Case Study: COPD Exacerbation
Due Date: January of sixteen, 2012
Wayland Baptist College or university
Adult Wellness II
The purpose of this kind of paper is to discuss a great exacerbation of Chronic Obstructive Pulmonary Disease (COPD) as well as its effect on my personal patient, Mister. HS, a 78 yr old male. From this paper we all will look with the various aspects in the disease process which includes its incidence, pathophysiology, delivering complaints, evaluation of his clinical demonstration, and discuss treatment. We will analyze the effect the condition process has on Mr. HS and will look at his clinical manifestations and clinical work, along with provide an end result analysis. Understanding these different facets will enable someone to understand various long term associated with this chronic disease method. Incidence
COPD is identified as the prolonged obstruction from the airways and occurs with emphysema, persistent bronchitis, or perhaps both. Smoking most commonly triggers the disease procedure. Typically individuals will develop a cough and be short of inhale. In the United States, approximately 15. 5 million people now endure this disease. Statistics show that 13. a few million persons suffer long-term bronchitis and 2 , 000, 000 from emphysema (Workman, 2010). COPD is currently considered the next leading reason behind death in the us and is projected to be the third leading source of death to get both males and females by year 2020 (COPD Intl, 2004). COPD is second only to cardiovascular disease as a reason for disability that forces visitors to stop working (Wise, 2007). This disease procedure affects guys more commonly after that women and 95% of all COPD related fatalities occur in people over the age of fifty five (Wise, 2007). Statistically, Guys are several times more likely to be clinically determined to have emphysema even though the prevalence of in women is on a steady maximize (COPD Intl, 2004). Within a recent study, the typical length of every hospital stay in patients with COPD was 4 days while imply hospital costs equaled $5, 357 (Shore, et. al). Unfortunately, COPD has become a major cause of morbidity, mortality and disability in the usa (Manino, ou al., 2002) With raising severity of COPD, the chance of respiratory tract disease also increases. The disability of the immune system is most likely accountable for both the colonization of respiratory system with bacteria and for an elevated risk for infection with fresh strains of bacteria causing acute exacerbations. Also chest infections just like pneumonia, chest abscesses, and empyema are definitely more often observed in patients with COPD than in healthy topics (Lange, 2009). According to Griffen, et al, extra viral lung infection in patients with COPD accounted for a 9% increase in mortality in people over sixty five years old. Throughout the world statistics happen to be staggering. According to the World Overall health Organization, in 2005, COPD accounted for 5% of all fatalities globally which number is usually expected to rise. The World Health Organization jobs an increase of total fatalities worldwide form COPD by than thirty percent in the next ten years (WHO, 2011). Pathophysiology
Chronic obstructive pulmonary disease (COPD) can be described as mixture of several separate disease processes that together make up the complete clinical and pathophysiological picture. It can be characterized by modern inflammation inside the small breathing passages and chest parenchyma, is usually mediated by the increased appearance of multiple inflammatory genes (Barnes, 2009). The processes which can be responsible for this kind of disease happen to be chronic bronchitis, emphysema, and, to a lesser extent, В asthma. The specific pathophysiology of COPD is not well realized (Hunter & King, 2001). However , the progression of COPD can be characterized by build up of inflammatory mucous exudates in the lumens of the little airways in the lungs, which can be known as bronchioles. Chronic swelling causes a thickening with their walls causing infiltration by adaptive and innate inflammatory immune skin cells. According to Barnes, process of the...
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