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Chronic Obstructive Pulmonary Diseases
Chronic Obstructive Pulmonary Diseases
Exacerbation of copd essay
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Chronic Obstructive Pulmonary Disease (COPD) is one of the most common chronic disease that affect the normal function of lungs. COPD is an obstructive lung disease and the inflammation and thickening of the airway makes breathing very difficult for patients with COPD1. COPD is often preventable and treatable. The severity of COPD depends on patient’s airflow limitation through their airways and degree of symptoms1. According to Global Initiative for COPD (GOLD), air flow limitation in COPD patients is not fully reversible, usually progressive and is normally related with an abnormal inflammatory response of the lungs to harmful particles or gases that are inhaled1. The characteristic symptoms of COPD includes chronic cough, shortness of breath, decreased exercise tolerance and wheezing1. Usually, COPD patients have a symptoms of emphysema1. Emphysema is a chronic lung disease defined as abnormal and permanent enlargement alveoli in the lungs which leads to collapse and destruction of alvoli1. This causes airflow obstruction, increased work of breathing, increased breathlessness, and reduced efficiency of expiratory muscles1.
There are so many other environmental factors that can cause COPD they are, air pollution, pollens, dust, occupational chemicals and gas fumes can also cause COPD2. There is another form of COPD called alpha-1 antitrypsin deficiency (genetic) caused by lack of a protective protein in the blood2. Alpha-1 antitrypsin is produced by the liver and it is known as lung protector2. Deficiency of alpha-1 antitrypsin is responsible for 2-3 percentage of emphysema in US2. Approximately 80-90 percent of COPD is caused by tobacco smoking2. COPD is commonly affected on people aged above 40 years old and mostly affected on men. In the United States, COPD is ranked as the 3rd leading cause of
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
Mrs. Jones has a history of COPD. She was already taking albuterol for her illness and it was ineffective when she took it that day. Mrs. Jones had been a smoker but had quit several years ago. According to Chojnowski (2003), smoking is a major causative factor in the development of COPD. Mrs. Jones's primary provider stated that she had a mixed type of COPD. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) was established to address the growing problem of COPD. The GOLD standards identify three conditions that contribute to the structural changes found in COPD: Chronic bronchiolitis, emphysema, and chronic bronchitis. A mixed diagnosis means that the patient has a combination of these conditions (D., Chojnowski, 2003). Mrs. Jones chronically displayed the characteristic symptoms of COPD. "The characteristic symptoms are cough, sputum production, dyspnea on exertion, and decreased exercise tolerance." (D., Chojnowski, 2003, p. 27).
My PICOT question was developed after reading the case study about a patient named Vincent Brody who had for the last 50 years of his life consumed 40 cigarettes a day and despite his diagnosis of Chronic obstructive pulmonary disease (COPD) and a recent episode of exacerbation of his condition that required him to be admitted to hospital he was continuing to smoke.
Chronic obstructive pulmonary disease, better known as COPD, is a disease that affects a person’s ability to breathe normal. COPD is a combination of two major lung diseases: emphysema and chronic bronchitis. Bronchitis affects the bronchioles and emphysema affects the alveoli.
Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases that block airflow and make it hard to breathe. Emphysema and chronic bronchitis are the most common types of COPD (Ignatavicius & Workman, 2016, p 557). Primary symptoms include coughing, mucus, chest pain, shortness of breath, and wheezing (Ignatavicius & Workman, 2016, p.557). COPD develops slowly and worsens over time if not treated during early stages. The disease has no cure, but medication and disease management can slow its progress and make one feel better (NIH, 2013)
My disease is Streptococcal pneumonia or pneumonia is caused by the pathogen Streptococcus pneumoniae. Streptococcus pneumoniae is present in human’s normal flora, which normally doesn’t cause any problems or diseases. Sometimes though when the numbers get too low it can cause diseases or upper respiratory tract problems or infections (Todar, 2008-2012). Pneumonia caused by this pathogen has four stages. The first one is where the lungs fill with fluid. The second stage causes neutrophils and red blood cells to come to the area which are attracted by the pathogen. The third stage has the neutrophils stuffed into the alveoli in the lungs causing little bacteria to be left over. The fourth stage of this disease the remaining residue in the lungs are take out by the macrophages. Aside from these steps pneumonia follows, if the disease should persist further, it can get into the blood causing a systemic reaction resulting in the whole body being affected (Ballough). Some signs and symptoms of this disease are, “fever, malaise, cough, pleuritic chest pain, purulent or blood-tinged sputum” (Henry, 2013). Streptococcal pneumonia is spread through person-to-person contact through aerosol droplets affecting the respiratory tract causing it to get into the human body (Henry, 2013).
