2. Chapter 6: COPD
Question 1
The patient should be asked if she is currently smoking, is around someone that is smoking or has a closely-related person (a parent in particular) that does. The patient should be asked if she or anyone in her family has a history of heart issues (due to the ankle swelling combined with the shortness of breath). Should be asked if there have been any notable changes in weight in either direction and whether there is any sputum or other symptoms (Brasher, 2012).
Question 2
The patient should be asked how long she smoked and whether anyone smoked in her presence, especially family. Ask her if smoking improved her condition or if it made no difference (or got worse). The variation and quantity of the sputum should also be asked about. Whether there was any blood or other coloration would be relevant. Would also be a good idea to question whether occupational exposure occurred and the family history of pulmonary issues (heart issues were already addressed)
Question 3
The patient could have a pulmonary disorder like COPD but it could also be heart-related. Both should be checked out thoroughly as both could be quite deadly. At this point, it seems to be a pulmonary issue (Brasher, 2012).
Question 4
The yellowed teeth are not a good sign. If the patient quit smoking five years ago, it is odd for her to still have yellowed teeth unless she's made no attempt to clean up the teeth after she stopped. The barrel chest is also a negative. Her pursing of her lips when she breathes is not a good sign and neither is the distention. Her dyspnea when climbing the table was also a bad sign. The dyspnea along with the accessory muscle use would indicate COPD or something along those lines. Having a shortness of breath when just climbing a table is a sign of strong lack of breathing function, whatever the reason for it may be. Plus signs include the fact that she has no cyanosis or clubbing and that she's alert. She has no rashes or masses and her strength seems to be good overall (Brasher, 2012).
Question 5
Testing of the sputum contents should be done to confirm no presence of PMN's or bacterial cells....
COPD Scenario Jack Little is a 59-year-old panel beater with a past medical history of smoking two packs of cigarettes per day for approximately 40 years (80 pack years), chronic bronchitis, and corpulmonale. Jack was on holidays with his wife in the high, mountainous area when became extremely short of breath. His wife took him to the Emergency Department (ED). On presentation to the ED, Jack was agitated and dyspnoeic at rest
COPD Teaching Plan and Its Contribution to Healthcare: Nurses not only strive to restore health in sick individuals but they also seek to promote maximum health potential in healthy people. The major way through which nurses achieve this goal is through patient teaching in which these health practitioners assist patients and their families to develop effective health behaviors and lifestyles. During this process, nurses use various teaching plans including Chronic Obstructive
COPD Chronic obstructive pulmonary disease (COPD) year-old male -- pt known to me -- recently admitted to the ward with Non-STEMI & LVF. Discharged five days ago. Was found collapsed in his house by his niece. Duration not known. Could not get up from the floor, no chest pain/SOB. No dysuria/constipation -- ? Incontinence Pt was discharged with a package of care last week. Detailed history not available as the pt is confused and not answering any
V. COMPONENTS of the PULMONARY REHAB PROGRAM There are several components of the pulmonary rehab program that is inclusive of the following: Medical evaluation and management; Setting Goals; Exercise Training; Education; Program Results or Outcomes; Oxygen Treatment; and Surgery. (National Heart, Lung, and Blood Institute: Disease and Conditions Index, 2007) VI. PREVENTION of PROGRESSION of COPD Progression of COPD is, first and foremost, approached through addressing smoking cessation by the individual and this includes refraining from being with those
COPD Chronic obstructive pulmonary disease (COPD) is actually a family of diseases affecting the respiratory system including chronic bronchitis and emphysema. Primary risk factors include smoking and environmental pollutants. Therefore, most cases of COPD are preventable. According to the Global Initiative for Chronic Obstructive Lung Disease (2011), COPD is the fourth leading cause of death worldwide, and according to the American Lung Association (2015), is the third leading cause of death
Essay Topic Examples 1. The Impact of Smoking on COPD Development and Progression: This essay could explore the relationship between smoking, which is a primary risk factor for chronic obstructive pulmonary disease (COPD), and how it contributes to the onset and exacerbation of the disease. It might also delve into the mechanisms through which tobacco smoke induces lung damage and consider preventive strategies. 2. Innovations in COPD Management: A Look into Current
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