a 65 year old man is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD). 3) Sputum FEME, culture and sensitivity (not done). Reference this. Pathophysiology and Pharmacology in COPD – A case report Question. He was able to eat and to sleep well without being bothered by the dyspnoea. Keywords: copd case study essay, copd case study example. She has had similar episodes each winter for the past 4 years. Purpose. The pharmacological means include nicotine replacement therapy or buproprion. Interpretation: This is a normal full blood count result with normal total white count as well as normal haemoglobin levels. Capillary refill is 4 seconds and slight clubbing of his fingers is noted. He is accompanied by his sister, who says John has been experiencing shortness of breath, feeling fatigued and has not been thinking clearly. 2. Writers Available 645 Writers. On auscultation, normal first and second heart sounds were heard. Mr TLT would need to be taught about the correct technique to be used when using metered dose inhalers. No other abnormalities seen. In addition, if he is selecting foods of little nutritional value, his body is not being fueled properly. In this paper we will look at the various facets in the disease process … COPD is a disease typified by reversible obstruction of airflow and defective inflammatory response within the lungs (Hatipoğlu, 2018). If this is also totally wrong to a new linguistic system. The authors concluded that antibiotics therapy is appropriate in exacerbations of COPD associated with increased cough and sputum purulence. This concurs with a Cochrane metaanalysis by Lacasse et al [8] which strongly support respiratory at least four weeks of exercise training as part of the of management for patients with COPD. Justification: To look for renal impairment which may be present due to Mr TLT having hypertension. Mr TLT then proceeded to have shortness of breath for the past one year. He appears cachectic and experiences dyspnea at rest. Fig. Chronic obstructive pulmonary disease (COPD) continues to be an important cause of morbidity, mortality, and health-care costs worldwide. There was also cough with production of mucoid sputum. 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? The sputum produced by Mr TLT is mucoid in nature and not purulent which is typical in bronchiectasis. 4. They further found that antibiotics have the greatest effect for patients with severe exacerbations who are admitted to the hospital. Results: Hyperinflation of the chest with the 7th anterior rib crossing the diaphragm. 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). AGE : 65 years III. 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 primary outcomes measured were treatment failure (hospital readmission, return to emergency department), relapse and mortality. Furthermore patients who present with an acute exacerbation are at greater risk of having a bacterial infection. 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! Mr TLT’s chief complaint is shortness of breath. If there any organism cultured, proper antibiotics can be given based on the sensitivity test. Thank you for seeing this 58 year old gentleman who is hypertensive for the past 1 year currently on T. Amlodipine 5mg once daily. Internal Code: MAS6005 Nursing Assignment Help Review the following case study and in a written paper, respond to the questions that follow. CASE STUDY 1 - Community Acquired Pneumonia. COPD Case Study. You've reached the end of your free preview. These findings have significant implications on management of a COPD patient which will be discussed below. There were no other abnormalities on physical examination. Shortness of breath and reduced effort tolerance. It is a global health issue, with … Systemic inflammation is also seen in patients with COPD. Course Hero is not sponsored or endorsed by any college or university. Mr TLT’s previous records during follow-up show well controlled blood pressure. Smoking is linked to about 80% deaths due to chronic obstructive pulmonary disease (Hodson & Sherrington, 2014). Mr Teo has been a chronic smoker for the past 40 years and smokes up to 20 sticks of cigarettes a day. 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. Interpretation: Hyperinflation of the lung fields is consistent with the provisional diagnosis of chronic obstructive airway disease. Study for free with our range of nursing lectures! He was discharged after three days when the dyspnoea had resolved. Current Global initiative for chronic Lung Disease guidelines [4] recommend that antibiotics should be given in: i) patients with exacerbations of COPD and the three cardinal symptoms of increased. The shortness of breath may be partially relieved with the use of nebulization of ipratropium bromide, salbutamol and normal saline or with the use of metered dose inhalers. He was also counseled on the importance of smoking cessation. Mr TLT was discharged after 3 days of admission and educated on chronic obstructive airway disease. He still occasionally drives his taxi but spends more time at home with his family. The chronic obstructive pulmonary disease … He also had a productive cough with mucoid sputum at this time. Mr TLT also has had reduced effort tolerance and persistent dyspnoea for the past a year. He appears as a cachectic man who is experiencing difficulty … There is low voltage seen. The results show a statistically significant difference between placebo and use of corticosteoids. This is associated with early and continuing improvement during treatment with corticosteroids in lung function, breathlessness and blood gases and with a shorter hospital stay. The liver and spleen were not palpable. (B) Comparison according to smoking status. 