This website uses cookies to ensure you have the best experience. Learn more

Process Paper Copd

3374 words - 14 pages

NURSING PROCESS PAPER

Student Name: Date of Care: 10/14/09
Date of Admission: 10/10/09
I. HEALTH STATUS | Admitting Dx: COPD Exac/Chest Pain |
Pt. Init.D.R | Rm No.353 | Age60 | SexM | RaceCaucasion | ReligionCatholic | OccupationDisabled |
Surgery: Medical Treatment: Back Surgery/ Coronary Artery Bypass Grafting COPD Exac/Chest Pain |
Chief Complaint/Reason for Hospitalization & Hx. of Present Illness (with 1-8 critical characteristics, Jarvis pg. 85) Chest Pain | |
1.Location: Midsternal chest pain radiating to left arm. 2. Quality/characteristics: Squeezing, tightening, felt like chest was going to explode. 3. ...view middle of the document...

* Provide information on side effects of all medication and possible interactions. * Advise pt to notify physician if increase in pain above 5 or more. Environment – Returning to 1 floor home. No foreseen safety issues. Bathroom, bedroom and living room all on same floor. Therapy- Refer for physical therapy for back. Health Education- * Instruct on nonpharmacological methods of pain management and anxiety. * Reinforce importance of staying on medication schedule. Outpatient needs- * Denies need or concern for discharge help even though lives alone with no close family. * Reinforce counseling on reducing risk factors for coronary heart disease – hypertension, tobacco use, stress, nutrition * Reduce or eliminate smoking by use of smoking cessation. Diet – Continue cardiac diet at home by reducing sodium. |

Pathophysiology of ALL major diseases or conditions (use extra paper if necessary) |
Health problem #1: Pathophysiology | COPD |
1.Chronic inflammation of airways, bronchioles, alveoli and pulmonary vasculature, loss of elasticity of lung tissue. |
Expected signs and symptoms | |
1.Cough, sputum production, dyspnea, prolonged expiratory phase of respiration, wheezed, decreased breath sounds, barrel chest. |
Expected treatment & outcome | |
1.Goals of treatment are preventing disease progression. Symptom relief and improved exercise tolerance, prevention and treatment of complications, improved quality of life. Treatment my include smoking cessation, bronchodilator therapy, breathing exercises and pulmonary rehabilitation. |
Health problem #2: Pathophysiology | Anxiety |
2. Definitive pathophysiologic mechanisms have not yet been determined, but anxiety symptoms and the resulting disorders are believed to be due to disrupted modulation within the central nervous system. Physical and emotional manifestations of this disregulation are the result of heightened sympathetic arousal of varying degrees. |
Expected signs and symptoms | |
2. Symptoms include chest pain, dizziness, and shortness of breath, feelings of apprehension, trouble concentrating, feeling tense and jumpy, irritability and restlessness. | |
|
Expected treatment & outcome | |
2. A variety of medications, including benzodiazepines and antidepressants, are used in the treatment of anxiety disorders. But medication is most effective when combined with behavioral therapy. When compared to those who use medication alone, anxiety sufferers treated with both therapy and medication benefit from a greater reduction in symptoms and a lower risk of relapse. |
Health problem #3: Pathophysiology | Depression |
3. A psycholpathological state involving a triad of symptoms with low or depressed mmod, anhedonia and low energy or fatigue. There is thought to be a biochemical basis of the condition. |
Expected signs and symptoms | |
3. Depressed mood, loss of interest or pleasure, significant weight or appetite...

Other Papers Like Process Paper - Copd

Health Information Devices: Impact on Healthcare Delivery in the United States

3500 words - 14 pages delivery are also presently active, developing, and constantly changing. As a result, the management of health information technology is currently enabling versatility in the delivery of healthcare, helping with the process of making it precise, tailored, effective, and efficient as it goes through enormous transformations. New innovations and dynamic changes in health information technology will play important roles in the future

Stem Cell Therapy Essay

5775 words - 24 pages [pic] Term paper Stem cell therapy Irfan manzoor. Roll no: RP7002B22. Reg. no: 11000225. Course: Bsc. Biotech 1. Lovely professional university Contents 1. Stem

Freedom And Responsibility

2141 words - 9 pages Built within the Constitution of the United States are specifically defined freedoms that are guaranteed to all citizens. Conversely, with every constitutional freedom there comes a corresponding responsibility. On September 25, 1789, the state legislature’s twelve proposed amendments were transmitted by congress, the first two dealing with congressional representation and congressional pay. The following numbers three through twelve were

Hate Crime Laws

2348 words - 10 pages On June 7, 1998, 49-year-old James Byrd Jr. of Texas accepted a ride from three white men, who then beat him severely, urinated on him, chained him by his ankles to the back of their pick-up truck, dragged him for three miles into the countryside, and dumped his corpse in front of an African-American cemetery (Graczyk). A little over a year later, a jury sentenced ring leader John King to death by lethal injection (“Man Executed for Dragging

