In addition, if he is selecting foods of little nutritional value, his body is not being fueled properly. As such he may require the use of ipratropium bromide in a metered dose inhaler upon discharge in order to feel less breathless due to the bronchodilator effect of the ipratropium bromide. chest posteriorally. It is worse on exertion and Mr TLT experinces reduced effort tolerance. On auscultation vesicular breathing is heard. The purpose of this activity is to develop students’ clinical reasoning skills using a case … Chronic obstructive lung disease has long been known as a localized pulmonary disorder. He was told to return to the hospital if he had similar episodes. NURS 6501 COPD Case Study Analysis. This could be because he merely had a mild exacerbation. His PMH is significant for COPD… SUBJECTIVE DATA I. PATIENT’S NAME : II. He has been admitted to your ward from the Intensive Care Unit (ICU), where he had a 3 day stay for an acute exacerbation of COPD, caused by community acquired pneumonia. Emphysema and chronic asthmatic bronchitis are the two main conditions that make up COPD.In all cases that damage to the airways eventually interferes … He was discharged after three days when the dyspnoea had resolved. Entrepreneurship term is definition as a process of Identifying the opportunity, the one who organizes, operates and assumes the risk In a business converting the opportunity Into marketable products or services using creative and Innovative means, and through the process creates value and wealth to the … Bob Smith is a retired banker. However, is this use of antibiotics justified in that do patients benefit from it or is the overjudicious use of antibiotics merely promoting antibiotic resistant bacteria? Case study The patient is a 62-year-old married Caucasian female who attended for a routine primary care nurse-led COPD evaluation during 2010. Share this link with a friend: Copied! Diabetes type II. Thus, side stream (burning end of the cigarette) tobacco smoke and environmental (exhaled by smoker) tobacco stream also affect the respiratory conditions of an … There is no blood in the sputum. … A spirometry appointment may also be made. On inspection of the hands, there was no peripheral cyanosis or flapping tremors seen. There was no clubbing or cyanosis seen. Justification: To look for evidence of right ventricular hypertrophy or right atrial hypertrophy which may be seen in chronic lung disease. There was no guarding or tenderness. A meta-analysis by Ram et al [5] of 11 placebo controlled RCTs with 917 patients attempted to analyse the value of antibiotics in the management of acute COPD exacerbations. Interpretation: Normal result. Uncategorized. This is evidenced by elevated levels of the proinflammatory cytokines such as tumor necrosis factor-alpha (TNF-a), interleukin-6, interleukin-8, and TNF-a receptors. He has been keeping the head of the bed up for most of the day, and night to facilitate his breathing which has resulted in lower back pain. Nursing staff to inform if patient deteriorates such as increased respiratory rate or drop in oxygen saturation below 92%. Mr TLT has been having intermittent chronic cough associtaed with mucoid sputum for the past 3 years. He says this position helps his breathing. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! On palpation of the trachea, the trachea is central but the cricosternal distance is 2 fingers which is reduced. No other abnormalities seen. Cognitive therapy | January 23, 2021. … He reports a productive cough of thick yellow green sputum. There was presence of nicotine stains. N1120-Clinical-Makeup-Case-Study-Assignment.doc, Eric Harkenrider Mr Cohen Case Study.docx, West Coast University, Orange County • NURS 211L, West Coast University, Orange County • NURS MISC, COPD Interactive Case Studyrev13019-1.pptx, West Coast University, Orange County • NURSING 100. NURS 6501 COPD Case Study Analysis. Mr TLT used to work as a taxi driver but has stopped working full time 2 years ago. The defective inflammatory response within the lungs is an immune response to long-term exposure to toxins such as cigarette smoke. As such the authors concluded that administration of oral or parenteral corticosteroids in the treatment of acute exacerbations of COPD reduces the likelihood of treatment failure. He was diagnosed with hypertension last year as an incidental finding during a visit to the kilinik kesihatan for an upper respiratory tract infection. Study for free with our range of nursing lectures! SEX : Male DATE OF ADMISSION : 2 June 2009. 