9) DISCHARGE PLAN, COUNSELLING AND MOCK PRESCRIPTION, 2. Mr TLT is a 58 year old taxi driver who was admitted to Hospital Batu Pahat due to newly diagnosed chronic obstructive pulmonary disease. These case studies involve problems related to that disease. NSG-3201 Nursing Case Study Assignment-Australia. This preview shows page 1 - 3 out of 3 pages. Send us a Mail support@nursingessayexamples.com. He is currently taking tablet Amlodipine 5 mg once daily. Acute exacerbation of newly diagnosed chronic obstructive airway disease due to upper respiratory tract infection. The patient should be monitored for signs and symptoms of cor … Chronic obstructive pulmonary disease (COPD) This disease was considered because the patient is an adult aged 25 years, which is the age group of the case study. NR 601 Week 2 COPD Case Study Part 2 Initial post faculty peer responses Purpose Problem-based learning is a methodology designed to help students develop the reasoning process … in clinical practice through problem solving actual patient problems in the same manner as they occur in practice. Content: Case study Option 2: Adult with Chronic Obstructive Pulmonary Disease (COPD) Student: Professor: Course title: COPD case study. Tylenol has, not been effective in reducing his pain, so his physician has prescribed oxycodone/, acetaminophen (Percocet) 1-2 tabs po every 4-6 hours as needed for pain. SYMPTOMS OF COPD: Common symptoms of COPD include: chronic cough, sputum production and shortness of breath. Mr TLT should be taught about the correct technique in using a metered dose inhaler. The use of systemic oral or intravenous corticosteroids is recommended by GOLD guidelines in the management of acute exacerbations of chronic obstructive airway disease. He is also a chronic smoker for the past 40 years who smokes about 20 … One postulation is the increase systemic inflammatory mediators such as neutrophils and lymphocytes in the circulation of patients with COPD. On physical examination, coarse crepitations would be heard in bronchiectasis as opposed to the fine crepitations heard in Mr TLT. He is also at increased risk of developing COPD due to exposure to associated risk factors such as tobacco smoke. 1. Mr. Carp is a 54-year-old diagnosed with COPD who is admitted with his third … Pathophysiology of the System . This is because of the depressed immune state that the patient is in as a result of the acute illness as well as due to any steroids that would be given as part of the management plan. No ischaemic changes seen. ii) patients with exacerbation of COPD with two of the cardinal symptoms if increased, purulence of sputum is one of the two symptoms, iii) patients with severe exacerbations of COPD that requires mechanical ventilation. Uncategorized. Mr TLT presented with shortness of breath which progressively increased in severity for the past 4 days. Chronic obstructive lung disease has long been known as a localized pulmonary disorder. His PMH is significant for COPD… Do you need any assistance in writing any of your assignments in various fields including COPD Case Study Essay Assignment. This in turn has a positve impact on the economic cost of treating exacerbations, with fewer follow-up visits and hospital admissions. Standard deviation does not arise independently of the american soldier: Studies in child development and moderation of sex or gender to help pneumonia with copd case study you understand there is a gross numerical increase of, and potential employers at a resort after reading a newspaper or magazine that people can flock together without good control means … His house becomes draft and damp in the winter. 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? A working diagnosis of acute exacerbation of chronic obstructive airway disease due to upper respiratory tract infection was made. My proposed plan of management is as follows: 1. Broward Community College Mr Carp COPD And Respiratory Infection Case Study. This case study incorporates a common presentation seen by the nurse in clinical practice: community acquired pneumonia with a history of COPD causing an acute exacerbation. Should antibiotics be given for episodes of exacerbation of chronic obstructive airway disease? Chronic obstructive pulmonary disease (COPD) This disease was considered because the patient is an adult aged 25 years, which is the age group of the case study. This is because studies have shown that smoking cessation changes the clinical course of COPD by preserving lung function. COPD case study assignment.docx - COPD case study assignment.docx - School Eastwick College; Course Title MEDICAL 108; Uploaded By akosua1047. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based … 1. As such a broad spectrum antibiotic is usually used to cover different bacteria. Late in COPD, pulmonary hypertension may occur as a result of thickening of the vascular smooth muscle. Case: COPD . He is currently considering it and would like to learn more about the various options of smoking cessation. Case history #2. The authors found that there was clinically and statistically significant improvements in quality of life as measured by dyspnea, fatigue and emotional function. Sudden worsening of symptoms suggest an episode of acute exacerbation. Cognitive therapy | January 23, 2021. However the patient, Mr TLT was not given any systemic corticosteroids. Justification: May be necessary in severe cases of breathlessness to look for respiratory failure and associated changes in blood pH. Looking through his chart you note the following in his medical history: diseases in his medical history have been directly influenced by his 55, You as the student nurse enter his room and you find him hunched over his. In the event that Mr TLT is unable to coordinate well, he may be advised to purchase an aerochamber. a 65 yr old man is admitted to a medical floor for COPD exacerbation. Mr TLT then developed symptoms of upper respiratory tract infection such as rhinorrhea and sore throat one week prior to admission. 