CHIEF COMPLAINT: Dyspnea. For details on his present illness, past medical history please see dictation from (___). Physical exam on admission please see dictation (___). Laboratory please see dictation (___). On ___ [DATE] WBC 13.9, hemoglobin 10.9, platelets 113, INR was 1.4. On ___ [DATE] sodium 130, potassium 3.5, chloride 91, CO2 27, BUN 22, creatinine 0.7, glucose 225. HOSPITAL COURSE: The patient was admitted. He was treated with IV steroids and antibiotics. He gradually improved. He is still having trouble with oxygenation however and, arrangements are being made for a higher flow oxygen at home. In addition he will use an oxymizer. Consideration was given to having him go to the ___ [PLACE] for physical therapy, but he has
The presented case is of a patient named R.S. who has a smoking history of many years, which can be directly tied to his development of chronic bronchitis, a chronic obstructive pulmonary disease (COPD) specified as Type B. It is estimated that in 90% of chronic bronchitis or “blue bloaters”, cigarette smoking is the major cause. Chronic bronchitis involves persistent and irreversible airway obstruction, due to the constant inflammation of the bronchial mucosa, leading to hypertrophy and hyperplasia of bronchial glands. The latter exposes the individual to higher risks of bacterial infections; often colonization of organisms such as Streptococcus or Staphyloccocus pneumoniae can be exhibited. This is due to the lost or impaired function of mucociliary clearance action which results from the replacement of certain sections of ciliated columnar epithelium by squamous cells in the bronchi. (Copstead &Banasik, 546-547)
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
These have help development an intensive rehabilitation program for the patient. It will take an active involvement by the patient to assure optimum recovery.
If you suffer with sleep apnea and are overweight, you are not alone. You’ve probably been told by one or more of your doctors that you’d be healthier if you lost weight. But, have any of them ever told you about a diet for sleep apnea patients, or better yet, about the 6 best diets for sleep apnea? No? Well, I will.
Develop plan of care that meets the needs of the patient in this particular situation.
D- The patient arrived on time for her session as she was seen outside. The patient reports, she has to see her cardiologist for 35 days at noon to monitor her blood flow sometime next month. She is also scheduled on 05/23/2016, at night to conduct her sleep apena and also, scheduled on a Tuesday for a ultrasounds, referring to her pulse to her legs to ensure there is no blockage in her legs.
... basic information of the patient. Professional and precise language should be used when documenting. For the care plan, I have learned to correctly write a nursing diagnosis and writing interventions that are within nurses’ capability and suits the patient’s personal status. From now on, I will remember to distinguish medical diagnosis from nursing diagnosis. For each diagnosis, I will write about the patient’s (potential) response to the health problem and state why this might be the concern.
Sleep disorders are a very serious problem for a lot of people. It affects a lot of people 's lives, requiring them to have to live a very different life than the average person. The five most commonly known sleep disorders are insomnia, sleep apnea, sleepwalking, and narcolepsy. Sleep insomnia is when you have trouble falling asleep or staying asleep even when you have a chance to do so. Sleep apnea is when you have trouble breathing when you’re asleep. Sleepwalking is when you’re in a deep sleep and you start to walk around or perform some kind of complex behavior. People that are affected by these disorders have a very hard time either getting to sleep or staying asleep. I will be explaining what all of these disorders are and how they affect
Chronic Obstructive Pulmonary Disease (COPD) is the obstruction of airflow in the lungs that is not reversible. COPD includes chronic bronchitis, which is the chronic inflammation of the bronchioles where extra fluids are produced as well as a cough, and emphysema, which is larger air spaces in the lungs due to loss of airway walls. About one in every twenty patients will have COPD, with 70% of them being above the age of 45. Typically, the main cause of COPD is smoking, which accounts for nearly 90% of all COPD related deaths. The inhaled smoke irritates the mucosa of the lungs, which causes inflammation that then damages the mucosa and blocks airways. It is not a one-time cause and effect, but happens over periods of time and exposure. The more exposure, the more likely/severe the disease will appear. COPD is characterized by a chronic cough, large amounts of sputum production, and difficulty breathing that gets worse during exercise. There is no cure for COPD, but it is possible to decrease progression by ridding of irritants like by quitting smoking. Inhaled bronchodilators are used to help manage the disease and they help by reducing mucus production and relaxing smooth muscles of the lungs.
Which K, S, and A pertain to the care you provided to the patient you have chosen? Why?
COPD stands for chronic obstruction pulmonary disease. This disease is caused by either emphysema, chronic bronchitis or chronic asthma or in combination with each other. This is a long term disease and is the damage and narrowing of the airways. COPD can come in different forms, mild, moderate and severe.
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
Sleep apnea is a sleep disorder which causes frequent pauses in the breathing process during the sleep.
Chronic obstructive pulmonary disease, also known as COPD, is a lung disease that block airflow and makes breathing difficult. There are two common condition, emphysema and chronic bronchitis that help make up COPD. There are also about four gold stages; mild, moderate, severe, and very severe. COPD is the fourth leading cause of death in the U.S, the disease typically occurs after age 35.
Sleep Apnea (cessation of air flow at the mouth for greater than 10 seconds) can