What are the common symptoms associated with an exacerbation of COPD?
Common symptoms associated with exacerbation of chronic obstructive pulmonary disease are: Fatigue, barrel chested, difficulty breathing, nails clubbing, copious amounts of sputum that may have a change in color from clear to yellow, green or brown, waking up disorientated or with a headache, hypertrophied neck muscles (American Thoracic Society, 2014). According to Jarvis, Mary could also have, “purse-lipped breathing” (2016).
What assessment techniques will you use to assess Mary?
Mary would have more comfort during the assessment if she was sitting in a tripod position, she would lean forward and put her arms on the bedside table (Jarvis, 2016). By leaning forward she will use her stomach, neck and intercostal muscles to assist her with …show more content…
I want to know what more I can do to prevent that from happening again.” I would ask Mary if she ever has tried to quit smoking, assess if she is ready to quit smoking, and give her information how to quit smoking.
Then when Mary states, “cigarettes are my one remaining vice. I’ve been smoking over 40 years. My parents smoked and they taught me how to light their cigarettes when I was 12!” I would help Mary with a plan to quit.
Another time that I could help Mary is when she says, “That’s 20 cigarettes. I light up first thing in the morning. If I don’t, it’s all I think about. My body craves it. It is just so frustrating, especially since it is upsetting my daughter and son in law so much. I don’t know where I will go if they kick me out of their home.” I would tell Mary to remove all the cigarettes from her home. I would also encourage Mary to support her efforts to quit. These are the 5 A’s to helping a patient quit smoking, ask, advise, assess, assist, arrange (U.S. Department of Health & Human Services,
Common symptoms associated with exacerbation of chronic obstructive pulmonary disease are: Fatigue, barrel chested, difficulty breathing, nails clubbing, copious amounts of sputum that may have a change in color from clear to yellow, green or brown, waking up disorientated or with a headache, hypertrophied neck muscles (American Thoracic Society, 2014). According to Jarvis, Mary could also have, “purse-lipped breathing” (2016).
What assessment techniques will you use to assess Mary?
Mary would have more comfort during the assessment if she was sitting in a tripod position, she would lean forward and put her arms on the bedside table (Jarvis, 2016). By leaning forward she will use her stomach, neck and intercostal muscles to assist her with …show more content…
I want to know what more I can do to prevent that from happening again.” I would ask Mary if she ever has tried to quit smoking, assess if she is ready to quit smoking, and give her information how to quit smoking.
Then when Mary states, “cigarettes are my one remaining vice. I’ve been smoking over 40 years. My parents smoked and they taught me how to light their cigarettes when I was 12!” I would help Mary with a plan to quit.
Another time that I could help Mary is when she says, “That’s 20 cigarettes. I light up first thing in the morning. If I don’t, it’s all I think about. My body craves it. It is just so frustrating, especially since it is upsetting my daughter and son in law so much. I don’t know where I will go if they kick me out of their home.” I would tell Mary to remove all the cigarettes from her home. I would also encourage Mary to support her efforts to quit. These are the 5 A’s to helping a patient quit smoking, ask, advise, assess, assist, arrange (U.S. Department of Health & Human Services,