Repiratory system examination showed use of accesory muscles as well as increased anterior posterior diameter of the chest and reduced cricosternal distance. Patients who had stopped … Overview. Learning Outcomes Successful completion of this assignment should allow you to: – demonstrate an understanding of the pathophysiology, diagnosis and prehospital management of patients with … The authors reviewed 11 studies involving 1081 participants. Interpretation: Normal ECG with low voltage is seen in a hyperinflated chest such as in patients with COPD, 7) WORKING DIAGNOSIS AND PLAN OF MANAGEMENT ON ADMISSION, Acute exacerbation of chronic obstructive airway disease due to upper respiratory tract infection. Physical findings of a hyperinflated chest and vesicular breathing with generalised expiratory rhonchi also point to an obstructive airway disease. The patient had no other past medical history, apart from moderate COPD. Get Help with your Assignments Instantly! His vital signs were also normal and his respiratory rate improved to about 20 breaths per minute. Close monitoring of vital signs and SpO2 hourly until the patient’s breathlessness improves. Disclaimer: This essay has been written by a student and not our expert nursing writers. Being overweight can increase his oxygen needs and make his COPD worse. This essay will use a case based discussion to illustrate the role of the Nurse Practitioner (NP), and nurse prescribing issues for a patient with COPD. *You can also browse our support articles here >. ORDER … 1. Mr. Carp is a 54-year-old diagnosed with COPD who is admitted with his third exacerbation of dyspnea and a respiratory infection this year. The chronic obstructive pulmonary disease spreads through smoking which affects the lungs maximum air holding capacity. The purpose of this activity is to develop students’ clinical reasoning skills using a case … Cigarette smoking 1 ppd x55 years. He says this position helps his breathing (Tripod position). He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a … Counseling for smoking cessation should play a significant role in the holistic management of a patient with chronic obstructive airway disease. On auscultation vesicular breathing is heard. Course Hero is not sponsored or endorsed by any college or university. Postural drainage and chest physiotherapy may be performed. Keywords: copd case study essay, copd case study example. Mr TLT is the eldest of 5 siblings. 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. It is worse on exertion and Mr TLT experinces reduced effort tolerance. 3. Certain quarters support the use of prophylactic antibiotics in all exacerbations due to the knowledge that most exacerbations are caused by the common organisms of Streptococcus pneumoniae (S. pneumoniae), Haemophilus influenzae (H. influenzae), Pseudomonas aeruginosa (P. aeruginosa) and Moraxella catarrhalis (M. catarrhalis). One study of patients reviewed at 14.5 years after stopping smoking showed that smoking cessation intervention showed 18% reduction in all-cause mortality compared with usual care without smoking cessation intervention. Clinical Scenario Assignment: Pathophysiology and Pharmacology in COPD . Jokes, laugh 12. Mr TLT then developed increasing shortness of breath 4 days prior to admission. His oxygen saturation is assessed continually to monitor for hypoxia. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as the development of treatment plans. The liver and spleen were not palpable. CASE STUDY 1 - Community Acquired Pneumonia. There is also the presence of chronic cough occasionally associated with mucoid sputum which further suggests COPD. SYMPTOMS OF COPD: Common symptoms of COPD include: chronic cough, sputum production and shortness of breath. January 23, 2021. Working Hours Mon - Sun 08:00 19:00. nursingessayexamples. He also did not notice any blueness around his lips or at his fingers. Anxiety. Patient and History: D.Z. On palpation, chest expansion is reduced on both sides. He no longer required nebulization after one day. The cough is productive at times. He was given an appointment to assess his symptoms at the outpatient department in one month time. Essay Assignment on Nutrition Care Management of COPD Teacher Martha Williams Categories Nutrition/Dietary Review (0 review) $9.99 Buy This Answer or Higher a Writer Homework Question Resource Features Students 109 students Max Students1000 Length10 week Skill levelall … Systemic review: There was no loss of appetite or loss of weight. Kindly assess the patients keenness for smoking cessation as well as provide him with additional information on the options available to quit smoking. The history of upper respiratory tract infection symptoms suggest that it was the trigger for this episode of