaled steroids can reduce air way inflammation and help prevent exacerbations. Lung therapies include oxygen therapy which will help increase blood oxygen. If severe enough, surgeries such as lung volume reduction surgery, lung transplants, and a bullectomy may be

An important nursing intervention for a patient with COPD is to improve functional capacity of the lungs with oxygen use (ANA, 2012). An oxygen saturation value of 90% or higher is the optimal goal for the patient (ANT, 2012). Patients should be instructed on how to use oxygen properly and safely,

The key to treat lung symptoms is to release the mucus out of lungs and clear the blockage. There is a treatment called the chest therapy, which a patient is at laying position and a helper gently taps patient’s chest and back with cupped hands to push the mucus out of the lung. There is also an equipment that patients wear as a vest that vibrates, which it helps to encourage patients to do the therapy on their own. Other types of treatments are taking antibiotics, which treat lung infections and promote healthier lungs. Often, patients take the medications that dilute the thickened mucus and inhale a vapor to open up the clogged

Chronic Bronchitis has serious affects on the body especially if Chronic Bronchitis goes untreated early on. The disorder results in an ongoing decline of the lungs functioning properly. Patients are at a higher risk of cardiac disease and pulmonary disease related deaths (American Lung Association, 2015). Fortunately there are treatment options for patients. If the patient is a smoker the first step for treatment would be smoking cessation. Smoking cessation means to quit smoking. There are many positive results from this treatment. This can help reduce coughing, lower the level of mucus production which will decrease injury to the bronchiole tubes. Other

Surgery is a typical treatment for tumors that have not spread to other organs. If the tumors have not spread beyond the lobe, the surgeon can perform a lobectomy. The surgeon may have to remove the entire damaged organ if the tumors have spread to the other organs.

Engaging in regular exercises is one of the ways one can cope with COPD. Exercise improves the breathing and promotes overall health of the person.

The first treatment option is surgery. There are many different ways of getting the surgery. The first way is called Lobectomy. What they would do is cut 1 of the 5 lobes to get rid of the tumor. The 2nd option is called a wedge resection. They do this if you can't have one of your lobes removed. They just remove the tumor and not a whole lobe. The 3rd option is segmentectomy. This is another option if you can't have a lobe be removed. The fourth and last surgery option is called Pneumonectomy. If the tumor is in the middle of the lung, you can get the whole lung removed.

The role of the pulmonologist is to perform additional diagnostic test and prescribing the right medication that works for the patient. The role of the respiratory therapist is provide patient with nebulizer treatment and patient education such as inhaler training. The role of pulmonary rehabilitation therapists is to provide care for COPD patients to improve their symptoms, endurance and quality of life, (Lilly & Senderovich,2016).