5. M.K. He is now able to climb one and a half flights of stairs before becoming breathless. The authors reviewed 11 studies involving 1081 participants. He was given metered dose inhaler of Ipratropium Bromide 40microgrammes tds and MDI salbutamol 200microgrammes PRN. Should antibiotics be given for episodes of exacerbation of chronic obstructive airway disease? Students who viewed this also studied. The origin of the systemic inflammation is thought to be independent of the pulmonary manifestation of COPD. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! Another proposed mechanism is increased cytokine production due to chronic hypoxia. Assignment 12.2: Shadow Health-Focused Exam: COPD and Anti-asthmatics Concept Lab Case Study Patient: Debbie O’Connor DOB: 10/05/1964 Height: 5’5 Weight: 195lbs Allergy: NKDA Previous diagnosis: COPD Group B – chronic bronchitis Current diagnosis: COPD Class C – chronic bronchitis Scenario: Ms. O’Connor is a 55-year old Caucasian female who has come to … D.Z. There is also the presence of chronic cough occasionally associated with mucoid sputum which further suggests COPD. This is because studies have shown that smoking cessation changes the clinical course of COPD by preserving lung function. There was no organomegaly. Prev; Next …  Group Case Study: Emphysema D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). 6) PLAN OF INVESTIGATION, JUSTIFICATIONS FOR THE SELECTION OF TESTS OR PROCEDURES, AND INTERPRETATION OF RESULTS. Oral antibiotics such as T. Cefuroxime may be given. 1. (B) Comparison according to smoking status. He would probably require daily use of ipratropium bromide metered dose inhalers to reduce his breathlessness. An article by Remels et al [6] summarized the extrapulmonary manifestations as well as it’s implications on the holistic management of chronic obstructive airway disease. The primary outcomes measured were treatment failure (hospital readmission, return to emergency department), relapse and mortality. There are no chest wall deformities. COPD Case Study. Systemic review: There was no loss of appetite or loss of weight. There is also evidence of mildly raised JVP as well as mild pittint ankle oedema. Admission/Application Essay Annotated Bibliography Article Assignment Book Report/Review. Pages 3. She has had similar episodes each winter for the past 4 years. Arterial blood gas should be done in order to ensure adequate oxygenation without carbon dioxide retention of acidosis. Investigations done include chest plain radiograph which showed a hyperinflated chest, tubular heart and absence of vascular markings at the peripheries. Case Study Assignment: Assessing The Head, Eyes, Ears, Nose, And Throat Do you need help with your Case Study Assignment: Assessing The Head, Eyes, Ears, Nose, And Throat? He has had hypertension for the past one year and is taking T Amlodipine 5mg od. He needs someone to walk with beside him, when he ambulates because he has an unsteady gait and often needs to stop to catch. Learning Outcomes Successful completion of this assignment should allow you to: – demonstrate an understanding of the pathophysiology, diagnosis and prehospital management of patients with … Business Plan Capstone Project Case Study Coursework Dissertation. He should also be taught about pulmonary rehabilitation. Nursing Essay He can receive respiratory nebulization, treatments of albuterol every 4-6 hours prn. Answers 1. There may also be secondary polycythemia if the patient has chronic pulmonary hypertension. 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. The cardiovascular system examination was normal. His vital signs were also normal and his respiratory rate improved to about 20 breaths per minute. On percussion, there is hyperresonance over both lungs with loss of liver and cardiac dullness. Chronic Obstructive Pulmonary Disease: A Comprehensive Case Study Mark 19 November,2014 Chronic Obstructive Pulmonary Disease better known as COPD is a chronic obstructive disease of the lungs due to which the victims complain of chronically poor airflow. EVIDENCE BASED MEDICINE WORKSHEET FOR REVIEW OF THERAPY STUDIES, Patient (P): Patients who present with stable COPD, How was the article identified: The Cochrane Library, Search keywords : corticosteroids, stable COPD, Citation: Walters JAE,Walters EH,Wood-Baker R.Oral corticosteroids for stable chronic obstructive pulmonary disease. The sputum produced is mucoid in nature and about one tablespoonful in amount. source.. Mr TLT then developed increasing shortness