Blood pressure is 125/90, diastolic blood pressure slightly high. X-ray chest shows hyper-inflated lungs and CT scan shows lung bullae (Haslett, Chilver, Boon & College, 2002). A patient is presenting with chronic obstructive pulmonary disease. A further focused history and physical examination is required to identify injury or disease that has not been identified during the primary survey. Available at: https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf Downloaded 22st May, 2019. Expected outcomes. Registered Data Controller No: Z1821391. COPD patients often need supportive treatment of 2 litres of oxygen to maintain oxygen saturations normally acceptable for that specific patient. This article discusses the causes, clinical features, current approach to diagnosis and management, and nursing management. 29,2,20-25. Willis (2017) observed and noted that in an essential element of any assessment, nurse’s ability to identify the sings and symptoms of malnutrition will develop with increased interaction with the patient. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! Essence of Care 2010. Administer oxygen to all critically unwell patients during your initial assessment. Although COPD is a bracket name given to multiple lung conditions such as emphysema and chronic bronchitis the two conditions are very similar and often present with similar symptoms. . Symptoms include increased breathless, especially when people are active, a persistent cough with phlegm, frequent chest infections and wheezing. Do you have a 2:1 degree or higher in nursing or healthcare? 2002;50(6):1108–12. (MNC, 2018). After patient achieves good motivation, nicotine replacement therapy will be started that included Bupropion 150mg once daily for 6 days then doubling it to 150mg bid for seven weeks. The patient has certain Presenting complaints (PC).These include worsening cough with sputum since seven days, breathlessness on Exertion since four days, Wheezing since four days, generalised weakness since two days, temperature since two days and breathlessness at rest since six hours. His wife died in a car accident ten years back. National Institute for Health and Care Excellence (2016). Blue bloaters (primarily having chronic bronchitis) have severe hypoxia with cyanosis and have hypercapnia. The patient had his last meal three hours back. Fourth edition. Appropriate assessment of patients with COPD can be used to. British Lung Foundation (2019). When completing an assessment and planning care for patients it is important to consider and maintain patient confidentiality, valid consent must be gained from the patient before any information I shared outside of the nurse patient relationship. The patient gives history of medication prescribed by local general practitioner. Improving patient access to appropriate palliative care services. 2. Some laboratory signs for this patient include Glasgow Coma Score; level of consciousness is 14/15, with patient little confused. Patient and service user care. Existing reviews identify important aspects of managing life with COPD with which patients may need support”. 4. Assessment of patients with chronic obstructive pulmonary disease (COPD) is important to establish an accurate diagnosis, assist in making therapeutic decisions, measuring outcomes for clinical and research purposes, and determining prognosis. Then crew then exposes patient from head to toe examination. Cabi publishing, Oxford. Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD… Nothing in the environment appears harmful for the patient or ambulance staff. For Penicillin sensitive patients Clarithromycin 250 mg 12-hourly is used. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! Activity Intolerance. British Association for Parental and Enteral Nutrition (2011). Breathlessness on exertion started four days back that gradually increased and he developed breathlessness at rest 6 hours back. Stage 3 COPD: Severe Stage COPD and You. ABC Of COPD. We're here to answer any questions you have about our services. Roper, N. Logan, W.W. and Tierney, A.J. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. On assessment, the patient has cyanosis in the lips and edema in the abdomen and legs. He introduces himself and carries staff to the patient. The ambulance crew quickly examines patient for any injury. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Over the last few decades, the study of COPD has become one of the most rapidly developing fields in medicine (Lee, 2017). Info: 4639 words (19 pages) Essay Cough. Chronic obstructive pulmonary disease in adult. Malnutrition Universal Screening Tool. COPD patients often need supportive treatment of 2 litres of oxygen to maintain oxygen saturations normally acceptable for that specific patient. With the use of the nursing care plans above, the patient will have an improved oxygenation and will be able to perform his/her activities of daily living optimally. In this case Peak expiratory flow FEV1 is 40% of predicting obstructive lung disease thus can be classified as moderate at this stage. COPD has often been misdiagnosed as asthma due to similar symptoms, presentation, lack of knowledge, training and understanding around the disease its symptoms and causes study shows those who are undiagnosed or misdiagnosed often causes a delay in treatment at the earliest stage of disease trajectory. In more advanced disease, physical features com­monly found are hyperinflation of the chest, reduced chest expansion, hyperresonance to percussion, soft breath […] Spirometry. Zero you don’t cough at all. So, they will typically present at the Emergency Clinic complaining of shortness of breath, coughing and feeling anxious. Global Strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. DH, London, Former, L. Diagnosis and treating COPD: understanding the challenges and finding solutions. Pulse rate is 100/min, regular and bounding. Unintentional weight loss in older adults. None of these symptoms is specific or diagnostic by itself. Chronic obstructive pulmonary disease in over 16s: diagnosis and management. It is commonly caused by distinct disease processes such as Emphysema and Chronic Bronchitis. In this scenario, the condition can develop during acute or critical illness because of metabolic demand (Price,2008). No plagiarism, guaranteed! Nursing care planning for patients with COPD involves the introduction of a treatment regimen to relieve symptoms and prevent complications. This essay will focus on the group of the patients in a hospital environment which suffer from the chronic obstructive pulmonary disease (COPD) with a priority need for nutrition on the body and patient’s quality of life. Nurses must learn appropriate management techniques for these patients so they make appropriate clinical judgments. Breathing problems tend to get gradually worse over time, but there are many different medicines and therapies that can help people keep these under control for longer” (NICE, 2016). Ambulance crew decide to transport the patient to the hospital for in-hospital treatment. Benchmarks for food and drink. Lee SD. In addition, looking at the effects of nutrition it’s also important to consider the effects of involving patients’ friends, family and care givers when assessing and planning future care. Initial symptoms are dyspnoea, (progressive in nature) but cough and wheezing may also be the first. Conclusion. 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