Jeffrey Sherman
Due Date: January 16, 2012
Wayland Baptist University
Adult Health II
COPD Exacerbation The purpose of this paper is to discuss an exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and its effect on my patient, Mr. HS, a 78 year old male. In this paper we will look at the various facets in the disease process including its incidence, pathophysiology, presenting complaints, analysis of his clinical presentation, and discuss treatment. We will analyze the effect the disease process has on Mr. HS and will examine his clinical manifestations and laboratory work, as well as provide an outcome analysis. Understanding these various facets will enable one to understand various long term effects of this chronic disease process.
Incidence
COPD is defined as the persistent obstruction of the airways and occurs with emphysema, chronic bronchitis, or both. Cigarette smoking most commonly causes the disease process. Typically patients will develop a cough and become short of breath. In the United States, an estimated 15.5 million people now suffer from this disease. Statistics show that 13.5 million people suffer chronic bronchitis and 2 million from emphysema (Workman, 2010). COPD is now considered the fourth leading cause of death in the United States and is projected to be the third leading cause of death for both males and females by the year 2020 (COPD Intl, 2004). COPD is second only to heart disease as a cause of disability that forces people to stop working (Wise, 2007). This disease process affects men more commonly then women and 95% of all COPD related deaths occur in people over the age of 55 (Wise, 2007). Statistically, Men are 7 times more likely to be diagnosed with emphysema although the prevalence of in women is on a steady increase (COPD Intl, 2004). In a recent study, the median length of each hospital stay in patients with COPD was 4 days while mean hospital costs equaled
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