Spirometric Case Study

I will analyse the prevalence of the condition and what the potential causes may be. My interests have been directed to pre hospital care and community lead treatment packages, which are potentially available to the patient, as this is the acute environment, which I will have contact with in my employment as a paramedic. The initial reading was to understand COPD as a chronic condition, what is COPD? and its prevalence in the population. The (World health organisation, 2000), states that one in four deaths in the world are caused by COPD. In 2010 (Vos T Flaxman etal, 2012), says globally there were approximately 329 million, which is 4.8% of the population who are affected by this chronic condition, In the UK (NICE, 2010), have estimated that 3 million people suffer from COPD, with more yet to be diagnosed. This information about the amount of people living with this condition was surprising, as I little knowledge of its existence. During the early 1960’s (Timothy Q. Howes, 2005), says the term COPD had been designated as a single term unifying all the chronic respiratory diseases. Since then the term COPD, has been sub divided in to three umbrella areas, Bronchitis, Emphysema and Chronic asthma, which are separate conditions, which I have been previously aware of as their individual conditions. The 58 year old patient who we visited,

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

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.

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

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.

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

Millions of individuals suffer and die from Chronic Obstructive Pulmonary Disease (COPD) each year in our nation. Currently, there is no cure for COPD; therefore, the most beneficial goal for these patients is to provide enhanced quality of life that includes limited admissions to the hospital setting and decreased exacerbations. Management of this disease process through proper patient education and multidisciplinary collaboration improves a COPD patient’s ability to maintain a healthier state of life as well as decrease their chance of a costly hospital readmission (Chamberlain, Lau, Siracuse, 2017).

The most crucial part in any treatment plan for a COPD patient is to stop smoking. By continuing to smoke after a COPD diagnosis could cause your symptoms to worsen and the treatment plan to fail. Medications are another way to treat symptoms and complications. Some of the medications are used on a regular basis or on an as needed basis (PRN). Another treatment is lung therapy, which are often used for moderate to severe cases of COPD. Surgery is also an option for people who the medication has not sufficiently helped or people with severe forms of emphysema. Surgery could be a lung transplant and lung volume reduction

The major goals of treatment are to ease the symptoms, to slowdown disease progression, and to improve the quality life of the patients. Patients with mild to moderate COPD can be adequately managed in the primary care setting by the family physician, whereas patients with more severe COPD and multiple comorbidities need a multidisciplinary approach to treatment. Family physicians should perform spirometry on all patients over 40 years old for early diagnosis, especially if one falls into to the risk group and have history of smoking, chronic cough, shortness of breath, and even frequency of cold (Eeden & Burns, 2008). Smoking cessation remains the single most important factor in slowing the decline in lung function in patients with COPD. Pulmonary rehabilitation (PR) is recommended for the patients with moderate and severe COPD.

If the spirometer includes an indicator to show your best effort, your health care provider or respiratory therapist will help you set a goal. Keep a log of your progress if directed by your health care provider.

Chronic Obstructive Pulmonary Disease, also known as COPD, is the third leading cause of death in the United States. COPD includes extensive lungs diseases such as emphysema, non-reversible asthma, specific forms of bronchiectasis, and chronic bronchitis. This disease restricts the flow of air in and out of the lungs. Ways in which these limitations may occur include the loss of elasticity in the air sacs and throughout the airways, the destruction of the walls between air sacs, the inflammation or thickening of airway walls, or the overproduction of mucus in airways which can lead to blockage. Throughout this paper I am going to explain the main causes, symptoms, diagnosis, and ways to reduce COPD.

Many patients with COPD do not follow their recommended treatment by their health care provider, leading to hospital readmission and longer hospital stay. Poor medication management has been identified as one of the factors resulting in emergency hospitalization. Health care professionals should give more time for patients whose nonadherence is of concern. Patient concerns and disappointments about medication management should be address on an individual basis. These patients would likely not adhere to the treatment which in their experience efficacy. Inhaler technique assessments forms a key component of adherence assessment in COPD should be performed at times.

COPD is preventable and treatable disease, characterized by airflow limitation that is not fully reversible (Rennard, Stolel, & Wilson, 2013). National Heart, Lung, and Blood Institute developed GOLD Standards that are used to define and stage COPD. Most patients with COPD have a history of cigarette smoking or alternative inhalational exposure (Rennard, Stolel, & Wilson, 2013).COPD is diagnosed by the physical examination and pulmonary function test, which is considered as a cornerstone of the diagnostic evaluation Rennard, Stolel, & Wilson, 2013). Once a patient is diagnosed with the COPD and staged, the treatment (pharmacological and non-pharmacological) should be individualized.

Inform patient about using incentive spirometer every 2 hours to practice for deep breath and cough.

I am going to presume that if you are reading this article on Jane’s website,