Nursing Home Acquired Pneumonia

EH is a 68-year-old male who comes into the clinic complaining of a fever with a temperature of 103 °F. He has had a cough for the last three days that is producing some thick green brown mucous. The MD feels he most likely has bacterial pneumonia. He also has a history of having rheumatoid arthritis, and being immune compromised as he is on an immunosuppressant methotrexate. He has noted that over the last year he has lost weight unintentionally and feels he is underweight.

This paper explores Pneumonia and the respiratory disease process associated with bacterial and viral pathogens most commonly located in the lung. The paper examines the process, symptoms and treatments most commonly viewed in patient cases of Pneumonia. My goal is to educate the reader and to warn of the

Hospital acquired pneumonia or (HAP), also referred to as nosocomial pneumonia (Smeltzer & Bare, 2017), is described as being a lethal nosocomial infection that presents as an onset of pneumonia around 48hrs after the patient is admitted to hospital. The patient may not present with obvious signs or symptoms of the infection at the time of admission, although they may

The gram stain test was able to identify the bacterium as a gram-positive organism, and the morphology distinguished it as a strain of streptococcus, and these finds helped direct the other tests. Hemolytic tests are very useful in differentiating specific species of a certain family of bacteria. The hemolytic test showed the bacterium to be of alpha clearing, which meant it only partially lysed the red blood cells and left a greenish tint. This identified the bacterium as either strep pneumoniae or faecalis. The bacitracin test, which tests whether the bacterium is susceptible to the antibiotics in the disk, posted a positive

infections. There are many reasons for their vulnerability including frailty, pre-existing conditions, and weakened immune systems. They may not be able to fully communicate with healthcare workers to report changes in health or may be too embarrassed by their decline in health to report the changes. Because of this, it is very important for residential care workers to ensure that infection control and prevention measures are implemented. Infections can cause many unwanted side effects in patients such as pain, discomfort, disorientation, and even in severe cases death. Not all infections can be passed from person to person. However, in residential care settings, many infections that can be passed from person to

The organism adheres to the epithelial cells in its host by pilli. This opportunistic pathogen can affect people of all ages and specifically targets patients that have immune deficiencies, debilitating diseases, and infants in the NICU. Patients are at greater risk of contracting the organism if they have recently had a surgery, mechanical ventilation, central venous catheter, arterial catheterization, inhalation medication therapy, tracheal tubes, or have low apgar scores. It can cause a variety of diseases and infections such as urinary tract infections, meningitis, pneumonia, respiratory tract infections, keratoconjunctivitis, osteomyelitis, keratitis, endocarditis, cutaneous infections, and endophthalmitis. (Currey,

Pneumonia is an inflammation of the lung which results into an excess of fluid or pus accumulating into the alveoli of the lung. Pneumonia impairs gas exchange which leads to hypoxemia and is acquire by inhaling a contagious organism or an irritating agent. (Ignatavicius & Workman, 2013). Fungal, bacteria and viruses are the most common organisms that can be inhale. Pneumonia could be community-acquired or health care associated. Community –acquired pneumonia (CAP) occurs out of a healthcare facility while health care associated pneumonia (HAP) is acquired in a healthcare facility. HAP are more resistant to antibiotic and patients on ventilators and those receiving kidney dialysis have a higher risk factor. Infants, children and the elderly also have a higher risk of acquiring pneumonia due to their immune system inability to fight the virus. Pneumonia can also be classified as aspiration pneumonia if it arises by inhaling saliva, vomit, food or drink into the lungs. Patients with abnormal gag reflex, dysphagia, brain injury, and are abusing drug or alcohol have a higher risk of aspiration pneumonia (Mayo Clinic, 2013). In the case of patient E.O., this patient had rhonchi in the lower lobe and the upper lobe sound was coarse and diminished. Signs and symptoms of pneumonia include difficulty breathing, chest pain, wheezing, fever, headache, chills, cough, confusion, pain in muscle or

Hospital-acquired pneumonia (HAP) includes ventilator-associated pneumonia, postoperative pneumonia, and pneumonia that develops in non-ventilated patients who have been hospitalized for at least 48 h.

Streptococcus pneumoniae is found worldwide. The common host is the human body, in which it often does not cause disease but at other times it can cause diseses in particular, pneumonia. It also causes otitis media, bacteremia, meningitis, peritonitis, and sinusitis. The route by which this organism is spread is from human to human in the form of aerosol droplets. When inside the host the organism’s primary site of pneumococcal colonization is the nasopharynx. From this site it can aspire to the lungs, eventually spread to the blood and traverse the blood-brain barrier to the meninges, once inside the blood it can cause infections throughout the body. Symptoms of the disease include sudden

There are four different classifications of pneumonia including community-acquired pneumonia, hospital-acquired pneumonia, healthcare associated pneumonia, and ventilator-associated event which were previously referred to as ventilator-associated pneumonia (HESS). Bacteria, fungus, and viruses are some of the major causes of any type of pneumonia. Specifically, pneumococcus and Haemophilus, influenza are common pneumonia-causing bacteria. In children, these bacteria are the most present. Streptococcus pneumonia These microorganisms are capable of causing pneumonia, which is defined as inflamed air sacs in the lungs capable of developing fluid.

Streptococcus Pneumoniae can cause a variety of illnesses depending on where the bacteria occupy. It is found in the respiratory tract, nasopharynx or the blood stream. Illnesses that may develop from Streptococcus Pneumoniae of the nasopharynx are,

Mrs. A (pseudonym) is an 83-year-old Samoan female of Christian religion who was admitted to an urban hospital on 02/04/15 by GP referral. She came in with chest pain associated with productive cough and shortness of breath (SOB) on exertion. She also complained of having recurrent episodes of vomiting mixed with saliva and fatigue. She has a history of asthma, hypertension, type 2 diabetes mellitus on Metformin and double incontinence due to a long-standing history of intermittent constipation. Her chest computed tomographic (CT) revealed right lower lobe opacity indicating pulmonary consolidation, which means that her right lower lung has accumulated exudates in the alveoli that would have normally been filled by gas, indicative of bacterial pneumonia. Furthermore, a sputum gram stain sample collected from Mrs. A showed gram-positive bacteria, which is also a characteristic of pneumonia. Her blood tests revealed a high haemoglobin count, which may be caused by an underlying lung disease, as well as high white blood cell count confirming the presence of infection. Considering all diagnostic results, Mrs. A was diagnosed with right lower lobe bacterial pneumonia.

The clinical manifestations of pneumonia will be different according to the causative organism and the patient’s underlying conditions and/or comorbidities (Smeltzer, et al). Some of the manifestations are

This is a case of a 74 year old woman who was diagnosed with Community Acquired Pneumonia.

The patient's overall symptoms and lab work suggest that she is suffering from hospital acquired pneumonia. Currently the patient is presenting a moist chesty cough. Additionally, her heart rate is elevated, her oxygenation is low, and her RR is high. She has a raised white blood cell count, which indicates infection. Finally, the patient is acting confused and disoriented, which can be the direct result of a lack of oxygenation to the brain. All of these symptoms point to pneumonia (Torres, 1999).