WIXLIB

Documents Health & Fitness Wellness18K views 5RELATED TITLES 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintI.Case StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for CIntroductionA. Background of the studyThe case study that is to be presented features a patient who has emphysema. Emphysemchronicchronic obstructiveobstructive pulmonpulmonaryary diseasdiseasee (COPDCOPD).). It is ofteoftenn causcauseded by expoexposusurere tochemicals,, including long-term exposure to tobacco smoke or cigaretchemicalscigarettete smokingsmoking. Thebecome damaged because of reactions to irritants entering the airways and alveoli.Cigarette smoking is the major cause of emphysema, accounting for more than 80 percentcases. Emphysema occurs most often in people older than age 40 who have smoked foryears. Long-term exposure to secondhand smoke may also play a role. Smoking stressenatural antioxidant defense system of the lung, allowing free radicals to damage tissue dowthe cellular level. When cigarette smoke is inhaled, 80 to 90 per cent remains in the lungcausescauses irritatiirritation,on, increaincreasedsed mucusmucus producproductiotionn and damagedamage to the deepdeep partsparts of theEventually mucus and tar clog up the air tubes, causing chronic bronchitis and emphyAmong other causes of emphysema are industrial pollutants, aerosol sprays, non-tobacco sminternal-combustion engine exhaust, and physiological atrophy associated with old age (semphysema).It was verbalized by the wife of the patient that he used to work at the farm in Morong. thisbe one factor that caused the patient’s disease.disease.Emphysema is characterized by loss of elasticity (increased pulmonary compliance)compliance) of thetissue caused by destruction of structures feeding the alveoli, owing to the action of alpantitrypsin deficiency. This causes the small airways to collapse during forced exhalatioalveolar collapsibility has decreased. As a result, airflow is impeded and air becomes trappthe lungs, in the same way as other obstructive lung diseases. Symptoms include shortnebreath on exertion, and an expanded chest.chest. However, the constriction of air passages isn't alimmediately deadly,deadly, and treatment is available.Emphysema is often the result of smoke that has triggered the immune system to produceharmful enzymes. Although these harmful enzymes are normally prevented from causinsignificant damage by a protective protein, smoking reduces the protein’s protective effect.if someone has plenty of the proteinprotein in their system,system, smoking generates certaincertain substancesubstancekeep the protective protein from doingdo ing its job.

Documents Health & Fitness Wellness18K views 5RELATED TITLES 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for Cthe patients discharge arrangement and finally a discussion of the patient’s daily activitienursing care plans.B.ObjectivesGeneral objectivesAfter exposure in the medical ward of Queen Mary Hospital the promotion of health anprevenpreventiotionn of illnesillnesss shouldshould have been applieappliedd throughthrough the use of effeceffectivtivee nursinnursinWellness should be met through the implementations that have been done with regards tapplication of the nursing process. That is after developing and implementing an intervenand monitoring the impact of that intervention to the patient. This is to know whethetreatments given to him were effective or not.Specific ObjectivesOur objective is to develop our skills in identifying and assessing the health problems, hutilize and render quality health service in the care of an individual who has emphysema.Other objectives would include the establishment of rapport for the patient to fully coopwith his treatment and so as to assess him with his he alth related problem.C. Significance of the studyThe importance of this study is that the case on this subject and especially in this area is stilrare.D. ScopeScope and limitationlimitationThe whole study is all about emphysema, its risk factors and progress, how it affects daily land how it is treated and managed.Our study is limited only to our patient who has the said disease, his manifestationmanifestationss andwas managed up to now.

Documents Health & Fitness Wellness18K views 5RELATED TITLES 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for CE. Theoretical frameworkm Theory of Self CareEach person has a need for self care in order to maintain optimal health and wellneEach person possesses the ability and responsibility to care for themselves anddependants.

Documents Health & Fitness Wellness18K views 5RELATED TITLES 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for CII. Nursing AssessmentA. Personal DataooooooooooooName: Mr. LPAddress: G. Robles Maybangkal Street, Morong, RizalAge: 61 years oldBirth date: March 30, 1948Religion: Roman CatholicCivil Status: MarriedNationality: FilipinoOccupation: Former FarmerAdmitted on: June 21, 2009Time: 9:10 p.m.Admitting Diagnosis: COPD in exacerbation, Plural Effusion, Pneumonia, t/c ElectroimbalanceChief Complaint: D.O.B. (Difficulty of Breathing)B. History of Past illnessPatient has undergone, thoracentesis last June 15 at Queen Mary Help of Christians hospitato that admission he was diagnose with plural effusion, thoracentesis was perform and adays of admission he was discharge home.C. History of Present IllnessAfter the patient was discharge home around 8:50pm (June 15, 2009) after 3 days at homexperienced DOB and he was rush to the hospital accompanied by his wife and cousins.-COPD-Questionable Pneumonia-Electrolyte Imbalance

