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The effect of smoking on lung disease and lung cancer
Respiratory system and smoking
The effect of smoking on lung disease and lung cancer
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Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease in which less air can flow in and out of the lungs. COPD has two main causes; emphysema and chronic bronchitis, and most patients have elements of both and in some cases asthma. Emphysema is a disease in which the alveoli lose their elastic quality, and the walls between the alveoli are destroyed. In chronic bronchitis, the lining of the airways becomes irritated and inflamed, which causes the lining to thicken and more mucus than usual forms in the airways, making it difficult to breath. Asthma is a disease that inflames and narrows the airways. Asthma causes periods of wheezing, chest tightness, shortness of breath, and coughing.
In the United States of America COPD is the third leading cause of death. COPD affects about 12 million individuals in the U.S. Many people may have the disease and do not know it. Most of the time, COPD is diagnosed in middle aged or older people. More women than men in this country have died of the disease. COPD costs almost $30 billion in direct health care expenditures.
There are many causes of COPD. Smoking is considered the most common cause of COPD; a past or present history of smoking can cause COPD. Eighty percent (80%) of people diagnosed with COPD are smokers or were smokers. Less than 20% of people who have COPD have never smoked. COPD can be caused by long-term exposure to lung irritants. As well as heavy or long-term exposure to secondhand smoke or other air pollutants may also contribute to COPD. Working around certain kinds of chemicals, breathing in the chemical fumes for many years, working in a dusty area for many years, and heavy exposure to air pollution can cause COPD.
Another cause of COPD is a genetic...
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...lace with chemical irritants they should change jobs. Therefore, if a person has COPD, they must work with health care professionals to set up a plan for their diet and exercise, and determine what medications should be taken, if oxygen therapy would be beneficial, or if surgery is required. Life style changes can improve a person with COPD’s life.
COPD is a debilitating disease that diminishes a person’s quality of life. COPD does not have a cure and greatly impacts on the quality of life for the person with COPD and their family since they require constant medical help and support for the remainder of their life. After learning about COPD, I became more convinced of the dangers of smoking, second hand smoke, and the impact of pollutants. I believe that it is important for people to know about and understand COPD because millions of people are affected by COPD.
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
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).
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.
To effectively manage COPD it is essential for patients to monitor themselves by writing a list of dates and times when experiencing symptoms and reactions to treatments. (Lung Chicago Managing COPD, 2016). Understanding a patient’s personal disease characteristics will help in determining treatment to prevent exacerbations. To maintain stable condition of the disease, COPD patients need to understand and reduce risk factors. Counseling programs such as smoking cessations need to be available for COPD patients as part of their treatment. Pharmacotherapy for the disease is also used to reduce its symptoms and difficulties on
Carone M, D. C. ( 2007). Clinical Challenges In COPD[e-book]. (Oxford: Clinical Pub) Retrieved March 24, 2014, from (EBSCOhost).
Every year, one point five million Americans are diagnosed. Diabetes remains the seventh leading cause of death in the United States in 2015. 79,535 death certificates listed it as the underlying cause of death, and a total of 252,806 death certificates listed diabetes as an underlying or contributing cause of death in 2015. The total cost of diagnosed diabetes in the United States in 2012 was two-hundred and forty-five billion (Statistics About
Just as breast cancer is killing our African American women, heart disease is also one of the major diseases killing our women. Heart disease is one of the nation’s leading causes of death in both woman and men. About 600,000 people die of heart disease in the United States (Americas heart disease burden, 2013). Some facts about heart disease are every year about 935,000 Americans have a heart attack. Of these, 610,000 are a first heart attack victim. 325,000 happen in people who have already had a heart attack. Also coronary heart disease alone costs the United States $108.9 billion each year. This total includes the cost of health care services, medications, and loss of productivity. Deaths of heart disease in the United States back in 2008 killed about 24.5% of African Americans.
The leading cause of death in America is lung cancer. Lung cancer is ranked top 10 fatal cancers in the United States. There are many types of ways to get lung cancer. There is radon gas it occurs outdoors naturally. Then there is second hand smoke that comes from other people smoking. People are even getting lung cancer from cancer causing agents, this happens from carcinogens. You can also get it from air pollution indoors and outdoors. Also there are gene-mutations that form cancer causing cells. Then there is the one everyone blamed lung cancer is smoking.
Through public education, most elementary school kids can understand that smoking is bad for them and that cigarettes are additive. Cigarettes are addictive due to nicotine, a drug found in tobacco (“Quitting Smoking”, 2015). According to Schneider (2016), some of the greatest health problems associated with smoking include: lung cancer, other cancers, coronary heart disease, other heart disease, cerebrovascular disease, other vascular disease, diabetes mellitus, pneumonia, influenza, tuberculosis, chronic obstructive pulmonary disease (COPD), prenatal conditions, and sudden infant death syndrome. As stated by the Authority of the American Lung Association in an article titled “Health
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).
Hinkle, Janice, and Kerry Cheever. “Management of Patients with Chronic Pulmonary Disease." Textbook of Medical-Surgical Nursing, 13th Ed. Philadelphia: Lisa McAllister, 2013. 619-630. Print.
Every year, there are over 400,000 smoking-related deaths in the United States. A large percentage of these are due to lung cancer, whose leading cause is smoking. However, not all deaths are smokers themselves. Anyone in the vicinity can fall victim to second hand smoke. These people, through no action of their own, can have their lives threatened.
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.
Respiratory diseases have an impact on health and as well as signs of the disease and diagnosis. Also, every respiratory disease will not have treatments. Therefore, it is the responsibility of people to be aware of