Chronic Obstructive Pulmonary Disease Health, Medicine Case Study (Case Study Sample)
Rubric for COPD Paper
Pathology: Define the patient’s disease process
Clearly Explain etiology of the disease process
Thoroughly explain signs and symptoms of pathology
Medication: Understand and explain first line treatment for the disease
Understand and explain second line treatment and why you would use second line treatment.
Clearly explain the patient medication o Minimum of 3-5 medications
Clearly explain the subclass of medication
Clearly explain alternative therapies
Clearly explain any Black Box warnings, contraindications, and nursing consideration for the medications
Able to identify 3 -5 common side effects
Identify any medication interactions
Common indication for the prescribed medication
Explain 2 challenges that might prevent them from taking medication as prescribed.
Diagnosis: Provide 3 nursing diagnosis for the patient
List health assessment priorities for the nursing diagnosis
Explain 2 evidence-based practice intervention for each nursing diagnosis
Explain Lab work that is required to give a medical diagnosis
Plan of care: Able to explain what the patient is at risk for.
Can articulate safety/concerns issues at home.
Explain 2 challenges that might prevent the patient from seeking medical care.
Able to articulate all patient education for the patient and treatment plan
Able to explain understanding of diagnosis and treatment
Identified 2 short term goal and 2 long term goals
Identified 2 outcomes for the patients
Discharge Instructions: Articulate clearly discharge instruction
Articulate follow-up care
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease
COPD is an evolving disorder that has a different rate of progression, which differs from one person to another. The diseases manifests in two conditions: emphysema and chronic bronchitis. The chronic respiratory symptoms that characterize the disease represent the permanent changes that occur in the patient’s lungs, including coughing, shortness in breath, as well as sputum production (Gundry, 2019). The fundamental cause of COPD is cigarette smoking. However, one can acquire the disease from exposure to any other irritant gaseous particles and chemical fumes (Gundry, 2019). The inhaled particles cause the inflammation of the airway, which causes it narrow, leading to a reduced transfer of gases in the body. The reduced gas transfer capability causes shortness in breath and decreased capacity to exercise.
COPD is characterized by multiple symptoms. First, the shortness in breath is the most apparent COPD symptom because it is readily observable by healthcare professionals and uncomfortable to the patient. Breathlessness varies from one person to another and is linked to depression, anxiety, increased mortality risk, and reduced quality of life (Gundry, 2019). Second, cough is a chronic symptom of COPD that varies from one patient to another. A cough may not indicate the degree of airflow limitation, but it is one of the earliest COPD symptoms in chronic smokers. Third, the COPD patient’s excess production of sputum results from hypersecretion of mucus by the goblet cells and reduction in mucus elimination (Gundry, 2019). Variations in sputum characteristics are fundamental, and the production of purulent sputum can indicate the presence of bacterial infection. Lastly, wheezing is a high-pitched sound produced by COPD patients due to the narrowing of the airways (Gundry, 2019). Wheezing also varies from one COPD patient to another. The four symptoms are indicative of COPD, however, they vary from one patient to another, and lack of one symptom does not exclude a person from having the disorder.
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