The prescribing pyramid (National Prescribing Centre‚ 1999) is a stepwise approach that has involves seven stages (1-7)‚ and each stage should be considered carefully before climbing to the next: Consider the patient. Which strategy should be used? Consider a choice of product Negotiate a contract Review the patient Record keeping Reflection With regard the oral thrush infection‚ the patient had a full history taken and clinical examination. A holistic viewpoint that took into account the
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Oxygen is of life-saving importance in the treatment of COPD. Lung function impairment is poorly reversible; therefore‚ treatment strategies must be aimed at stabilizing the disease progression (Simmons & Simmons‚ 2004). In advanced COPD‚ like the patient at Fairview Southdale‚ hypoxemic and/or hypercapnic respiratory failure may develop and may be treated with long-term oxygen therapy (Simmons
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exorbitant $28 billion annually (Rasmusson & Renlund‚ 2006). Chronic obstructive pulmonary disease (COPD) is presently the fourth leading cause of death world wide (Kara‚ 2005). As nurses it is imperative that we educate patients and their family members on risk reduction‚ identifying early signs and symptoms and latest treatment advances made towards controlling chronic conditions such as HF and COPD. Scenario Mr. Jones 68 y/o male arrives at the Emergency Department (ED) with complaints of increased
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Melinda ENC 1101 4/September/2011 Freedom from smoking Smoking cigarettes was one of the worst if not the worst habit I ever had I am finally free from smoking. I started smoking cigarettes at the very young age of fifteen. I did it because everybody else was doing it. I thought it was the cool thing to do. I was a kid who just wanted to fit in. I remember how that first cigarette tasted. It was a menthol cigarette and it was
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BACKGROUND: Super-utilizers are individuals with disproportionately high inpatient and emergency department (ED) use‚ and mostly have multiple chronic conditions and use multiple concurrent medications. They place a substantial burden on the U.S. healthcare system and have become the focus of policy initiatives aimed at reducing their disproportionate inpatient and ED use. Medication management is critical for these patients since nonadherence to essential chronic medications is associated with poor
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Lynes (2010) stated that PLB has better outcomes for patients with stable and unstable COPD. Jo looked worried in the beginning as it was her first meeting with the pulmonary rehabilitation team. Therefore‚ I stayed with her throughout the session‚ explained everything and reassured her which helped to establish a therapeutic nurse-patient
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Bronchodilators are important in the treatment of airways disorders such as chronic obstructive pulmonary disease (COPD) and asthma and critical in the management of the disorders symptoms. There are 3 major classes of bronchodilators currently in use‚ namely xanthines‚ β2- adrenoceptor agonists and muscarinic receptor antagonists (2). Examples of drugs which fall into these classes are discussed later. They can be taken on their own or in combination. The relaxation/contraction of smooth muscle
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most interesting fact is that almost all of them use scientific sources to prove their positions. My research suggests that passive smoking is harmful and it might cause the following: mortality‚ lung cancer‚ chronic obstructive pulmonary disease (COPD)‚ and coronary heart disease (CHD). According to the Oxford dictionary of English language‚ passive smoking is “the involuntary inhaling of smoke from other people ’s cigarettes‚ cigars‚ or pipes” (Soanes and Stevenson‚ 2005). The definition given
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production. Physicians such as lung specialists‚ or Pulmonologists‚ perform lung function studies to assess and diagnose a variety of patient conditions. The most common is COPD‚ or Chronic Obstructive Pulmonary Disease. According to the National Heart Lung and Blood Institute page‚ on the NIH website‚ COPD is 3rd leading cause of death. COPD should be considered with any adult that exhibits shortness of breath. Other disease processes that Spirometry is useful for: to diagnose and manage asthma‚ assess
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again. The open systems approach allows for a primary focus of a disease process while also concentrating on the many systems that can be affected as a result of the illness or disease. In the patient with Chronic Obstructive Pulmonary Disease (COPD)‚ the care of the patient offers challenges in management‚ and is greatly improved by an open systems approach to patient care. In order to analyze the origin‚ pathophysiology‚ and effects of the disease‚ an open system allowing many components to
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