Nursing Case Study And Treatment Of Nursing (POWH)

939 Words 4 Pages
Patient, a 71-year-old, retired truck driver, presented to Prince of Wales Hospital (POWH) due to an exacerbation of COPD (chronic obstructive pulmonary disease) of 2 days presenting as dyspnea on the background of 5-year history of COPD with 1 or 2 exacerbations a year, previous peripheral venous insufficiency with ulcers, previous solitary pulmonary nodule and an ex-smoker with 100 pack-year history. Initial examination presented with respiratory rate of 22 breaths/minute, oxygen saturation of 94%, dull percussion at lower zones bilaterally, regular lump at the back midline and near the shoulder.

Presenting Complaint

Patient had presented to GP (general practitioner) a week ahead for dyspnea and had only worsen. Patient presented to POWH a week later for progressively worsening dyspnea. Patient had no productive coughs, fevers, rigors, night sweats, recent weight loss, and no chest pain. Patient also has no known cardiovascular disease. For the purpose of this assignment patient was seen on day 5 of treatment.

Past Medical History

Patient was diagnosed with COPD 5 years ago and has had 1 to 2 exacerbative episodes every year. Patient has hypertension, was also prescribed with O2 therapy at home but doesn’t use it. Patient had peripheral venous insufficiency with venous
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Patient was also started on corticosteroids, Prednisone, to reduce inflammation and would be weaned off at discharge to avoid community acquired infections. Patient was to continue taking bronchodilators and inhaled steroids as before. An example of multimodal approach to management was when the patient was also prescribed physiotherapy to increase exercise tolerance and endurance which would lead to faster recovery and better prognostics. Patient was also referred to the social workers and occupational therapy as he expressed concerns going back to living alone. Patient was to have a follow-up with his GP in 3

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