R.S. is a long-time smoker who developed bronchitic chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral vascular disease. His arterial blood gas (ABG) values are pH = 7.32‚ PaCO2 = 60 mm Hg‚ PaO2 = 50 mm Hg‚ HCO3 - = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is taking an inhaled ß agonist and theophylline to manage his respiratory condition. At his clinic visit‚ it is noted that R.S. has an area of consolidation in his
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acute respiratory ward due to exacerbation of chronic obstructive pulmonary disease (COPD). Ways in which the nurse can facilitate patient self management will be explored initially; following this‚ barriers to the promotion of patient self management will be considered. Including Evidence strongly suggests that empowering patients to self manage their long term health conditions is associated with positive outcomes. This includes delayed disease progression and improved health-related quality
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Poverty: Causes‚ Responses and Consequences in Rural South Africa Elizabeth Francis‚ April 2006 Development Studies Institute London School of Economics Houghton St London WC2A 2AE e.m.francis@lse.ac.uk CPRC Working Paper No. 60 Chronic Poverty Research Centre ISBN: 1-904049-59-1 Elizabeth Francis is a Senior Lecturer in Development Studies at the London School of Economics. Acknowledgements The research on which the case study is based was carried out as a collaborative project
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doctors office‚ better management and reduction in symptoms for the chronically ill‚ increased cost effectiveness allowing for patient with out insurance‚ and a better overall experience for patients leaving a more satisfied customer. Patients with chronic illness are living better qualities of life in their own environments and patient self awareness is heightened. Nursing practice is constantly evolving with new technology and wider basis of knowledge for nurses coming into the field. More and more
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A REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. 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. I will give an overview of the clinical signs and symptoms‚ how the disease alters the pathphysiology of the lungs‚ and what these changes cause within
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categories: acute and chronic.[1][2][3][4] Acute bronchitis is characterized by the development of a cough or small sensation in the back of the throat‚ with or without the production of sputum(mucus that is expectorated‚ or "coughed up"‚ from the respiratory tract). Acute bronchitis often occurs during the course of an acute viral illness such as the common cold or influenza. Viruses cause about 90% of acute bronchitis cases‚ whereas bacteria account for about 10%.[5][6] Chronic bronchitis‚ a type of chronic obstructive
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determine‚ whether or not bronchitis is contagious‚ it is important to understand the types of contagious. Chronic bronchitis: This type of bronchitis happens when the airways get continuously irritated. It may last for months or even years and tend to come back. It is caused by stuff that irritates the lungs such as dust‚ chemicals‚ smoke‚ fire and smoking cigarettes. Even though chronic bronchitis is not considered contagious‚ it is a serious health issue that requires medical attention. Acute
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shortness of breath‚ chest pain (angina) and persistent cough. He was alert and oriented and was able to answer all past history medical questions. Joe has been diagnosed through his family physician with Diabetes Mellitus‚ hypertension‚ and Chronic Obstructive Lung Disease (COPD). Joe told the ER Physician Dr. Black that he had stopped taking his insulin because of the drastic drop in his blood sugars. The patient stated that he has no known drug allergies. Joe also stated that his urine output had also
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Reglan BMI = kg/ height ^2 or lbs x 703/height^2 Stoma assessment = check size‚ color‚ drainage‚ skin‚ should be shiny‚ moist‚ deep rich red Pancreatitis = autodigestion of the pancreas from premature activation of the digestive enzymes. Chronic is from ETOH usage‚ acute is from autodigestion. In pancreatitis‚ the “ases” (aces) are high. Low calcium and magnesium. s/s Ulcerative Colitis = in large intestine‚ ab pain/cramping right lower‚ anorexia‚ weight loss‚ fever‚ diarrhea 15-20x
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Dawn. "The Physiological Effects of Smoking on the Respiratory System."Nursing Times. N.p.‚ n.d. Web. 04 Mar. 2014. "Secondhand Smoke." Secondhand Smoke. National Cancer Institute‚ n.d. Web. 03 Mar. 2014. "SIDS." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention‚ 11 Feb. 2014. Web. 02 Mar. 2014. "Tobacco." Surgeon General. Health and Human Services‚ n.d. Web. 04 Mar. 2014. "Researchers to Use Novel Metabolomics Technology to Discover Which Cigarette Smokers Are
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