Preview

Copd Exacerbation

Best Essays
Open Document
Open Document
2973 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Copd Exacerbation
Case Study: COPD Exacerbation
Jeffrey Sherman
Due Date: January 16, 2012
Wayland Baptist University
Adult Health II

COPD Exacerbation The purpose of this paper is to discuss an exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and its effect on my patient, Mr. HS, a 78 year old male. In this paper we will look at the various facets in the disease process including its incidence, pathophysiology, presenting complaints, analysis of his clinical presentation, and discuss treatment. We will analyze the effect the disease process has on Mr. HS and will examine his clinical manifestations and laboratory work, as well as provide an outcome analysis. Understanding these various facets will enable one to understand various long term effects of this chronic disease process.
Incidence
COPD is defined as the persistent obstruction of the airways and occurs with emphysema, chronic bronchitis, or both. Cigarette smoking most commonly causes the disease process. Typically patients will develop a cough and become short of breath. In the United States, an estimated 15.5 million people now suffer from this disease. Statistics show that 13.5 million people suffer chronic bronchitis and 2 million from emphysema (Workman, 2010). COPD is now considered the fourth leading cause of death in the United States and is projected to be the third leading cause of death for both males and females by the year 2020 (COPD Intl, 2004). COPD is second only to heart disease as a cause of disability that forces people to stop working (Wise, 2007). This disease process affects men more commonly then women and 95% of all COPD related deaths occur in people over the age of 55 (Wise, 2007). Statistically, Men are 7 times more likely to be diagnosed with emphysema although the prevalence of in women is on a steady increase (COPD Intl, 2004). In a recent study, the median length of each hospital stay in patients with COPD was 4 days while mean hospital costs equaled



References: Barnes, P.J. (2009). Role of HDAC2 in the Pathophysiology of COPD. National Heart and Lung Institute: Annual Review of Physiology. 71:451-64. Carpenito-Moyet, L. J. (2009), Chronic Obstructive Pulmonary Disease. Nursing Care Plans & Documentation, 5th Edition (pp 125-137). Philadelphia, PA: Lippincott Williams & Wilkins. COPD International. (2004). COPD Statistical Information. Retrieved from http://www.copd-international.com/library/statistics.htm Griffen, M Hunter, M. & King, D. (2001). COPD; Management of Acute Exacerbations and Chronic Stable Disease. American Journal of Family Physicians. Aug 15;64(4):603-613. Ignatavicius, D. & Workman, M. L. (2010), Care of Patients with Noninfectious Lower Respiratory Problems. Medical-Surgical Nursing, 6th Edition, (pp. 621-637). St. Louis, Missouri:Saunders Elsevier. Lange, P. (2009). Chronic Obstructive Pulmonary Disease and Risk of Infection. Pneumonologia i Alergologia Polska, Jul ;77(3):284-8. Shorr, A. F., Sun X., Johannes, R. S., Yaitanes, A., Tabak, Y. P. (2011). Validation of a Novel Risk Score for Severity of Illness in Acute Exacerbations of Chronic Obstructive Pulmonary Disease. Chest, April 28. [Epub ahead of print]. Shapiro, S. (2003). The Pathophysiology of COPD: What Goes Wrong and Why. Advanced Studies in Medicine. Feb; Vol 3, 2(b). World Health Organization. (2011). Chronic Obstructive Pulmonary Disease Fact Sheet N. 315. Retrieved from http://www.who.int/mediacentre/factsheets/fs315/en/index.html Wise, R, (2007, April), Chronic Obstructive Pulmonary Disease, The Merck Manual Online

You May Also Find These Documents Helpful

  • Good Essays

    Very informative case study, COPD impacts negatively on patients’ quality of life. Due to their declined of lung function individuals can be prone to exacerbations resulting in hospitalizations and/or mortality depending on how severe the disease is. This patient history of 30 yrs. of smoking contributed to his actual illness. Risk factors of COPD include: continued smoking, older age, lower BMI, poor exercise, environmental pollutants, and cold weather temperatures o mention a few. According to Miravitlles, D'Urzo, Singh, Koblizek, (2016) long acting bronchodilators, such as, are recommended treatment option for pt with COPD. Long acting bronchodilators improve expiratory airflow when pt are stable, therefore decreasing air trapping during…

    • 127 Words
    • 1 Page
    Good Essays
  • Best Essays

    Unpacking Assessment

    • 3380 Words
    • 14 Pages

    Nazir, S. and Erbland, M. 2009. Chronic Obstructive Pulmonary Disease: An update on diagnosis and management issues in older adults. Drugs and Aging. 26 (10), pp813-831.…

    • 3380 Words
    • 14 Pages
    Best Essays
  • Better Essays

    Chronic obstructive pulmonary disease (COPD) is a sever condition which has landed third place in the leading causes of death in the United States. According to a study conducted by the World Health Organization (2004) COPD affects about 64 million people and have cause as much as 3 million people. According to health care professionals some people either have chronic bronchitis or emphysema and there are others which have both, although both of…

    • 1211 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Chronic obstructive pulmonary disease or COPD is an umbrella term that refers to a group of lung diseases that block airflow during exhalation, which makes it increasingly difficult to breath. Emphysema and chronic asthmatic bronchitis are the two main conditions that make up COPD. In all cases that damage to the airways eventually interferes with the exchange of the oxygen and carbon dioxide in the lungs (mayo).…

