History Of Pneumonia

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According’s to NIH (2017a), the typical signs and symptoms of Pneumonia include coughing of green or blood-stained sputum, shortness of breath, fever, chest pain, shaking chills and fatigue. Others signs and symptoms are sore throat, muscle pain and loss of appetite (Mackenzie, 2016). Signs and symptoms are varying in individuals. Sometime mental awareness in elderly may have drastic change due to Pneumonia (Mackenzie, 2016). Most of the typical signs and symptoms above were appear in Dudley’s profile that need to be take account into the nursing process. More updated information of Dudley from clinical assessment will help nurse to design a suitable ‘recovery’ plan for him.

3.2: Clinical assessment of Pneumonia

Dudley medical history of
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Pleural effusion is lung infection where fluids accumulate within visceral and parietal pleura of lungs (NIH, 2016b). These fluids will put pressure on the lungs and make an individual having difficulty in breathing (NIH, 2016b). Pain may occur on the chest, shoulder or abdominal muscle if the pleural lining of the lungs is irritated increasing in size and push on the diaphragm (NIH, 2016b) is showed on image 1. Others organ such as heart also will be press and may affect its functional as well (). The risk of mortality is increase with person who having COPD like Dudley. He may need prolong hospitalized period or using ventilator to breath until his lungs can function normally (Boka, 2017). Smoking habits will delay Dudley period in healing from Pneumonia (Lima et al., …show more content…
Nicotine replacement therapy- patches also will recommend to him (Bryant & Knights, (2015). Healthy lifestyle is practising by support of the social workers and connect group include people with same health problems can improve his health condition (Lima et al., 2014).

5.0 Conclusion

In summary, Pneumonia in elderly people is common and serious problem that will increase the risk of mortality with existing health condition. This case study provides better understanding of the clinical picture of Pneumonia especially HAP in the elderly that can help the early detection and management of pneumonia in the best way. Nursing process that involve such as assessment, diagnoses, recommendation and strategy dedicate to Dudley. Nurse is fulfilled the Registered Nurse Standard for practice on standard 5.1, 2017 which uses assessment data and best available evidence to develop a plan according to this

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