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.…
Q1. What clinical findings are likely in R.S. as a consequence of his COPD? Ans. The clinical findings are likely in R.S. as consequences of his COPD are SOB, history of smoking, thick sputum and sputum may be purulent, productive cough, wheezing, rhonchi and decreased breath sounds, dyspnea, chills, muscle aches, fatigue may be evident during meals, when walking and even after rest.…
A case study of asthma in a 10 year old European child. This case study will cover the normal structure and function of the respiratory system. This case study will also discuss the changes that occur when asthma is triggered, and the routine diagnostic tests/vital signs for asthma. The normal range of the routine tests/vital signs for asthma and three nursing interventions that are required to meet the clients needs in relation to asthma will be explained further.…
A little surprised, Brooke acknowledged the meeting and went about her business. “Thanks Jan, I will meet with him as soon as I am finished with the narcotic count”. Brooke felt extremely uncomfortable with this drug-sharing situation. She dispensed the medications to the staff and inconspicuously pocketed a few large vials of narcotics.…
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.…
Present NPORT Staffing Brooklyn, N.Y. 11234 • Instruct, motivate, safeguard, and aid patients as they practice exercises or functional activities. • Monitor patients during treatment and inform the physical therapist on their responses and progress either in person or through progress notes. • Manage a caseload of 8-10 patients a day. • Participate in weekly meetings with physical therapy staff to discuss and evaluate patient’s progress. • Meet with family members or caregivers to discuss patient therapeutic activities or treatment plans.…
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.…
Many Americans live with COPD and remain unaware that they have the disease. What may seem like the natural aging process–consistent cough and labored breathing, COPD can quickly develop into a progressive lung disease that can hinder the routine activities of daily life. If you’ve noticed a change in your breathing, excessive fatigue or a consistent mucus build-up, it’s better to consult your doctor to find out if a COPD screening might be appropriate.…
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.…
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's caused by smoking cigarettes or long-term exposure to irritating gases or particulate matter. Your lungs are directly affected by COPD, because air travels down your trachea and into your lungs through the bronchi. The bronchi are divided into many smaller tubes or bronchioles that end in clusters of tiny air sacs called alveoli. Your lungs rely on the natural elasticity of the bronchioles and alveoli to force air out of your body.…
Chronic obstructive pulmonary disease is a lung disease that causes inflammation and stops the airflow from the lungs. Symptoms such as cough, sputum and wheezing are related to this condition. The main cause of the disease is cigarette smoke and exposure to irritating gases for a long time. People with COPD are at a much higher risk of developing heart diseases and other conditions. Contributing conditions to COPD are emphysema and chronic bronchitis.…
I want to thank you for the opportunity to be able to apply for the Physical Therapist's Assistant Program (PTA) at Whatcom Community College. My passion for Physical Therapy began in high school while working at my first job, which was fortunately in a Physical Therapist office. At this job, my aide duties included assisting patients through exercises and setting up patients on modalities. Being a student athlete, this job opportunity made me realize the importance of physical therapy due to sports injuries of team members and classmates. The abundance of these injuries showed that physical therapy and sports rehab injury prevention is a priority among young athletes.…
Fatigue in COPD Fatigue is a disruptive symptom that inhibits normal functional performance of Chronic Obstructive Pulmonary Disease (COPD) patients in daily activities [Theander et al ., 2003] and considerably impacts on their quality of life [guyatt et al ,. 1987]. Fatigue is an unpleasant subjective symptom that prevents individuals from performing his functions and using his normal capacity, affects whole body and changes from a slight exhaustion to unbearable fatigue (Swain, 2000).…