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ion from stable state leading to in onset and necessitates a change in regular medication in a patient with underlying COPD (Hanania & Sharafkhaneh 2011).
According to the Nursing and Midwifery Council (NMC) I shall use the name Sue to protect the patient’s confidential information. Sue is a 76 year old who was admitted to the hospital had increased breathlessness associated with increased coughing and sputum and with change in colour and viscosity of the sputum. She also had fatigue, wheezing and chest pain. It was confirmed that she had an exacerbation of COPD. She is married with three children who are very supportive and willing to support in any hospital requirements. She requires adequate medical since exacerbation of COPD can lead to respiratory failure, possibly admission to hospital. Repeated exacerbations may also lead to declined health status of the patient both physically and emotionally (Hansel 2001).
In COPD, the chronic and recurrent obstruction of airflow in the airways is usually progressive accompanied by airway hyperactivity and may be partially reversible. COPD encompasses enlargement of air spaces and destruction of lung tissue (emphysema) which leads to hyperinflation of the lungs producing an increase in total lung capacity. Emphysema is caused by smoking and an inherited deficiency of α1-antitrypsin which protects the lung from injury. Chronic obstructive bronchitis is characterised by increased mucus obstruction, obstruction of small airways and a chronic productive cough. Sue was experiencing overlapping features of both emphysema and chronic bronchitis.
The mechanisms involved in pathogenesis of COPD are multiple and include inflammation and fibrosis of the bronchial wall, hypertrophy of the sub mucosal glands and hyper secretion of mucus and loss of elastic lung fibres and alveolar tissue. Inflammation and fibrosis of the bronchial wall along with excess mucus secretion and destruction of elastic fibres which normally provide
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Adapting to Health Changes Abstract This essay aims to address a two-fold objective, to wit: 1) to detail, prioritize, identify rationale for each assessments and plan of care, and 2) to critically analyze the attitudes and beliefs of nurses towards elderly and how these influence the practice of other health care professionals.
This is because chronic illness and care is a permanent, irreversible and changes over a long period hence the need for frequent support in various settings and from different health care providers. This paper examines the prevalence of chronic illness and the role of coordinated and multidisciplinary teams in the management of chronic illness.
The occurrence of traumatic brain injury can subsequently occur from an object penetrating the skull or fracturing (Marion 43). This, therefore, causes bleeding in the brain or physical damage that can cause mental complications or death. Where the damage is mild the effects may last for a while and cause mild dysfunction of the brain.
As the discussion highlights within the context of this project, the researcher will investigate the degree in which patients with acquired brain injury rate their vocational competency and how this relates to their rehabilitation in carrying out tasks in all parts of life. The researcher will identify when, where and how patients adapt to this condition.
(National, 2003) Dawodu (2003: 2) defines traumatic brain injury
as: "a non-degenerative, non-congenital insult to the brain from an external mechanical force, possibly leading to permanent or temporary impairments of cognitive, physical, and psychosocial functions with an associated diminished or altered state of consciousness".
Evidence suggests that it is one of the major and common problems found in emergency departments and that “4% to 10%” of patients manifest its symptoms (p.613). It can occur in patients of all age groups but in younger adult it is caused by “traumatic and
Practical language is challenging to these patients. The problem of perseveration is common in Floridian persons who have had traumatic injury to the brain. They are also diagnosed with the frontal lobe syndrome. Additionally, emotional
Therefore, clinicians ought to pay particular attention to common symptoms, for example, falling, weight loss, and declined socialization (Kresevic, 2012).
Common disorders among the elderly are not easily noticed. Therefore, clinicians ought to carry out physical
The view therefore affects the manner in which we anylize and draw conclusions. The rates of mortality, mordibility and life expectancy cotinue to differ in most developed countries. This is highly influenced by social classes as well as the different income groups.
Another context could be a functional context in which health is defined as a being in a state in which you are able to perform certain activities. Health inequalities in the larger UK are brought about by different social
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