Emphysema Case Study

This essay will discuss a chosen individual with hip fracture from practise placement and explore the context to which health and social care is administered in the UK. CMOP-E model will be used to examine the theoretical concepts of occupational therapy and the identification of occupational performance needs of the chosen patient. The role of multi disciplinary team participation will be discussed with reference to the patient’s treatment whilst demonstrating safe practise in relation to personal safety and safety of others.

Baby boomers are the demographic cohort, known as the generation that makes up the substantial portion of the world’s population. Individuals born during the time of 1946 to 1964 has lived in environments where smoking lead to a detrimental impact in their later years. As the third leading cause of death, chronic obstructive pulmonary disease (COPD) is common among the older population. This disease is the leading cause of both morbidity and mortality. Leading to a consensus that older adults (particularly baby boomers) are at a great risk of COPD because they grew up in an era where smoking was fashionable, cigarettes were provided during the wars, and exposure to secondhand smoke was tremendous.

I was initially exposed to the field of osteopathy at the end of eighth grade when I visited the Queens Hospital for appearance of skin rashes. Unlike other physicians, I had seen previously regarding this condition, the osteopathic physician treating me at the moment did not dismiss me with just another ointment. Instead the physician took a detailed history and tried to investigate the underlying causes of the rash, not just my symptoms. Due to the physician’s reconnaissance nature, I was able to receive a correct diagnosis. Even though the rashes turned out to be from bed bugs’ bites, the physician’s approaches to medicine inspired and motivated me to further research the field of osteopathic medicine.

Neutrophils release of biochemical, humoral and cellular mediators that produce changes in the lung. Pulmonary capillary membrane permeability increased, destruction of elastin and collagen, formation of pulmonary microemboli, and pulmonary artery vasoconstriction. Pathophysiologic changes in ARDS are described in three phases.These three phases unfold sequentially over a period of several weeks to several months.First is exudative level. The exudative phase unfolds over the first 1 to 7 days after attack of lung injury. Accumulation in the alveoli of excessive fluid, protein and inflammatory cells that have move into the air spaces from the alveolar capillaries. Intrapulmonary shunt develop and blood passing cannot be oxygenated. Alveolar type I and type II cells are spoiled causing surfactant dysfunction. Alveoli become unstable and collapse and fibrotic changes take place. Hyaline membranes help to the development of fibrosis and atelectasis (collapse) essential to decrease in gas exchange capability and lung dysfunction. These changes cause the lungs to become stiff, patient work hard to inspire. Hypoxemia and the stimulation of juxtacapillary receptors in the stiff lung parenchyma leading to increase respiratory rate and decrease in tidal volume. Breathing irregular increase carbon dioxide removal,

Al Waysmoking was a 72 year-old retired factory worker who was a chain smoker. He is experiencing fatigue, shortness of breath, but continues to smoke. Upon exam his Nurse Practitioner notes that he has a prolonged expiratory phase, expiratory wheezes, and an increased anteroposterior chest diameter. His nail beds were cyanotic and he had moderate pitting edema. Pulmonary Function Testing (PFT) revealed that Al had a decreased VC and an increased RV and FRC. Although HB was normal, PaO2 was decreased (48 mmHg) and O2 saturation was decreased at 78%. PaCO2 was increased at 69 mmHg and bicarb was elevated at 34 mEq/L. His NP concluded that Al had a combination of emphysema and bronchitis, called chronic obstructive pulmonary disorder (COPD) which resulted from his long history of smoking.

What treatments are used and what is included in the sessions all depends of the nature of the condition. Common activities include massage therapy, stretching and exercising and the use of technology such as lasers and ultrasound. Hydrotherapy and electrotherapy sessions may also be included in the treatment programme.

During the FNP III rotation, the student has seen many patients who have complex chronic illnesses than other two rotations that she completed for the FNP I and FNP II courses. The student had many opportunities to independently interview and exam the patients, then come up with differential diagnoses and treatment plan based on the pertinent and impertinent information and evidence-based practice. The preceptor, Dr. Jeanne-Elyse Cedeno, a medical physician/owner of the clinical site, always encouraged the student to think as a primary care provider in many ways. In this paper, the student is going to discuss the progress of the eight objectives (see Appendix A for details), discuss her personal growth and development in the nurse practitioner role, provide the information on what she learned in the clinical that will be valuable to her future practice, and describe any missed opportunities that she did not get out of this experiences as expected, discuss for areas of improvement in the future clinical rotation, and the summarize the final evaluation with her preceptor.

Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy.

This is a 25 year old African American male who is here because he is experiencing burning secsation with urination, and irritation at the penus. Patient is also requesting stuture removed form his right hand. difficulty with Patient denies chest pain, SOB, N/V/D, or fever. Patient denies depressive moods, thoughts of suicide or homicide. current pain

Mr. Chapman is a forty-six year old man, and he has been receiving home-based hospice care, for the past three weeks. Mr. Chapman is an avid smoker, who has smoked two to three packs of unfiltered cigarettes for thirty years. Currently, he is experiencing wheezing, fatigue, weakness, poor endurance, and frequent coughing spasm. He is consistently losing weight, and he can only swallow clear soup and a few sips of water. To cope with his pain, he takes transdermal fentanyl and an occasional oral morphine. Also, he is on one to two liters of oxygen a day. Recently, Mr. Chapman’s wife asked that he does not smoke because she is worried about starting a fire, and people being hurt; however, Mr. Chapman claims that hospice employees

If you were planning the care of this patient write one priority nursing diagnosis, with a patient goal, and interventions, that would address the safety needs of

Annette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.). She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by

Besides a coach an athletic trainer is the right hand man to an athlete. As an athletic trainer there are many tasks that keep us going. One is the athletes themselves and all of the requests they come in and demand. From recovering from an injury to preventing a life long injury from reoccurring trainers are always on the move. Prioritizing, viewing a wide variety of injuries, and differing work fields are just a few of the benefits that you get when you are a trainer.

The Author of this Assignment is a Health Care Assistant (HCA) student who is on work experience in a short stay hospital. For the purpose of this essay the author will highlight the skills that are involved in assisting a patient with bingo. The author will place emphasis on the communication, safety, and the promotion of independence with the patient throughout helping them with their activity. The author will also place emphasis on the importance of preserving the patient’s privacy and dignity throughout assisting the patient with bingo.

Physical therapy is the treatment of disease, injury, or distortion by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery. The goals are to help joints move better and to restore or increase your flexibility, strength, endurance, coordination, and balance. This essay will discuss the extent of agreement that physical therapy is vital to be used as non-surgical treatments by people experiencing back and neck pain from time to time.