    • 1456 Words
    • 6 Pages
    Good Essays
  • Good Essays

    The article reviewed gives medicines as a treatment for patients suffering COPD. “Medicines for COPD alleviate symptoms of breathlessness so that patients can participate more fully in daily life” (Tullet, 2010, p. 28). People with COPD can avoid strenuous activities, stop smoking, and use medicines to slow down the symptoms of COPD. Occupational exposure can also exacerbate the symptoms of COPD. People who work around chemicals, a variety of different dusts, and fumes need to decrease their exposure to these…

    • 701 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Compare and contrast two classes of drugs, used in the treatment of COPD, based on drug interaction, efficacy, safety, cost, and expected outcomes.…

    • 49 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Copd and Heart Disease

    • 962 Words
    • 4 Pages

    Chronic Obstructive Pulmonary Disease (COPD) and heart disease are two of the deadliest chronic illnesses affecting the world’s population. These diseases have caused hundreds of thousands to lose their lives. With the death rate of heart disease and COPD rising, attention should be focused on these diseases and how we can prevent fatalities throughout the world. Educating the public about these diseases is vital in lowering the number of deaths among individuals who have been diagnosed with these diseases. COPD and heart disease do have similar risk factors, symptoms, and mortality rates.…

    • 962 Words
    • 4 Pages
    Good Essays
  • Good Essays

    What is the prevalence of Chronic Obstructive Pulmonary Disease in the primary health care and community pharmacy?…

    • 668 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Copd Paper

    • 4722 Words
    • 19 Pages

    Copd is at the apex of causes for mortality worldwide, with a greater incidence rate than ten years prior; systemic infections are the mainstay of the disease process. Periodontal disease has been vividly studied and the absolute foundation of the multifactorial process restrictive airways. The infection leads to inflammatory responses that perpetuates the diseased state via inflammatory mediators, and thus mediating copd. Counter arguments for obesity-related hypoxia and other namely although creditable factors are also taken into account when understanding the disease, this is because all mediating factors result in acute inflammatory response which contribute to increased inflammation and later increase stimulation in the systemic circulation, this stimulation leads to the perpetual increase in total peripheral resistance, and later comorbidities associated with cardiac functioning. The present conception in the physiology of copd and site of immense work is in regard to the understanding of the link between systemic infections. Periodontal disease has shown that there is an increase connection with the effect of this process and that of pulmonary functioning. This paper will summarize the primary epidemiological findings and compares them to clinical evidence, while setting the stage for the counter action from a public health stand point.…

    • 4722 Words
    • 19 Pages
    Powerful Essays
  • Satisfactory Essays

    What Is COPD?

    • 80 Words
    • 1 Page

    COPD is characterized by the restriction of airflow into and out of the lungs, making breathing difficult. Many people with COPD have trouble walking short distances and are susceptible to illnesses such as pneumonia. The term COPD also encompasses emphysema and chronic bronchitis. The causes of COPD include smoking, having the alpha-1 antitrypsin deficiency and long-term exposure to inhaled pollutants. The severity of symptoms ranges from mild to severe and include shortness of breath, coughing, wheezing, recurrent infections and…

    • 80 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Chronic Obstructive Pulmonary Disease, commonly known as COPD by most people, disrupts the airflow going in and out of the lungs which reduces lung function. This disease was the third leading cause of death in the United States in 2011. It has been expected that about 32 million people in the United States today have this disease. COPD occurs more often in men than in it does in women (COPD). Studies show that one can learn what Chronic Obstructive Pulmonary Disease is, understand how it disturbs the body, and take into custody the treatments towards this disease.…

    • 644 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Stoller, Albert J. Heuer, and Donald F. Egan. Egan 's Fundamentals of Respiratory Care. St. Louis, MO: Elsevier/Mosby, 2013. Print.…

    • 1514 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease that makes it intensely difficult to breathe. This disease affects millions of Americans and affects tens of millions of people around the world (Jones, 2001). With COPD, the tissue where oxygen is exchanged is destroyed due to the thickened and inflamed airways in the lungs. This decreases the flow of air coming in and out of the lungs. When this occurs, body tissues receive less oxygen making it harder to get rid of the waste gas, carbon dioxide. As the disease progresses, it becomes increasingly difficult to remain active due to shortness of breath. Chronic Obstructive Pulmonary Disease has no cure, however, it is often preventable…

    • 674 Words
    • 3 Pages
    Good Essays
  • Good Essays

    “Chronic obstructive pulmonary disease (COPD) is a lung condition that may result in severe morbidity and includes chronic bronchitis, emphysema, or sometimes both. It is primarily linked with current or former smokers and is characterized by a loss of lung function over time, making it more difficult for someone to breathe and limiting personal activities, ultimately leading to decreased quality of life”. (Barrett, 2008). “One of the most important things regarding COPD is early identification,” says Barrett. “Stressing awareness and early patient identification is important. That way, patients can start treatment before the disease progresses to a more severe stage. That has been a major part of the intervention…

    • 499 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Pulmonary Rehabilitation

    • 1456 Words
    • 6 Pages

    Although no treatment slows the decline in lung function, exacerbations of COPD may contribute to the acceleration of decline in lung function. Through early diagnosis and treatment, the healthcare provider can educate the patient on primary and secondary interventions that can improve disease management (Ackley, 2011).…

    • 1456 Words
    • 6 Pages
    Good Essays