RELATED TITLESDocuments Health & Fitness Wellness18K views 5 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for Csimple cough due to tiring day but it lasted for about a month and he needs to be admitted aundergone some procedures.F. Physical Examination/AssessmentAreaNormal FindingActual FindingAnalysisI. Head1. Hair2. Scalp3. Face4. Eyes5. Nose- black, evenlydistributed andcovers the wholescalp, thick, shiny,free from split ends- white, clean, freefrom masses, lumps,scars, dandruff andlesions- Oblong or oval.Symmetrical. Facialexpression that isdependent on themood or truefeelings, smooth andfree from wrinkles,no involuntarymuscles involved- parallel and evenlyplaced, symmetrical,non-protruding,both eyes are blackand clear- midline,symmetrical andpatent clear pinkishwith few cilia (-)congestion- black slightlygrayish , thick.-Aging- without dandruff- normal- With wrinkles,symmetrical. Withexpression of painand anxiety- patient is stillworried about hiscondition andappearance- symmetrical, blackin color and can stillread with outglasses- normal- symmetrical withNGT- patient hasundergone surgery

RELATED TITLESDocuments Health & Fitness Wellness18K views 5 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for C8. Speech-No hoarseness andwell – modulated.Can able to say twowords with meaningCan not speak,makes somemoderate noise, cancommunicate withsign language or bywriting.Tracheostomy canblock the vocalcords that’s whypatient wasn’t ableto make any sounds9. Ears-Parallel,symmetrical,proportional to thesize of the head,bean shaped, helixis in line with theouter canthus of theeye, skin is the samecolor as thesurrounding area,clean, firm cartilage.Ear canals arepinkish with scantamount of cerumenand a few cilia. Ableto hear whisperspoken 2 feet away.-Normal Findingsexcept, Enable tohear whisper spoken2 feet away.-Aging10. Breath-No halitosis, foulodor, fruity andsweet.- With minimalhalitosis- Halitosis may bedue to poor dentalhygiene11. Throat-No inflammation,no difficulty inswallowing and noproductive cough.- No inflammation,Presences of coughwith greenishyellow phlegm andexperiencingdifficulty inswallowing-excessive mucusproduction in hislower lung due toimpaired defensemechanisms causedby prolonged yearsof smoking.

RELATED TITLESDocuments Health & Fitness Wellness18K views 5 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for CII. Thorax1. Breathing- Normal breathsounds arebronchovesicular, amedium pitchedsound or mediumintensity, heardposyeriorly betweenthe scapulae. Thesound have blowingquality with theinspiratory phaseequal to theexpiratory phaseand Vesicularsounds which heardover the lungperiphery. It createdby air movingthrough the smallairways. They aresoft, breezy and lowpitched and theinspiratory phase isabout three timeslonger than theexpiratory phase.Respiration rateranges from 16 – 20in normal adult.- AbnormalRespiration 40bpm,difficulty inbreathing.Experiencing coughafter nebulization.- Excessive phlegmproduction blockshis thorax and thismay cause difficultyin breathing.2. chest- flat chest, tender:brownish in color.- a tube is insertedin the fifthintercostals space,mid-axillary line.- to remove fluidfrom theintrathoracic space- Unblemished skin,- normalAbdominalolisif

RELATED TITLESDocuments Health & Fitness Wellness18K views 5 2 Emphysema Case Study e3Uploaded by scarletsky19This is a full lenght case study made by our group.There are still a few corrections in here. This is a casestudy about Emphysema. Full description SaveEmbedSharePrintCase StudyPneumoniaNursing CarePlan: COPDNursingCrib.comNursing CareNCP for CIII. Limbs1. Extremeties- no areas oftenderness, muscleappear with goodmuscle tone- with IV catheter onhis right arm and ared spots in the siteof the IV catheter.- red spots maycause itchiness inthe site of IV andalso this may causeinfection orphlebitis.2. Nails- transparent,smooth and coverwith pink nail bedsand translucent- pale nail beds andperipheral last for4seconds- poor circulationIV. Genitalia-No discharges orbleeding, nodifficulty inurinating.-There are nodischarges or anybleeding.-Patients urinate onthe bed panV. Mental State- Can be able toresponds from anyquestions and canstill be familiar tohis environment- He cananswer/respond tous a little bit slowly.- Slightly anxiousabout his condition,and tries to thinkabout what whenwrong before heexperience hisillness.VI. Hygiene andcomfort- Full bath and ableto practice simplehygiene and care forhimself.- Patients dependson significant othersin eating, taking abath (TSB) andother chores thatinvolves widemovement.- Patient has adrainage tube at hischest and undergonetracheostomy,patientsexperiencing bodyweakness can notmove properly