Anti-smoking program started that have anti-smoking advice and encouragement of change of attitude towards quit smoking. D. Areas identified in all of the above. In obstructive lung disease, the RV will make up the greater portion of the TLC. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! (Longmore, Wilkinson & Rajagopalan, 2007). A variety of procedures, tests, and questionnaires can be used to evaluate patients with chronic obstructive pulmonary disease (COPD) for clinical and research purposes. Disease process/prognosis and therapeutic regimen understood. Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. Option B: The lung parenchyma undergoes an inflammatory response in COPD. Chlorthalidone dose may be increased if oedema is not relieved Physiotherapy of chest help expectorate and clear bronchial recreations (Haslett, Chilver, Boon & College, 2002). The room is well lit but untidy. Current complaint is a direct result exacerbation of previously existing COPD (Longmore, Wilkinson & Rajagopalan, 2007). The patient had his last meal three hours back. Air pollution. The neighbor once or twice a week visits him and gives him some company. There is sputum production and he experiences difficulty of breathing whenever he performs his daily activities. In this case study patient is an eighty four year old man with COPD who has got respiratory tract infection and his disease has become severe. The patient gives history of medication prescribed by local general practitioner. Copyright © 2003 - 2021 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. The annual cost of COPD is approximately $42.6 billion with overall healthcare expenditures of $26.7 billion. D. Tuberculosis and pleural effusion. On auscultation breath sounds are reduced and rhonchi are present in the chest. A further focused history and physical examination is required to identify injury or disease that has not been identified during the primary survey. Patient is a heavy smoker, smoking one pack of twenty cigarettes a day. Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD… A comprehensive respiratory assessment includes gathering a medical history that may impact or explain physical assessment findings. Healthcare providers should promote cessation by explaining the risks of smoking and personalizing the “at-risk” message to the patient. He introduces himself and carries staff to the patient. The medicine patient is using is Salbutamol inhaler taking two puffs three times a day. The patient is living alone, unable to cope at home and confused. VAT Registration No: 842417633. The ambulance crew behaved quite professionally with few exceptions. 2. Salbutamol is bronchodilator (Haslett, Chilver, Boon & College, 2002). The chronic inflammatory process affects the pulmonary vasculature and causes thickening of the vessel lining and hypertrophy of smooth muscle. COPD risk increases when those e… When taking care of a patient with COPD it is very important the nurse knows how to recognize the typical signs and symptoms seen in this condition, how it is diagnosed, nursing interventions, and patient … There are two major life-threatening complications of COPD: respiratory insufficiency and failure. As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. I think more refresher courses need to be held to teach professional behavior in crew and build their academic knowledge. The crew gets consent from the patient and approaches patient for quick Primary Survey. 3. There was no pet in the house. Chronic Disease. Here are seven (7) nursing care plans (NCP) and nursing diagnosis (NDx) for Chronic Obstructive Pulmonary Disease (COPD): 1. He did not park their ambulance very correctly and left little space for other cars. Option A: Inflammation occurs through the proximal and peripheral airways, lung parenchyma, and pulmonary vasculature. You have not finished your quiz. Posts related to Chronic Obstructive Pulmonary Disease (COPD): This article is very helpful with nursing plans with first semester nursing students. There are two classifications of COPD: chronic bronchitis and emphysema. Then he assesses if patient has any disability and finds no disability. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. Health history. B. The patient is eighty four years old elderly black male of average built sitting forward in hunched-over position on bed and breathing through pursed lips. COPD also account for the death of 125, 000 Americans every year. Recently, sever… Answer: D. Areas identified in all of the above. Pink puffers (primarily having emphysema) have mild hypoxia and normal PCO2. COPD is responsible for nearly 30,000 deaths a year or around 5.3% of all UK deaths; in Europe, t… With spirometry the disease is mild when FEV1 was 60-79%, moderate when FEV1 40-59% and severe when FEV1 is lesser than 40%. Option A: Asthma may be one of the chronic pulmonary diseases but atelectasis is not. Ventilation/oxygenation adequate to meet self-care needs. As a cause of death in the United States, COPD ranks: Two diseases common to the etiology of COPD are: Chronic bronchitis and emphysema belong to the old classification of COPD. This disease affects not only patients’ physical health but also their ps… Holistic nursing assessment has a key role in identifying anxiety and depression, and there is evidence to support the role of nurses in delivering a cognitive behavioural therapy approach to help patients with COPD … All these signs are due to increased air-trapping in the lungs, narrowing of bronchi and use of accessory muscles of respiration (Talley & Connor, 2006). Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. There is no injury or deformity but ankle oedema is present and patient is using accessory muscles of respiration. Chronic bronchitis is a disease of the airways and is defined as the presence of. To monitor and manage potential complications: During evaluation, the effectiveness of the care plan would be measured if goals were achieved in the end and the patient: It is important for the nurse to assess the knowledge of patient and family members about self-care and the therapeutic regimen. When taking history of the patient they asked some leading questions from the patient. He is eighty four years old male migrant from Jamaica living alone in a two bed room flat with no one looking after him. ASSESSMENT Jeff Harris, RN, admits Mrs. Mercurio to the medical unit. Start off by positioning your patient upright to help his breathing. Text Mode: All questions and answers are given on a single page for reading and answering at your own pace. The underlying pathophysiology of COPD is: A. Inflamed airways that obstruct airflow. The patient is eighty four years old elderly black male of average built sitting forward in hunched-over position on bed and breathing through pursed lips. They are wearing personal protective equipment including safety boots, high visible clothing and vest and a portable two-way radio is in the hand of one of the staff. Sensory and motor functions are normal. 2 Assessment Education Centre Pulmonary Rehabilitation Access Centre Dietitian Social Worker Psychologist Other: Signature: Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD… Ambulance has been called and ambulance crew has to reach the scene, conduct primary survey, secondary survey, manage the case and shift it to hospital if appropriate. The underlying pathophysiology of COPD is: Characterized by variations in all of the above. Allergens. C. Alveolar wall destruction. Acute respiratory tract infection makes situation worse and signs and symptoms of infection with hypoxia and hypercapnea and right heart failure (at latter stage of COPD) become apparent and patient need urgent treatment (Talley & Connor, 2006). Disclaimer: This essay has been written by a student and not our expert nursing writers. There is no evidence of haemorrhage. The abnormal inflammatory response in the lungs occurs primarily in the: The airways, parenchyma, and pulmonary vasculature undergo inflammation in COPD. As a cause of death in the United States, COPD ranks: A. The ambulance crew has considered a number of psychosocial and disease factors. Therapeutic Communication Techniques Quiz. COPD Nursing Care Plans Chronic obstructive pulmonary disease (COPD) involves the inflammation of the lungs, resulting to the obstruction of airflow through the airways. Causes of COPD includes environmental factors and host factors. Diagnosis of COPD would mainly depend on the assessment data gathered by the healthcare team members. In this case Peak expiratory flow FEV1 is 40% of predicting obstructive lung disease thus can be classified as moderate at this stage. Nursing assessment should include the following. His wife died in a car accident. Hameed, 2003). He used to prepare food for himself but buying from a take away shop since last three day as he does not feel good to prepare it at home. X-ray chest shows hyper-inflated lungs and CT scan shows lung bullae (Haslett, Chilver, Boon & College, 2002). Option C: Pneumonia and pleurisy are not classified under the COPD. A wide range of viral, bacterial, and mycoplasmal infections can produce acute episodes of bronchitis. 2. Chronic obstructive pulmonary disease (COPD) is a common respiratory condition, affecting 4.5% of people over the age of 40 in the UK. Provide information about disease process/prognosis and treatment regimen. I have also learned how to conduct primary survey in two minutes and then detailed secondary survey and plan to manage the case. Answer: B. Stopping smoking slows down average rate of decline in FV1 from 50-70ml/ year to 30ml/year that is equal to non-smokers (Warrell, Cox & Firth, 2005). 4. Pupils equal in size in both eyes with normal reaction to light (Warrell, Cox & Firth, 2005). Raised JVP and oedema of lower legs show right heart failure thus a thiazide diuretic Chlorthalidone 25 mg once daily, which is minimum daily dose, is started as initial therapy. Option B: Allergens may contribute to the development of emphysema but it is not the main factor. An additional 2 million may have COPD but remain undiagnosed. Option A: Asthma may be one of the chronic pulmonary diseases but atelectasis is not. Ask your patient specific questions to obtain a detailed … We're here to answer any questions you have about our services. Emphysema and chronic bronchitis are clinically grouped together and called chronic obstructive pulmonary disease (COPD). Option B: Hypersecretion occurs due to the increase in the number of goblet cells. Take this WebMD assessment to find out what you can do to manage and slow the progression of your COPD and get tips to help you live better. 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