1) CASE SUMMARY. Do you have a 2:1 degree or higher in nursing or healthcare? 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 … Justification: In order to look for any bacteria which may have been the cause of the exacerbation . The apex beat could not be palpated. He is also a chronic smoker for the past 40 years who smokes about 20 sticks of cigarettes a day. [1]. The case study assignment essays on law test the legal understanding of the students. 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. Mr TLT is a chronic smoker for the past 40 years who has been smoking about twenty sticks of cigarettes a day. Outline Personal Statement PowerPoint Presentation Report Research Paper. He says this position helps his breathing. January 23, 2021. Case presentation 5. Give nebulization of Ipratropium Bromide:Salbutamol:Normal Saline in ratio of 2:2:1 every four hours until breathlessness decreases. 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. The authors reviewed 11 studies involving 1081 participants. 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. The chest moves equally with respiration and there is use of accessory mucles with intercostal, subcostal and suprasternal retraction. 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 … Number 1 custom essay writing service . bedside table watching TV. Essay Lab Report Literature review Math Problem Movie Review. 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. You as the student nurse enter his room and you find him hunched over his bedside table watching TV. Postural drainage and chest physiotherapy may be performed. He does NOT use oxygen at home. Essay Assignment on Nutrition Care Management of COPD. Chronic cough can cause excess mucus production. Critical Thinking- 1 Paper – WENDY LEWIS. What are the benefits of smoking cessation in COPD patients and how should counseling be done? Sample Case Study on Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus We do not share your personal information with any company or person. No plagiarism, guaranteed! 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. Case Study How do you evaluate the term “entrepreneurship” through this case? CASE STUDY 1 - Community Acquired Pneumonia. He has a past medical history of HTN, which has been well controlled by enalapril for the past six years and a diagnosis of pneumonia for the three years. There was still some ronchi heard on auscultation but it was much reduced. He is now able to climb one and a half flights of stairs before becoming breathless. There was no clubbing or cyanosis seen. I therefore looked up for counseling methods for smoking cessation. He can receive respiratory nebulization, treatments of albuterol every 4-6 hours prn. Cigarette smoking performs the key role in an assessed 90% of COPD cases (Divo et al., 2012). Free resources to assist you with your nursing studies! This … Patients who had stopped smoking had lower rates of death due of coronary heart disease , cerebrovascular disease, lung cancer, and other respiratory disease as compared with those assigned to usual care who continue to smoke. This finding has been attributed to abnormalities in mitochondria or to hypoxia. 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. There was less treatment failure in patients given corticosteroids. 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 … This piece of work will explore the comprehensively physical examination, differential diagnosis and various diagnostic tests to confirm the disease condition that is CHRONIC OBSTRUCTIVE PULMONARY DISEASE. She reports a chronic morning cough productive of white sputum, which has increased over the past 2 days. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! He was diagnosed with hypertension last year as an incidental finding during a visit to the kilinik kesihatan for an upper respiratory tract infection. He had mild ankle oedema but no other signs of heart failure such as orthopnoea or paroxysmal nocturnal dyspnoea. He would probably require daily use of ipratropium bromide metered dose inhalers to reduce his breathlessness. This was not given in this patient with further discussion below. Chest physiotherapy may also be useful. [2] There are 5 As that a doctor should perform for a patient who is a smoker: • Assess the willingness to attempt quitting, • Assist the patient with methods for quitting, • Arrange for follow-up contact via phone or face to face. Nursing Essay chest posteriorally. He was afebrile during his stay. 3. COPD is a debilitating illness which causes patient’s emotional, social, psychological and physical distress due to the impact on daily living. 8) SUMMARY OF INPATIENT PROGRESS (INCLUDING MAJOR EVENTS, CHANGE OF DIAGNOSIS OR MANAGEMENT AND OUTCOMES). He should be counseled on the various options of smoking cessation which will be discussed further below. There may also be secondary polycythemia if the patient has chronic pulmonary hypertension. 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. He has had hypertension for the past one year and is taking T Amlodipine 5mg od. Nursing Case Studies on COPD 1899 633 In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically, psychologically,and socially,I will also explain how the disease affects his daily routine and how it impacts on his family life. 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. Disclaimer: This essay has been written by a student and not our expert nursing writers. Another proposed mechanism is increased cytokine production due to chronic hypoxia. No bounding pulse. 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. Mr TLT may have developed congestive cardiac failure as a primary event or as a complication of chronic lung disease. 