of breath 4 days prior to admission. In this paper we will look at the various facets in the disease process … The patient was apparently well until about 6 months prior to consult, when he began to experience dyspnea when walking more than 20 ft., associated with … ... Services; Testimonials; About Us; Pricing; Contact Us; Login; Place Order. The pharmacological means include nicotine replacement therapy or buproprion. Mr TLT is a chronic smoker for the past 40 years who has been smoking about twenty sticks of cigarettes a day. COPD Case Study Assignment. On physical examination, coarse crepitations would be heard in bronchiectasis as opposed to the fine crepitations heard in Mr TLT. Nursing Care Study This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. There was also no peripheral oedema, pallor or jaundice. It will then move further to discover the comprehensive treatment plan and present a argument on an excellent method to treat the … Broward Community College Mr Carp COPD And Respiratory Infection Case Study January 23, 2021 / in Nursing Essays Writers / by Nursing Writing Help Mr. Carp is a 54-year-old diagnosed with COPD who is admitted with his third exacerbation of dyspnea and … Examination of the cardiovascular system: The apex beat could not be palpated. However there was no statistically significant reduction in mortality. Mr TLT’s chief complaint is shortness of breath. He had fever of 38 degress celcius at that time which resolved with paracetamol. Chronic obstructive pulmonary disease (COPD) continues to be an important cause of morbidity, mortality, and health-care costs worldwide. The use of systemic oral or intravenous corticosteroids is recommended by GOLD guidelines in the management of acute exacerbations of chronic obstructive airway disease. Thornbury, s. 1995. If the patient is not yet willing to quit, there are 5 Rs which should be identified together by the patient and the doctor: • Risks of illness related to continued tobacco use, • Roadblocks for quitting, internal and external, • Repetition of the motivation intervention at each encounter, There are two means of intervention in smoking cessation namely pharmacological and behavioural. Send us a Mail support@nursingessayexamples.com. He does NOT, use oxygen at home. Cigarette smoking 1 ppd x55 years. Use of this feed is for personal non-commercial use only. He is a chronic smoker for the past 40 years and smokes about 20 sticks of cigarrettes a day. (The case study does not give Mr. Cohen’s weight, but since he has hyperlipidemia, Type 2 diabetes, and HTN, there is a strong likelihood that he is carrying some extra weight. There was mild bilateral pitting oedema. Keywords: copd case study essay, copd case study example. Furthermore patients who present with an acute exacerbation are at greater risk of having a bacterial infection. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). Renal impairment may also affect the dosage and type of antibiotics used. Pathophysiology and Pharmacology in COPD – A case report Question. His progressing COPD is reducing his life expectancy. 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. Registered Data Controller No: Z1821391. Free resources to assist you with your nursing studies! He also did not notice any blueness around his lips or at his fingers. The approach to counseling a patient on smoking cessation as well as various options will be further discussed below. The case study assignment essays on law test the legal understanding of the students. He has had hypertension for the past one year and is taking T Amlodipine 5mg od. No left ventricular hypertrophy. 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). Being overweight can increase his oxygen needs and make his COPD worse. January 23, 2021. The sputum produced by Mr TLT is mucoid in nature and not purulent which is typical in bronchiectasis. Problem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem solving actual patient problems in the same manner as they occur in practice. Provide supplemental oxygen via nasal prong 3L/min and maintain SpO2 above 90%. He does NOT use oxygen at home. COPD, Case Study #1 Author: test Keywords: COPD, Chronic Obstructive Pulmonary Disease, case study, patient care Last modified by: Shannon Ikerd … 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. Studies have also shown that there is increased apoptosis of muscle cells at the cellular level. between 90-92% at rest on 2 liters by nasal cannula. His breathlessness improved after nebulization with ipratropium