Jean sherri NUR 370: Gerontology January 13‚ 2013 Case Management A 75 year old male Hispanic male with history of chronic obstructive pulmonary disease (COPD)‚ hypertension‚ glaucoma‚ motor vehicle accident (MVA) 5yrs ago that resulted in a chronic lumber spine pain was recently discharged from the hospital for COPD exacerbation. COPD is the fourth leading cause of death in both men and women‚ and it is steadily on the rise (Touhy & Jett‚2010). He was sent home on home oxygen and a prescription
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How many of you have heard of asthma or even COPD? Pretty much everyone. Now how many of you have heard of alpha 1 deficiency also known simply as alpha 1? There aren’t many that have. I’m going to inform you about it today. You will learn what it is‚ what causes it‚ what a patient with alpha 1 deficiency goes through and what can be done for that patient. Up until a few years ago‚ I myself had no clue what alpha 1 was. It wasn’t until my mom’s COPD was correctly diagnosed as alpha 1 deficiency
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Case Study‚ Chapter 13‚ Fluid and Electrolytes: Balance and Disturbance 1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours‚ as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning
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"Dying means suffocating: perceptions of people living with severe COPD facing the end of life." International Journal of Palliative Nursing16.9 (2010): 451 57.Web. Peterken‚ Camilla. "Smoking and Respiratory Disease: The Role of the Community Nurse." Journal of Community Nursing 28.4 (2014): 72-7. ProQuest. Web. 6 Apr
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Temperature: 37.6o C Blood Pressure 150/95 mmHg Respirations: 28 breaths per minute at rest and shallow with ongoing complaint of pleuritic chest pain Electrolytes K+ - 5mmol/L Na+- 135mmol/L CL- 92mmol/L Arterial Blood Gases -49 mmHg PaCO2 PaO2 - 82 mm Hg HCO3 - 29 mmHg pH- 7.4 Chest X-Ray (AP and Lateral view) Results The lungs are hyperinflated. There are several poorly defined small pleural plaques evident bilaterally which may be consistent with long standing inflammatory
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Ch 14‚ 15‚ 18 1. Fluid surrounding the cells is called ______________ fluid. 2. The largest portion of a person’s body weight is contributed by: a. water b. fat c. bone d. muscle 3. Which of the following electrolytes are anions? (select all that apply) a. sodium b. calcium c. chloride d. bicarbonate 4. The movement of water across a membrane from a less concentrated solution to a more concentrated solution
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Emphysema describes a loss of elasticity within the lungs‚ enlargement of the alveoli and the destruction of the alveolar walls. There are two types of emphysema: centriacinar and panacinar. Centriacinar emphysema‚ most common form of emphysema‚ affects the center of the respiratory lobule‚ such as the bronchioles‚ which is where a majority of the alveolar ducts and sacs are located. This form of emphysema is predominately seen in smokers‚ especially male smokers. Panacinar emphysema is most commonly
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Role of Nursing in Health Promotion Jena Rosa Grand Canyon University August 25‚ 2013 According to the World Health Organization health promotion is defined as "The process of enabling people to increase control over‚ and to improve‚ their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions." (WHO‚ 2013) This applies to the nursing profession in that nurses are educating patient on the steps needed for their health such as
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legs‚ eyes‚ lungs‚ heart and many more. The worst thing a cigarette can do is kill you. Smoking also causes many diseases such as heart disease‚ lung cancer and COPD. COPD stands for Chronic Obstructive Pulmonary Disease. It is a progressive disease that makes it harder to breathe. “Progressive” means that the disease gets worse over time. COPD can cause coughing that produces mucus (a slimy substance in the throat)‚ wheezing‚ shortness of breath‚ chest tightness‚ and other symptoms. Furthermore‚ non-smokers
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neither the ward nor the hospital shall be disclosed. The patient is Miss Webster who is a 46 year old female admitted to the ward with shortness of breath and an exacerbation of her chronic obstructive pulmonary disease (COPD). Her past medical history includes asthma‚ COPD‚ chronic bronchitis‚ frequent chest infections‚ endometriosis‚ polycystic ovarian syndrome and a radical hysterectomy in 2007. As previously mentioned the Roper Logan and Tierney model shall be used in order to identify an
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