The functioning of the chronic obstructive pulmonary diseases (COPD) is that it has a permanent decrease in the ability to force air out of the lungs. Consequently, it causes emphysema to become a more advanced disease with no cure. Emphysema is known for their permanent enlargement of the alveoli, which are accompanied by the destruction of the alveolar walls. The lungs lose their elasticity, so it loses its ability to recoil passively during expiration. People who have emphysema becomes exhausted fast because they need about fifteen to twenty percent of their body energy to breath which is more than what a healthy person needs. Smoking inhibits and destroys cilia in the conducting zone structures, which is the line of defense for the respiratory system.
In addition to being responsible for 87% of lung cancers, smoking is also associated with cancers of the mouth, pharynx, larynx, esophagus, pancreas, uterine cervix, kidney, and bladder. Smoking accounts for at least 29% of all cancer deaths, is a major cause of heart disease, and is associated with conditions ranging from colds and gastric ulcers to chronic bronchitis, emphysema, and cerebrovascular disease. Women have a better chance in getting lung cancer then men do. This year the disease will kill 68,000 women in the United States, more than one and a half times as many as breast cancer. Even if a woman smoked for awhile and quit, her chances are much greater then a man that smoked 2 times longer then the woman did.
Chronic obstructive pulmonary disease (COPD) is preventable disease that has a detrimental effects on both the airway and lung parenchyma (Nazir & Erbland, 2009). COPD categorises emphysema and chronic bronchitis, both of which are characterised by a reduced maximum expiratory flow and slow but forced emptying of the lungs (Jeffery 1998). The disease has the one of the highest number of fatalities in the developed world due to the ever increasing amount of tobacco smokers and is associated with significant morbidity and mortality (Marx, Hockberger & Walls, 2014). Signs and symptoms that indicate the presence of the disease include a productive cough, wheezing, dyspnoea and predisposing risk factors (Edelman et al., 1992). The diagnosis of COPD is predominantly based on the results of a lung function assessment (Larsson, 2007). Chronic bronchitis is differentiated from emphysema by it's presentation of a productive cough present for a minimum of three months in two consecutive years that cannot be attributed to other pulmonary or cardiac causes (Marx, Hockberger & Walls, 2014) (Viegi et al., 2007). Whereas emphysema is defined pathologically as as the irreversible destruction without obvious fibrosis of the lung alveoli (Marx, Hockberger & Walls, 2014) (Veigi et al., 2007).It is common for emphysema and chronic bronchitis to be diagnosed concurrently owing to the similarities between the diseases (Marx, Hockberger & Walls, 2014).
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
Smoking causes many other types of cancer, including cancers of the throat, mouth, nasal cavity, esophagus, stomach, pancreas, kidney, bladder, and cervix, and even leukemia has been found linked to smoking. Also, people who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. Smoking also causes most cases of chronic obstructive lung disease. Also, approximately 49,400 deaths have been due to exposure to secondhand smoke. 3,000 nonsmoking adults die of diseases caused by exposure to second-hand smoke every year.
Vijayan, V. K. (2013). Chronic obstructive pulmonary disease. Indian Journal Of Medical Research, 137(2), 251-269.
As most of you know, smoking is bad for your health, but what some of you might not know is that you don’t actually have to smoke to be harmed by smoking. Lung cancer, which is the leading cause of cancer deaths in men and women, is mainly caused by cigarette smoking. Secondhand smoking causes approximately 2 percent of lung cancer deaths each year. It causes respiratory disease, Sudden Infant Death Syndrome (SIDS), middle ear disease, and asthma attacks in children.
Air pollution is caused by many things such as car fumes, burning of fossil fuels,
Approximately one in two lifetime smokers will die from their habit. Half of these deaths will occur in middle age. The most common of the diseases caused by smoking is cancer, of course. Not only is it a cause of lung cancer, but cancer of the larynx, and the esophagus, and it contributes to the development of cancers of the bladder, pancreas, and kidney. Lung cancer comes from the tar in the cigarettes.