Hello Madiha,
Your discussion about pulmonary fibrosis on Tiffany’s presentation is very interesting. Her description about pulmonary fibrosis could help the audience in recognizing signs and symptoms and probable causes of the disease. It is important for physicians to inform the patient about potential treatment options. I liked that you talked about airway clearance device mentioned in Tiffany’s presentation, because sometimes in the hospital, a comment is made how this small device is going to help clear the secretions. Therefore, as a respiratory therapist, it is our job to educate the patient about what each device does and encourage them about its use as it can help improve lung capacity, reduce dyspnea and clear retained secretions.
History of Present Illness: Mr. Magnuson is a very pleasant 77-year-old gentleman who was previously seen in this office by Elvira Aguila, MD for COPD and hypoxic respiratory failure. He is here today for routine followed up. He was last evaluated in January 2015. Since that time, he states that his dyspnea is worse. He feels that it is related to the weather. He does state that he works around the house, although he does have significant functional limitations because of shortness of breath. His wife also confirms that he is able to do less and less. He has a stable, minimal cough. He is using 4L of oxygen at night as well as, as needed throughout the day. He continues to smoke three to four cigarettes on
The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag
Five year old Ellis Miles undergoes numerous treatments each day to counteract the symptoms that accompany cystic fibrosis including physiotherapy, pills containing digestive enzymes, and a treatment which breaks up the mucus in her lungs. Cystic Fibrosis has numerous life threatening symptoms and while there is no cure, there are several treatments that a typical patient undergoes each day to combat these symptoms. The most prominent symptom associated with Cystic Fibrosis is a thick mucus that clogs up tubes that carry out crucial roles in the human body. This mucus especially affects the respiratory tract. Mucus builds up in the respiratory tract making it difficult for individuals with cystic fibrosis to have a frequent cough that produces a thick
I agree that Tiffany’s presentation is very insightful and thorough; I liked how she explained the disease process, causes and symptoms of pulmonary fibrosis in a very concise manner. Upon reading her presentation and your post, I was able to understand the difference and similarities of different oxygen delivery devices for our at-home patients. I was also able to recognize some home exercise regimen aside from pulmonary rehabilitation that can also be beneficial for these patients. I am glad I took a look at her presentation after reading your post so thank you, Tiffany, for doing all the hard work for making this presentation so interesting.
Cystic fibrosis (CF) is the most common lethal autosomal recessive disease affecting Canadians (2). CF can affect multiple organs; however, the most fatal symptoms occur in the lung. As of 2013, the median age of survival for CF is roughly 50 years old with treatment (3). However, patient life-span decreases dramatically when treatment options such as antibiotics and enzymes are not administered, and nutritional changes or lung transplants are not made (3). Currently, there is no cure for CF, although current treatments can improve patient outcome.
How would you describe the pathophysiology of COPD and comorbid heart failure to Charlie, considering that he has no medical knowledge/background?
In light of question number three A-B, Cystic fibrosis causes variations from the norm in almost all exocrine and numerous endocrine organs. This disturbance of organs extremely thwarts the elements of the Pancreas during absorption bringing about “…an abnormal mucous secretion that causes obstruction of single mucin-producing cells. The pancreas secretes less enzyme (ex: trypsin, lipase and amylase), so malabsorption ensues with its attendant deficiency disorders” (Walsh et al.)
Do you suffer with Cystic fibrosis? If so, you may qualify for Social Security Disability Income benefits. Cystic fibrosis is an illness that can be treated, but cannot be cured. The affects of this disease can cause severe damage to the digestive track and to the lungs. Cystic fibrosis attacks the mucus membranes and digestive juices. Cystic fibrosis also causes infertility in women by blocking the fallopian tubes with mucus.
The testing of your child's screening has come back. I am sorry to inform you that your child is suffering from Cystic Fibrosis according to the sweat test. Although your child has this, it is at an early stage and can be treated. Cystic fibrosis is a defect (mutation) in a gene that changes a protein that regulates the movement of salt in and out of cells (Cystic Fibrosis, October 2016). Your child may suffer from some symptoms like thick, sticky mucus in the respiratory, digestive and reproductive systems, as well as increased salt in sweat. A persistent cough that produces thick mucus, wheezing, breathlessness, exercise intolerance, repeated lung infections, inflamed nasal passages and/or a stuffy nose are common symptoms (Cystic Fibrosis Symptoms, 2018).
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
Exercising and a well-balanced diet improve the patient’s health (Haack & Novaes, 2012). For adolescents, the provision of peer support results in positive effects on managing the cystic fibrosis. The use of healthy peers in treatment enhances peer knowledge, reduces the parental report of child-parent disease-related conflict, and improves the parental perceptions of adherence. Recent research indicates that systematic family therapy addresses the manner in which the family members and the patient communicate, reciprocate to each other, and function. CBT ameliorates the effects associated with cystic fibrosis, especially for
Accordingly, to this information of COPD: Coping with COPD from PubMed Health, this article provides the early stages, progression, coping and emergency plan and this disease affects family and friends. It is written answering the question, what to expect from COPD and how to manage this lung disease? A team of health care professionals, scientists and editors, and experts (Chronic obstructive pulmonary disease (COPD), 2015), provides education of how this disease may affect daily lives, how to live with this disease and what causes
What is Cystic Fibrosis? Cystic Fibrosis is a disease inherited past down from many generations. Another name for cystic fibrosis is called clubbing there are many other name terminologies for cystic fibrosis. The name of the disease originates from the tough tissue, which scars inside the pancreas, first documented in the 1930’s. The pancreas is one the major organ attacked by a faulty chromosome no.7 where cystic fibrosis has been found. A cystic fibrosis patient can have the recessive gene and both of his or her parents can carry the gene but not affected by the gene. The disease attacks the external glands, which includes (lungs, perspiration glands, gastrointestinal system, and a man’s masculinity). Cystic fibrosis can cause several different
Pulmonary Fibrosis is a serious disease that claims and terrorizes thousands of lives and families. Due to severity of the disease two Senators have decided to introduce an Act that is dedicated to this horrifying disease (the Pulmonary Fibrosis Research Enhancement Act (PFREA)). After the onset of symptoms of pulmonary fibrosis, a person has about 5 years of lifespan, that’s taking in consideration treatment that will be given to the patient. About 30 present of patient that receive treatment for pulmonary fibrosis with oral glucocorticoids will see improvement in their lung function. There are many studies that are being to find a cure for the disease or find a way to present it, unfortunately the studies are still on going
Cystic Fibrosis is a recessive disorder that is a life threatening disease that causes persistent lung infections and progressively limits the ability to breath. Unfortunately, there is no cure for this genetic disorder, but Airway Clearance, Inhaled Medicines, and Pancreatic enzyme supplements can increase the person’s lifespan incredibly. There are about 70,000 people worldwide with this disease. Approximately 1,000 new cases of cystic fibrosis are diagnosed each year. The average human with cystic fibrosis lives to about 30 if they take their medicine.