Review of her medical records indicates that she has had multiple hospitalizations in the last year for CHF/COPD exacerbation her last hospitalization was 8/28/16 at SLMC for COB and hypoxia. On 8/28/16 she had a left and right cardiac cath because of dyspnea and congestive heart failure. Her other medical history includes NIDDM, Afib, CVA with right sides hemiparesis, MI, GAD, dementia, bipolar, chronic ischemic heart disease, dysphagia, cognitive communication deficit, hyperlipidemia and GERD. At todays visit she is found in her room lying in bed at Tiffany hall SNF.…
1. What is the phenomenon of interest and is it clearly stated for the reader? The phenomenon of interest was to examine resident’ and family member preference on care for pneumonia in a long-term care facility or a hospitalized setting. The phenomenon was clearly stated in the article.…
You are the nurse on a med/surg unit and have just received a new admission from the emergency room. The patient is a 60 year old male with COPD who was admitted with an exacerbation of COPD. Your quick assessment reveals that he has a slight increase in his work of breathing and mild expiratory wheezes. He is anxious and frequently asking to be repositioned and wants the head of the bed elevated at all times. He is wet from being incontinent of urine while on the ER stretcher and needs vital signs in addition to being cleaned up.…
Ellen, The American Lung Association (2017) recommends the use of a “My COPD Action Plan” to be completed with patients with COPD and their healthcare providers as a self-management intervention. According to Nici, Bontly, ZuWallack, and Gross (2013) believe that an action plan for exacerbation and enhanced communication between the patient and health care providers makes clinical sense as a method to encourage self-management in chronic obstructive pulmonary disease (COPD). However, after five major trials of self-management in COPD, results are shown to be inconsistent. Two trials show reduction in health care utilization and one was discontinued due to increased mortality. It may be a possibility that individuals with COPD may need earlier…
Week # 5 Common symptoms of COPD exacerbation Smoking is the leading cause of COPD and served as a trigger for the disease. Smoking damage the airway and the lining of the lung, which lead to a decrease in lung expansion, which then leads to trouble moving air in and out of the lung causing difficulty with breathing, Irregular breathing, Coughing, discoloration of the skin or nail due to the lack of oxygenated blood. According to case study, Mary had signs of COPD exacerbation which are hash productive cough and SOB, Mary symptoms are caused by the building up of fluid, mucus, and pus in her lung causing tightness of her airway.…
1. Describe the procedure/surgery and/or treatment and include associated complications I assisted in the care of two patients while in the critical care unit today. One of my patients was suffering from end-stage chronic obstructive pulmonary disease, while the other was experiencing an outbreak of shingles. The patient with end-stage COPD was a 57-year-old female patient, who has been hospitalized for shortness of breath related to her COPD numerous times in the past few months.…
Smith, B. L., & Tasota, F. J. (2011). Breathing new life into COPD management. Nursing made Incredibly Easy, 9(4), 16-25 World health organization…
Bertini et al. (2013) reported about exhaled breath condensate metabolomics in COPD patients using NMR. The study included 37 patients and 25 healthy subjects. The patients displayed significantly lower levels of acetone, valine and lysine, and significantly higher levels of lactate, acetate, propionate, serine, proline and tyrosine.…
Imagine hearing a cough so loud, it is as if an avalanche is rumbling out of someone’s body. Imagine seeing someone’s chest stop rising and falling as they sleep, knowing they stopped breathing. Imagine witnessing the horrifying scene of black tar shooting out of a person’s lungs. That is COPD. COPD stands for chronic obstructive pulmonary disease.…
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's caused by smoking cigarettes or long-term exposure to irritating gases or particulate matter. Your lungs are directly affected by COPD, because air travels down your trachea and into your lungs through the bronchi. The bronchi are divided into many smaller tubes or bronchioles that end in clusters of tiny air sacs called alveoli. Your lungs rely on the natural elasticity of the bronchioles and alveoli to force air out of your body.…
First, the sample size of population in her study was very small, numbering only 26 patients, therefore conclusions cannot be extrapolated to large populations. Additionally, patients in the study were derived solely from North Shore Long Island Jewish Pulmonary Clinics thus creating the possibility of a geographic bias. Furthermore, the patients’ COPD severity was neither specific nor diverse enough, to be meaningful. For instance, by 26 choosing patients with spirometry scores of under 50%, it is unclear if patients tested had equivalent levels of severity. Were patients scores clumped at 49%, or equally spread out down to scores of, for example, 30%? Also, by choosing patients with only “severe” COPD, the sample might be biased due to preexisting high levels of anxiety or previous inclinations of self-denial, which could skew the results.…
Chronic obstructive pulmonary disease is a lung disease that causes inflammation and stops the airflow from the lungs. Symptoms such as cough, sputum and wheezing are related to this condition. The main cause of the disease is cigarette smoke and exposure to irritating gases for a long time. People with COPD are at a much higher risk of developing heart diseases and other conditions. Contributing conditions to COPD are emphysema and chronic bronchitis.…
Patient Interview Paper The chronic obstructive pulmonary disease (COPD) is a progressive and mostly irreversible deteriorating condition of the function of the lung and disease of heterogeneous with comorbidities. According to World Health Organization (WHO, 2015) the COPD is going to be the third leading cause of death by 2030 and estimated approximately 80 million in worldwide. This is the general term used to explain the numeral conditions inclusive of chronic bronchitis and emphysema. The knowledge of pathophysiology of COPD will help the nurses in nursing process to care of such patients.…
Retrieved 29 September 2014, from http://globaltb.njms.rutgers.edu/tbepi.htm Ncbi.nlm.nih.gov,. (2014). The role of the nurse in the community... [Int J Tuberc Lung Dis. 2003] - PubMed - NCBI . Retrieved 26 September 2014, from http://www.ncbi.nlm.nih.gov/pubmed/12729339…
Asthma and chronic obstructive pulmonary disease (COPD) are among the most common and prevalent diseases in the world (Raadhika and Shanthi, 2012; Rao and Kulkarni , 2012). Salbutamol sulphate (SS) is a short-acting β2-adrenergic receptor agonist used for the relief of bronchospasm (Sharma et al., 2015). Salbutamol sulphate is readily absorbed from the gastro intestinal tract following oral administration, and it undergoes the first pass metabolism in the liver. It requires multiple dosing a day because its oral bioavailability is just about 50% and its plasma half-life is 4 to 6 h.…