Rational Emotional Behavior Therapy Case Study Conceptualization And Treatment Plan

2140 words - 9 pages health (Murdock, 2009). REBT recognizes the interaction of emotions, beliefs, and behaviors through the ABC model and the therapist will work to help Sarah understand the interrelatedness of these aspects (Murdock, 2009). It is important that the therapist help Sarah understand the process and philosophy of REBT, as the majority of patient doubts have been “traced to misperceptions about REBT” (Dryden, Hurton, Malki, Manias & Williams, 2007, p. 86

Holidays In Albania

1636 words - 7 pages Have you ever thought about having exciting and incredibly cheap vacations? Albania might be the right choice. According to My Travel Guide, Albania is ranked the fourth among ten places worth visiting in Eastern Europe (“Top 10 Eastern European Destinations”). One can encounter three kinds of vacations in this Mediterranean country: winter, summer, and cultural. The ideal places to spend your winter vacations are the Albanian Alps. They are

A Heart Of Darkness

1748 words - 7 pages In this short story, there are frequent significant subject and ideas that make the story, "A Heart of Darkness," by Joseph Conrad, and haunting novel. The main theme is absolute white power over the natives. The theme validates the corruption, and the dependence caused by the white people as they took over the Congo. White men were giving all the power; they had no self-control, and in the end they did not use wisely. The white men became

The Aspects Of Vulnerability Among The Exploited In Medical Research

2287 words - 10 pages Essentially, everyone is in some state of vulnerability. However, some of us are more susceptible to harm due to our vulnerabilities. The susceptible are the individuals with the greatest risk. These individuals risk the loss of their autonomy, and maybe even their lives. Vulnerable populations can be found in every subset of society. However, as previously mentioned, there are some vulnerable populations that are at an even greater risk than

The Hitchhiker’S Guide To The Galaxy

1171 words - 5 pages The Hitchhiker’s Guide to the Galaxy As the human race makes life-changing discoveries, it is made apparent that there is always more to learn as the universe, instead of becoming familiar, is becoming absurd. The Hitchhiker’s Guide to the Galaxy, written by Douglas Adams, as well as the 2005 film adaption, portrays absurdity to be an all-encompassing system in the universe. Through the introduction and attempt to understand lack of reason, the

The Ford Motor Company Wage Increase Of 1914 And The Theory Of Incentives And Efficiency Wages

1252 words - 6 pages doubling these wages can only be justified if, in some other way, it generates an equal or superior amount of value (either through a better product, lower costs, or both). According to the theory of incentives and efficiency wages, this is indeed the case, and Henry Ford even asserted that this decision was one of the best-cost cutting judgements they ever made (Raff and Summers 1987). This paper will outline the history of Ford Motor’s 1914

Historical Analysis Of The Economical Breakthroughs Of The Industrial Revolution

1396 words - 6 pages A Historical Analysis of the Economical Breakthroughs of the Industrial Revolution During the Industrial Revolution, many elements of society experienced huge breakthroughs that would change the way they functioned forever. Economics were definitely one of them. With many new inventions and many factories appearing, many, many, more resources were being created than ever before. Also, all of the revenue from these resources was being given to

Related Essays

Public Health And Primary Care Essay

4195 words - 17 pages collaborative working. Lillian and her step son, Frank, were invited to be involved in the decision making process. Involved in discharge planning was the District Nurse, COPD nurse, OT, physiotherapist, social services, dietetics and pharmacy. They all worked together to ensure Lillian received optimum care. The above statement is supported by Catwalk 2002. Healthcare needs are dependent on the effective working of the multi disciplinary

Competencies Of Associate And Baccalaureate Nursing Education

1160 words - 5 pages researching the differences in how the diverse education levels handle certain situations (for example, cardiac arrests, a difficult patient situation, death, etc). To understand each degree level, we must first understand exactly what they do to prepare nurses to enter this profession. This paper will look deeply into where the associate and baccalaureate degrees came from and exactly what they concentrate on while a student is in the program. What

Infection Control Essay

2985 words - 12 pages audit firstly deciding what aspect is to be audited, next devising an audit tool, the third stage involves data collection, next data is measured against set criteria of the tool, in the penultimate stage, changes are implemented and finally the process starts over (Kopp 2001). Hand Hygiene Audit Tool Yes No NA Ensure sufficient decontaminant is available from a pump dispenser Ensure sufficient paper towels are available from a wall

Health Care Essay

3106 words - 13 pages provide personal and population-based preventive, curative and rehabilitative care services. While the definitions of the various types of health care vary depending on the different cultural, political, organizational and disciplinary perspectives, there appears to be some consensus that primary care constitutes the first element of a continuing health care process, that may also include the provision of secondary and tertiary levels of care.[7