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.…
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.…
H. (2013). Expanding nursing practice in COPD: key to providing high-quality, effective, and safe patient care. Prim Care Resp Journal, 22. Garvey, C. (2011). Best practices in chronic obstructive pulmonary disease.…
What is COPD? Let’s just say it is a condition that makes it harder for any individual who may have it to breathe. Two forms that can lead to COPD are; Chronic Bronchitis and Emphysema. A main cause to COPD is long-term exposure to substance that can irritate as well as damage the lungs. The main focus with irritants is caused by cigarette smoke, air pollution, chemical fumes as well as dust.…
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.…
Individuals may need oxygen therapy or pulmonary rehabilitation program. Individual who receive oxygen therapy have to be careful because often times they think more oxygen is better but increasing their oxygen without doctor orders can increase their risk of carbon dioxide retention and lead to failure of the right side of the heart. Individuals who experience acute respiratory distress can be managed with a ventilator before oxygen treatment. Ventilators can help slow the end-stage of the COPD. Ventilators are extremely useful for acute exacerbation of COPD that is caused by influenza, congestive heart failure, or…
If the patient is diagnosed with COPD there are certain treatments and medicines that might help relieve some of the…
McCarley (2003) explored that there was a moderate correlation between dyspnea and fatigue experienced by the patients with COPD. Reishtein (2005) reported that there was a moderately negative correlation between dyspnea, fatigue and functional capacity among COPD patients. It is reported that there is a complicated correlation in COPD between fatigue and other disease-relate symptoms such as dyspnea, anxiety, depressed emotions and sleep quality (Kapella et al. 2006). Breslin et al. (1998) suggested that physical dimensions of fatigue correlated with an increase in the severity of pulmonary impairment and reduction in exercise tolerance.…
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.…
“Hence, the overall objective of treatment is centered on relieving symptoms, thwarting lung function decline, improving exertional tolerance, refining health status, averting exacerbations, and reducing mortality” (Dzierba, 2009). Education on the disease condition, and unalterable effects of smoking, restated. Education about quitting smoking and avoidance of secondhand smoke and places with dust, fumes, or other toxic substances is the most important stage to treat COPD. According to Maurer et al.…
Sit up and take a deep, deep breath. If all you get is a good dose of fresh air, and you have no problems with your breathing, smile and relax -- you don't need a respiratory therapist. But if you have some trouble because of asthma, emphysema, or pneumonia, or maybe you've recently experienced some type of cardiovascular disorder or trauma, then don't fret – a respiratory therapist may be just what you need. Just what is a respiratory therapist? It is someone who is an expert in respiratory care, someone who can provide much needed therapy to people with respiratory problems, and someone who is simply well-versed in, well, breathing health.…
Respiratory therapy evaluated the patient’s response to the oxygen that was prescribed to help the patient breathe easier. Respiratory therapy recommended to the doctor that the patient’s oxygen saturation must remain between 88% and 92% or greater to provide adequate oxygen levels to the body as well as comfort to the patient. Therapy also recommended providing a dose of Albuterol, a bronchodilator, to help the patient to open airways and facilitate breathing. A 22-gauge needle was inserted into the left antecubital for intravenous, or IV, access and blood was drawn from the site.…