Preview

spirometry portfolio

Powerful Essays
Open Document
Open Document
7682 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
spirometry portfolio
Spirometry Portfolio
HEA 3077

Student Number
September 2012

Contents

Section
Heading
Page number
1
General statements

2
Method of referral

3
Lung function request form

4
Flow sensing spirometers

5
Introduction

6
Calibration/Verification and Cleaning

7
Spirometry Testing for Patients with known Infections

8
Immuno-compromised Patients

9
Education and Training

10
Flow/Volume Calibration check Procedure

11
Biological control check procedure

12
Calibration charts

13 Spirometry cleaning Record

14
Instructions for spirometry

1.Mild Obstruction

2.Mild obstruction

3.Moderate obstruction

4.Moderate obstruction

5.Severe obstruction

6.Severe obstruction

7.Reversible

8.Non-reversible

9.Combined picture

10. Restrictive

1. General Statements
Confidentiality has been maintained throughout this portfolio, no patient identifiable information will be enclosed.
The author is a registered general nurse who works both in the acute hospital environment and the community setting. Spirometry is performed to confirm that patients have airway obstruction it also assists with the monitoring of disease progression, with the assessment of the patients response to therapy and helps the practitioner decide on appropriate treatment/ pharmacological pathways for the individual patient.
Spirometry is also performed on all COPD patients that are referred to the service from the hospital Discharge Bundle.
The author co-ordinates the pulmonary rehabilitation service for patients with various respiratory conditions. Pulmonary rehabilitation aims to increase the patients functional capacity, increase their general fitness and help them to gain a better uderstanding of their respiratory condition through an education component to the PR programme.

2. Method of Referral
As part of the Pulmonary rehabilitation (PR) service the author undertakes spirometry as part of the admission and discharge process on all patients unless there are excluded



References: Levy Mark L, Quanjer Philip H, Booker Rachel, Cooper Brendan G, Holmes Stephen, Small Iain R, (2009) Diagnostic Spirometry in Primary Care Primary Care Respiratory Journal 18(3):130:147 NICE (2010) CG101 Chronic Obstructive Pulmonary Disease. [Online] Available at www.nice.org.uk accessed 3rd March 2013.

You May Also Find These Documents Helpful

  • Good Essays

    Unit 7 Lab Report

    • 680 Words
    • 3 Pages

    No chart necessary here, but you will need to use the data you get from running the experiments to answer the questions below…

    • 680 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Fv1 Task 4

    • 514 Words
    • 3 Pages

    Lung function tests and QOL survey would be repeated at week six and again at six and twelve months’ post enrollment…

    • 514 Words
    • 3 Pages
    Good Essays
  • Better Essays

    The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…

    • 1422 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Acute care essay

    • 2487 Words
    • 7 Pages

    Furthermore, failure to follow a systematic assessment in the treatment of an acutely ill patient is also another contributing factor (Resuscitation Council UK 2006). There is however, the risk of this kind of approach being subjective as each individual may observe, feel or hear symptoms differently. Due to the word constraint, this assignment will concentrate on the breathing assessment aspect of Dominic’s condition and also the pathophysiology of COPD and the use of oxygen (O2) as treatment to alleviate his symptoms.…

    • 2487 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    copd

    • 377 Words
    • 2 Pages

    Every patient I have ever taken care that was diagnosed with COPD has always had to use…

    • 377 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Asthma is a chronic condition that causes difficulties in breathing due to inflammation in the airway passages. Individuals that have asthmas have symptoms of an expiratory wheeze. Margaret would require a spirometry test to determine her lung function at present and in the future, as the pneumonia in Margaret’s lung could also be a contributing for an expiratory wheeze.…

    • 868 Words
    • 4 Pages
    Good Essays
  • Best Essays

    The first part of this work will be pertinent with the history taking process within a consultation; the second part will focus on assessment and physical examination. This essay aims to demonstrate comprehensive history taking and a structured approach to the consultation. A thorough assessment and examination of the respiratory system will follow, together with a rationale for examination skills used and a critical analysis of the clinical findings.…

    • 4906 Words
    • 20 Pages
    Best Essays
  • Powerful Essays

    study guide

    • 1369 Words
    • 6 Pages

    11. Describe the purpose, methods, and nursing management related to non-invasive and invasive respiratory care strategies (i.e., TCDB, spirometry) for patients with respiratory problems.…

    • 1369 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Traditionally the role of the respiratory therapist has been heavily dictated and rather limited by the physician’s orders. For seemingly as long a respiratory therapy has been a recognized medical discipline, therapist have had to endure working under this physician-directed approach, until recent developments prompted an in-depth look into the overall efficiency of such physician-driven protocols. These developments were an over-utilization of respiratory care and misallocations. It was felt that respiratory procedures could be greatly reduced without increased adverse effects on patient outcomes. (Hess, D.…

    • 1018 Words
    • 5 Pages
    Good Essays
  • Good Essays

    In this activity, you will measure your own respiratory volumes using a device called a spirometer.…

    • 1016 Words
    • 4 Pages
    Good Essays
  • Better Essays

    There are various forms of respiratory disease that not only debilitate, but claim the lives of millions of Americans each year. Chronic obstructive pulmonary disease, Tuberculosis, Lung cancer, Asthma, emphysema, and bronchitis are just a few of the common respiratory infections that disrupt the functions of organs and tissues responsible for providing oxygen to the body. In this paper I will discuss Chronic obstructive pulmonary disease also referred to as COPD as my primary theme of respiratory disease. I will describe the severity of COPD, its epidemiology, as well as how it is diagnosed and treated. I will describe whether COPD is classified as a primary, secondary, or tertiary disease and finally address how COPD impacts society as it relates to the business of heath care and the use of resources.…

    • 1211 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Incentive Spirometry Essay

    • 2925 Words
    • 12 Pages

    A maximal inspiration sustained over three seconds may increase the transpulmonary pressure thereby improving inspiratory volumes and inspiratory muscle performance.…

    • 2925 Words
    • 12 Pages
    Satisfactory Essays
  • Better Essays

    This rapid assessment begins with an inspection of the patient’s airway to ensure no obstructions exist. Possible airway obstructions include the patient’s tongue, loose teeth, foreign objects, vomit or blood. The airway must be cleared of any obstructions before proceeding with the assessment. The case study does not indicate the presence of any airway obstructions. Once the airway is deemed clear, an assessment of breathing occurs. This includes observing the patient for signs of spontaneous breathing, including rise and fall of the chest, rate of breathing, work of breathing and breath sounds. The case study reports the patient as both unresponsive and as having difficulty breathing. In an unresponsive patient, it is important to begin ventilation with a…

    • 2238 Words
    • 9 Pages
    Better Essays
  • Better Essays

    Copd

    • 1362 Words
    • 6 Pages

    Bibliography: * "Patient.co.uk - Trusted Medical Information and Support." Patient.co.uk. N.p., n.d. Web. 17 June 2012. <http://www.patient.co.uk/health/Chronic-Obstructive-Pulmonary-Disease.htm>.…

    • 1362 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    COPD Reflective Essay

    • 1105 Words
    • 5 Pages

    Generally speaking, diagnosis is confirmed by spirometry, which is considered the “gold standard” for COPD assessment and diagnosis as it represents the most objective and standardized method of measuring airflow limitation. Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and the ratio of the two (FEV1/FVC) are the primary spirometric measurements used for diagnosis. (Buttaro et al., 2013).…

    • 1105 Words
    • 5 Pages
    Powerful Essays