Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. You can read the details below. Be sure to update it periodically. Author: Stephen Gundry is COPD nurse, Newcastle Hospitals NHS Foundation Trust. COPD - . Free access to premium services like Tuneln, Mubi and more. In review, COPD causes the flow of air out of the lungs to be blocked. Cigar and pipe smoking Passive (secondhand) smoking Associated with reductions in pulmonary function Its status as a risk factor for COLD remains uncertain. NUR. Distributions of forced expiratory volume in 1 s (FEV1)values in a generalpopulation sample, stratified by pack-years of smoking. California State Musculoskeletal Metabolic and Multisystem Health Dysfunction Callimbah is a successful company that is involved in the.docx, California State University Economists and Finance of Tesco Presentation.docx. Asthma patients can also develop chronic (not fully reversible) airflow obstruction. Our beautiful, affordable PowerPoint templates are used and trusted by both small and large companies around the world. -System-wide nurse referral bonus program - earn up to $6000 per referral. Systemic wasting Significant weight loss Bitemporal wasting Diffuse loss of subcutaneous adipose tissue Paradoxical respiration Inward movement of the rib cage with inspiration (Hoover's sign) in some patients "Pink puffers" are patients with predominant emphysemano cyanosis or edema, with decreased breath sounds. Chronic Obstructive Pulmonary Disease or Chronic Obstructive lung disease. advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. You can read the details below. Enhanced Discharge Process to Reduce 30-Day COPD Readmission Rates: A Quality Improvement Project. having lower oxygen levels than normal . Continuation Obese patients also need increased physical exercises monitored by nurses. COPD can lead to increased vulnerability by exclusion from participating fully in society. The air is therefore trapped in the lungs, making it hard for the lungs to send the right amount of oxygen to the rest of the body (McCance & Huether, 2019). By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Do not sell or share my personal information, 1. Title: PowerPoint Author: PONG Last modified by: peak Created Date: 6/14/2012 10:12:34 AM Document presentation format - PowerPoint PPT presentation. Comprises primarily of two related disease- argy teaching resident, feb. 2007. We believe everyone should have access to free online first aid information which is up-to-date and accurate. Energy-conserving tips are presented. epidemiology . Chronic Obstructive Pulmonary Disease Treatment Procedures in Hyderabad | Dr. Dr AGK Gokhale Cardiac Surgeon in Hyderabad, California State University Long Beach Sustainability and Food Paper.docx, California State Teaching Students with Hearing Losses Article Analysis.docx, California State University Thomas Kilmann Conflict Mode Questionnaire.docx. 1) suspect copd - prolonged or recurrent cough, dyspnea, or, COPD - . Many in this series of 12- to 20-page easy-to-read booklets feature interactive portions for patients and caregivers to discuss together. Many in this series of 12- to 20 . Chronic obstructive pulmonary disease (COPD) is an umbrella term for two chronic lung conditions. Free access to premium services like Tuneln, Mubi and more. mr. d has. Avg rating:3.0/5.0. Tap here to review the details. The patient and caregiver track contains several helpful tools, including an interactive My COPD Action Plan and activity tracking calendar; inhaler, nebulizer and exercise videos; and a wallet card to track important information such as medications and immunizations. possible areas to cover. COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. In the United States alone it affects about 16 million people. Chronic obstructive pulmonary diseases & Nursing care. Study Resources. . Change size CrystalGraphics is the award-winning provider of the worlds largest collection of templates for PowerPoint. alison boland str respiratory medicine. Chronic obstructive pulmonary diseases COPD is also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD) Chronic obstructive pulmonary disease (COPD . -Continuous evaluation of classes and the course to . This is one of the best free PPT templates for nursing. COPD Foundation Guides for Better Living are comprehensive educational booklets for use by individuals with COPD and their families, pulmonary rehabilitation programs, COPD support groups, and health care facilities. For health care professionals, hard copies of the COPD Pocket Consultant Guide, including the treatment decision tree, seven COPD severity domains, the CAT, the mMRC Breathlessness Scale, and listings of brand or generic medications are available for download below. 2023 Spring Consortium: On-Demand. Designed to support NPs in primary care who play a crucial role in the management of patients with PAH, a rare, complex disease this tool explains the clinical presentations of PAH, provides an overview of treatment options and identifies when patients should be referred to pulmonary hypertension (PH) centers. Pneumothorax is one of the disorders of the chest and lower respiratory tract. