Respiratory Assessment: A Case Study

(Click on the Save a Copy button on the panel above to save your report)

What are the uses of drugs used to treat lower respiratory tract disorders: sympathomimetics, anticholinergics, inhaled steroids, lung surfactants, and mast cell stabilizers?

A lot of information can of course be collected on an initial consultation notation form and I think the information requested on this form is extremely important to start to establish a picture of each client. The initial consultation notation form should start with basic information such as the client’s full name and whether they have a “known as” or a preferred name, their contact details and whether they have any instructions as to who you can leave a message with, their date of birth, any medical history or medication they are currently taking. It should also ask for details of their GP but ensure the client knows that “their GP would not be able

It is critical to gather as much information as possible from the client without making them feel interrogated (Flemons & Gralnik 2013). Having said that, if you can establish a therapeutic rapport with the client it can make the entire process a lot easier. It is important to remember to walk through the steps with the client and emphasis on the positive rewards of getting relief from being hospitalized.

Health care professionals are subject to a multitude of professional, legal, and ethical responsibilities which call for personal judgment to be utilized in such a manner as to protect clients as well as public wellness and interests. Overall considerations in handling such duties may be considered to be respect of a client’s autonomy, confidence, and recognition of obligations owed to all clients. While the aforementioned acts fall within the professional realm, there are also legal implications that guide care. Therefore, it can be said that ethical considerations occur in observation of legal responsibilities. Confidential information is perceived as private facts which are disclosed with the

I then needed to carry out a respiratory assessment. I observed Mr Brown’s chest for any visible signs of scars or trauma. This appeared normal.

After a noninvasive respiratory testing the patient vital signs, lung sounds and Pso2 level need to be monitored. Also after an invasive respiratory testing the nurse need to monitor the patient vital signs per Dr. order or facility policy and listen for absent or reduced lung sounds. Assess for drainage, complications and infection. The nurse needs to report any change in condition to the patient

Not all patients (or staff) are comfortable with using touch but I soon realised the boundaries with each individual patient.

The process of consent should apply not only to surgical procedures but all clinical procedures and examinations which involve any form of touching. This must not mean more forms: it means more communication. As part of the process of obtaining consent, except when they have indicated otherwise, patients should be given sufficient information about what is to take place, the risks, uncertainties, and possible negative consequences of the proposed treatment, about any alternatives and about the likely outcome, to enable them to make a choice about how to proceed.”5

Her respiratory discomfort was improved although her %VC was deteriorated. On the other hand, PCF was similar. It has been reported that respiratory discomfort is more relevant to PCF value than %VC [11]. There is controversy regarding the benefits of spinal surgery for the respiratory disorder in neuromuscular scoliosis. Although a lot of studies have been shown that surgery did not prove pulmonary function, it is common understanding that spinal surgery makes breathing easy by improving the sitting position [3]. It is assumed that the improvement of her respiratory discomfort was provided by a conjunction of two situations. First, preoperative and postoperative respiratory rehabilitation provided her equable PCF. Second, sitting position

Mrs. Levochenko, 50yo female, with no known drug allergies, admitted 2 days ago following fall from a horse, fractured to right tibia and fibula, internally surgically fixed. Most recent vitals suggest Mrs. Levochenko is currently tachypnea, respiratory rate of 26, (breaths per minute) Visible difficulty breathing leans forward and clutches at abdomen. Mrs. Levochenko is tachycardic, 110bpm (beats per minute) and hypoxic with an oxygen saturation of 92% on room air. Mrs. Levochenko has a distended abdomen and has decreased her oral intake post operatively.

The topic you chose is extremely relevant to modern health care and should be taught more to military providers because I believe we are the worst offenders. At one point in my career, I personally witnessed a fellow IDC give treatments for STD upon request and no examination or verbal history. One of your sources covers the use of antibiotics for upper respiratory issues. I believe this article choice and the citation from it make your thesis clear and make the point to the reader. I think you did a fantastic job not only summarizing the articles but also combining with the flow of your paper to validate your point.

Asthma is a disease that affects the respiratory system; it is marked by spasms in the bronchi of the lungs causing difficulty in breathing. Checking medical history is a way to diagnostically check for asthma. A patient with a recurrent cough, who wheezes, has shortness of breath and/or chest tightness could be a victim of asthma. Symptoms that occur variable with asthma upon exposure to allergens or irritants, worsen at night and/or also respond to appropriate asthma therapies are suggestive of asthma. A positive family history of asthma, atopic disease or an allergy to rhinitis can be helpful in identifying a patient with asthma. During the history check, providers often ask patients about their living environment

Respiratory distress syndrome (RDS), “is a developmental deficiency in surfactant synthesis accompanied by lung immaturity and hypoperfusion” (Blackburn, 2013, p. 342). Based on the above scenario, there are so many factors that could lead to surfactant deficiency and I would like to discuss on three factors like preterm birth, poorly controlled diabetes, and cesarean section as the reasons for RDS.

In 2003 Toronto Canada experienced a severe acute respiratory syndrome (SARS) that was first discovered with the return of Kwan Sui-chu from Hong Kong. This disease caused a major strain on the Toronto public heath (TPH) and hospital system. The outbreak of the SARS was quick and the World Health Organization (WHO) delayed response to the outbreak gave way to its spread from Hong Kong. With the outbreak of SARS it created a panic in Toronto and they were put on the World Health Organization alert list for potential exposure to condition.