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. Prev; Next … 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. The therapeutic implications of these findings is that muscle atrophy should be prevented by resistance exercise as well as combined strength and endurance exercise. 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 … Share this link with a friend: Copied! There is no renal impairment. The approach to counseling a patient on smoking cessation as well as various options will be further discussed below. Working Hours Mon - Sun 08:00 19:00. nursingessayexamples. Justification: Done in order to look for evidence of chronic obstructive airway disease such as hyperinflated chest or evidence of congestive cardiac failure such as cardiomegaly and prominent upper lobe vessels. Use of this feed is for personal non-commercial use only. On inspection of the hands, there was no peripheral cyanosis or flapping tremors seen. Pages 3. Case Study Of Copd Patient. Students who viewed this also studied. Current Malaysian guidelines on the management of COPD [7] recommend pulmonary resistance including lower and upper limb exercises as well as inspiratory muscle training. Interpretation: Normal result. HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. Anxiety. 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. 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. There is generalised expiratory rhonchi. 6. Keywords: copd case study essay, copd case study example. The history of upper respiratory tract infection symptoms suggest that it was the trigger for this episode of exacerbation. Mr TLT was warded for a total of 3 days. He was breathless even at rest but was still able to speak in sentences. He should also be taught about pulmonary rehabilitation. Mr TLT has been having intermittent chronic cough associtaed with mucoid sputum for the past 3 years. 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. The jugular venous pressure is mildly elevated at 3.5 cm above the sternal angle. He was able to speak in sentences but there was use of his accessory muscles. The sputum was mucoid and non purulent. 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. There was no guarding or tenderness. VAT Registration No: 842417633. 4) PROVISIONAL AND DIFFERENTIAL DIAGNOSES WITH REASONING. Mr TLT was also able to ambulate without feeling breathless. Diagnostic Studies/ Laboratories . 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). There were no parasternal heaves or thrills palpable. He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years. There was no cyanosis. The chronic obstructive pulmonary disease spreads through smoking which affects the lungs maximum air holding capacity. On auscultation vesicular breathing is heard. 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. 5. Jokes, laugh 12. The chronic obstructive pulmonary disease spreads through smoking which affects the lungs maximum air holding capacity. Cognitive therapy | January 23, 2021. His symptoms improved after being given the nebulization. This is because studies have shown that smoking cessation changes the clinical course of COPD by preserving lung function. For this assignment, write your … CASE STUDY : COPD. The shortness of breath was associated with a wheeze. Abstract (Introduction) provided is less than 150 words (A brief overview of the background of the topic are provided) 2. He drinks alcohol with his friends on weekends. An exemplar or case study ( COPD ) using the system is presented and discussed . … Patients with the chronic obstructive pulmonary disease also present … Copd Exacerbation 2973 Words | 12 Pages. An ECG may be done to look for right atrial hypertrophy. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. If you are looking for a Nursing assignment help of the highest quality regarding Pathophysiology of COPD or Nancy Case Study from the most competent specialists you can visit TVAssignmentHelp.Com and get instant help. Skip to content. Tactile fremitus is equal on both sides. The major tools available for assignment in an imbalance of skills development training, the majority of the two activities with objects and concrete lerner, overton, see also elder shanahan, chapter, this handbook, this volume. He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years. There are no chest wall deformities. Answers 1. There was also no peripheral oedema, pallor or jaundice. SpO2: 95% under nasal prong oxygen 3 litres per minute. In conclusion, it was appropriate that Mr TLT was not given antibiotics as he did not have the cardinal signs as mentioned by the GOLD guidelines and further supported by the systemic review. 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. Writer 1658. Published by Assignment Worker on September 19, 2020. Essay Case Option 2: Adult with Chronic Obstructive Pulmonary Disease (COPD) ... -A full reference list is required at the end of the assignment. … Mr. Cohen is, on 2 liters of oxygen by nasal cannula. Task: Background to Clinical Scenario: Robert is a 51 year old man who lives with his wife in regional Victoria. Respiratory ward with acute exacerbation of chronic obstructive airway disease findings of a patient... One month time by dyspnea, fatigue and emotional function of accesory muscles well! Body is not sponsored or endorsed by any College or university cardiovascular system: the apex beat could be. One day student nurse enter his room and you find him hunched over his bedside table watching.! Nursinganswers.Net purchase is secure ; you … broward Community College mr Carp COPD and use of ipratropium bromide tds... Breath even at rest on 2 liters by nasal cannula cellular level can... Echocardiogram should also be secondary polycythemia if the patient has chronic pulmonary hypertension with writing your essay... Receive respiratory nebulization, treatments of albuterol every 4-6 hours PRN of patients would be heard bronchiectasis... 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