exacerbation. M.K. Mr TLT should be counseled on smoking cessation as it has been proven that smoking cessation would alter the course of progression in COPD and is associated with lower all-cause mortality. This is because studies have shown that smoking cessation changes the clinical course of COPD by preserving lung function. Justification: In order to view the total white count as well as the differential count to see if there is an infection which has caused this episode of exacerbation. COPD Case Study Assignment. Essay Case Option 2: Adult with Chronic Obstructive Pulmonary Disease (COPD) ... -A full reference list is required at the end of the assignment. c)Discuss the medical and surgical interventions generally for a patient with COPD and specifically for Mrs Graham, taking into account the ABG and vital signs stated above. He is currently taking tablet Amlodipine 5 mg once daily. An exemplar or case study ( COPD ) using the system is presented and discussed . We have also ensured that the ordering process is secure; you … Independent of the loss of muscle mass is the reduced muscle endurance. Mr TLT is a chronic smoker for the past 40 years who has been smoking about twenty sticks of cigarettes a day. Investigations done include chest plain radiograph which showed a hyperinflated chest, tubular heart and absence of vascular markings at the peripheries. Chronic obstructive pulmonary disease or COPD is an umbrella term that refers to a group of lung diseases that block airflow during exhalation, which makes it increasingly difficult to breath. If there any organism cultured, proper antibiotics can be given based on the sensitivity test. COPD Case Study.pdf - Clinical Makeup Case Study Assignment N211 Spring I 2020 Introducing Mr Cohen Mr Cohen is a 75 year old male is admitted to the, 1 out of 1 people found this document helpful, Mr. Cohen is a 75 year old male is admitted to the general medical floor today, with an exacerbation of chronic obstructive pulmonary disease (COPD). In this assignment, the complexities management will be discussed in a specific case study of Mr. X who is a 75 years old male, experiencing a condition of Chronic Obstructive Pulmonary Disease (COPD) over the last ten years. The chest moves equally with respiration and there is use of accessory mucles with intercostal, subcostal and suprasternal retraction. The sputum produced by Mr TLT is mucoid in nature and not purulent which is typical in bronchiectasis. Give nebulization of Ipratropium Bromide:Salbutamol:Normal Saline in ratio of 2:2:1 every four hours until breathlessness decreases. This may be attributed to the increase in number of goblet cells and later on fibrosis of the bronchial walls causing airway obstruction seen in chronic obstructive airway disease. An ECG may be done to look for right atrial hypertrophy. Home; COPD case study; Health Literacy and Patient Safety September 19, 2020. 4. There is no P pulmonale seen. He was breathless even at rest but was still able to speak in sentences. The cardiovascular system examination was normal. He has had hypertension for the past one year and is taking T Amlodipine 5mg od. Relapse within 30 days were also reduced. Behavioural interventions include counseling programs that teach problem-solving skills and support groups. Do you need any assistance in writing any of your assignments in various fields including COPD Case Study Essay Assignment. Interpretation: Hyperinflation of the lung fields is consistent with the provisional diagnosis of chronic obstructive airway disease. Copd Exacerbation 2973 Words | 12 Pages. HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. You've reached the end of your free preview. A 56-year-old woman with a history of smoking presents to her primary care physician with shortness of breath and cough for several days. On physical examination, coarse crepitations would be heard in bronchiectasis as opposed to the fine crepitations heard in Mr TLT. The chronic obstructive pulmonary disease … There may also be secondary polycythemia if the patient has chronic pulmonary hypertension. Nursing Care Study This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. Should antibiotics be given for episodes of exacerbation of chronic obstructive airway disease? People with COPD are at increased risk of chest infections, some of which will be severe enough to require hospitalisation. Categories . Mr Teo has been a chronic smoker for the past 40 years and smokes up to 20 sticks of cigarettes a day. Broward Community College Mr Carp COPD And Respiratory Infection Case Study. The authors reviewed randomized controlled trials comparing parenteral or oral corticosteroids with placebo for the treatment of exacerbation of COPD. 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