bromide, salbutamol and normal saline for one day. He had mild ankle oedema but no other signs of heart failure such as orthopnoea or paroxysmal nocturnal dyspnoea. Clinical Makeup Case Study Assignment Mr. Cohen is a 75 year old male is admitted to the general medical floor today with an exacerbation of chronic obstructive pulmonary disease (emphysema). He was discharged uneventfully on the third day of admission with the following medication: MDI Salbutamol 200µg PRN, MDI Ipratropium Bromide 40µg TDS and T. Amlodipine 5mg once daily. Do you need any assistance in writing any of your assignments in various fields including COPD Case Study Essay Assignment. Pulmonary hypertension can cause complications of COPD, such as hypertrophy of the right ventricle (cor pulmonale) and ultimately right sided heart failure. Patient Presentation with COPD A Brief Introduction: This paper discusses chronic obstructive pulmonary disease (COPD) and its significance in the family and community settings, its socio-economic and cultural background, past medical history, differential diagnosis, and current guidelines relating to pharmacological and nonpharmacological patient management. In the event that Mr TLT is unable to coordinate well, he may be advised to purchase an aerochamber. [1]. Late in COPD, pulmonary hypertension may occur as a result of thickening of the vascular smooth muscle. Week 2: COPD Case Study Part 1 Example. He is also a chronic smoker for the past 40 years who smokes about 20 … Company Registration No: 4964706. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. He was also counseled on the importance of smoking cessation. Mr TLT’s previous records during follow-up show well controlled blood pressure. He does NOT use oxygen at home. Case presentation 5. Get free sample assignment on case study of Patrick for smoking and COPD.  Group Case Study: Emphysema D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). The authors also found that although there is an increased incidence of corticosteroid side effects such as fluid retention, hypertension and adrenal suppression, the effects are unlikely to persist after treatment ceases. On auscultation, normal first and second heart sounds were heard. Categories . Mr TLT was also able to ambulate without feeling breathless. Mr. Carp is a 54-year-old diagnosed with COPD who is admitted with his third … What diseases in his medical history have been directly influenced by his 55 pack years of smoking? The liver and spleen were not palpable. Her symptoms began 3 days ago with rhinorrhea. 5) Blood urea serum electrolytes and creatinine. Abstract (Introduction) provided is less than 150 words (A brief overview of the background of the topic are provided) 2. NR 601 Week 5 Case Study Assignment: Subjective Objective Information Using National Diabetes Guidelines According to a survey (AIHW 2005); among smokers, almost 90% of the COPD cases were caused due to direct tobacco smoke, whereas, 8% of the children asthma cases were caused due to indirect smoke. Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. 1. He presented to Hospital Batu Pahat with shortness of breath for 4 days that was increasing in severity. 5. They were unable to comment on exacerbations with non-purulent sputum, what antibiotics were the best to be used and also the duration of therapy due to the lack of RCTs done on these aspects. View professional sample essays here. He is currently taking tablet Amlodipine 5 mg once daily. On palpation, chest expansion is reduced on both sides. He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a … Interpretation: This is a normal full blood count result with normal total white count as well as normal haemoglobin levels. Effect of smoking cessation on mortality cause at 14.5 years in the Lung Health Study. He appears as a cachectic man who is experiencing difficulty … No plagiarism, guaranteed! He has not consulted any doctors for these symptoms prior to admission. This preview shows page 1 - 2 out of 5 pages. This reflective essay has helped the student acknowledge the importance of reflection within practice as it allows professionals to convey thoughts of how they can improve on their practice to enhance effective delivery of care. Patients with congestive cardiac failure may also present with a wheeze and sudden increase in dyspnoea. An exemplar or case study ( COPD ) using the system is presented and discussed . 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. January 23, 2021.

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