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. This booklet will help you plan for emergencies and stay safe during a disaster event. Considerations Problems other than COLD should be suspected when hypoxemia is difficult to correct with modest levels of supplemental oxygen. Because this study aimed to explore nurse observations of COPD patients in a naturalistic setting (during home visits), eligible patients were identified and included as a third party during the data collection process. Send us a message and help improve Slidesgo. The COPD Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. 28-7, Emphysema Pathophysiology Hyperinflation of alveoli Destruction of alveolar walls Destruction of alveolar capillary walls Narrowed airways Loss of lung elasticity, Emphysema Pathophysiology Two types: Centrilobular (central part of lobule) Most common Panlobular (destruction of whole lobule) Usually associated with AAT deficiency, Emphysema Pathophysiology Structural changes are: Hyperinflation of alveoli Destruction of alveolar capillary walls Narrowed, tortuous small airways Loss of lung elasticity, Emphysema Pathophysiology Small bronchioles become obstructed as a result of Mucus Smooth muscle spasm Inflammatory process Collapse of bronchiolar walls Recurrent infections production/stimulation of neutrophils and macrophages release proteolytic enzymes alveolar destruction inflammation, exudate, and edema, Emphysema Pathophysiology Elastin and collagen are destroyed Air goes into the lungs but is unable to come out on its own and remains in the lung Causes bronchioles to collapse, Emphysema Pathophysiology Trapped air hyperinflation and overdistention As more alveoli coalesce, blebs and bullae may develop Destruction of alveolar walls and capillaries reduced surface area for O2 diffusion Compensation is done by increasing respiratory rate to increase alveolar ventilation Hypoxemia usually develops late in disease, Emphysema Clinical Manifestations Dyspnea Progresses in severity Patient will first complain of dyspnea on exertion and progress to interfering with ADLs and rest, Emphysema Clinical Manifestations Minimal coughing with no to small amounts of sputum Overdistention of alveoli causes diaphragm to flatten and AP diameter to increase, Emphysema Clinical Manifestations Patient becomes chest breather, relying on accessory muscles Ribs become fixed in inspiratory position, Emphysema Clinical Manifestations Patient is underweight (despite adequate calorie intake), Chronic Bronchitis Pathophysiology Pathologic lung changes are: Hyperplasia of mucus-secreting glands in trachea and bronchi Increase in goblet cells Disappearance of cilia Chronic inflammatory changes and narrrowing of small airways Altered fxn of alveolar macrophages infections, Chronic Bronchitis Pathophysiology Chronic inflammation Primary pathologic mechanism causing changes Narrow airway lumen and reduced airflow d/t hyperplasia of mucus glands Inflammatory swelling Excess, thick mucus, Chronic Bronchitis Pathophysiology Greater resistance to airflow increases work of breathing Hypoxemia and hypercapnia develop more frequently in chronic bronchitis than emphysema, Chronic Bronchitis Pathophysiology Bronchioles are clogged with mucus and pose a physical barrier to ventilation Hypoxemia and hypercapnia d/t lack of ventilation and O2 diffusion Tendency to hypoventilate and retain CO2 Frequently patients require O2 both at rest and during exercise, Chronic Bronchitis Pathophysiology Cough is often ineffective to remove secretions because the person cannot breathe deeply enough to cause air flow distal to the secretions Bronchospasm frequently develops More common with history of smoking or asthma, Chronic Bronchitis Clinical Manifestations Earliest symptoms: Frequent, productive cough during winter Frequent respiratory infections, Chronic Bronchitis Clinical Manifestations Bronchospasm at end of paroxysms of coughing Cough Dyspnea on exertion History of smoking Normal weight or heavyset Ruddy (bluish-red) appearance d/t polycythemia (increased Hgb d/t chronic hypoxemia)) cyanosis, Chronic Bronchitis Clinical Manifestations Hypoxemia and hypercapnia Results from hypoventilation and airway resistance + problems with alveolar gas exchange, COPD Complications Pulmonary hypertension (pulmonary vessel constriction d/t alveolar hypoxia & acidosis) Cor pulmonale (Rt heart hypertrophy + RV failure) Pneumonia Acute Respiratory Failure, COPD Diagnostic Studies Chest x-rays early in the disease may not show abnormalities History and physical exam Pulmonary function studies reduced FEV1/FVC and residual volume and total lung capacity, COPD Diagnostic Studies ABGs PaO2 PaCO2 (especially in chronic bronchitis) pH (especially in chronic bronchitis) Bicarbonate level found in late stages COPD, COPD Collaborative Care Smoking cessation Most significant factor in slowing the progression of the disease, COPD Collaborative Care: Drug Therapy Bronchodilators as maintenance therapy -adrenergic agonists (e.g. Activate your 30 day free trialto unlock unlimited reading. Appointments & Locations. review oct. 16, 2014 cathy vakil. COPD - . British Journal of Nursing 17 (21). Clipping is a handy way to collect important slides you want to go back to later. COPD - Physical Findings. COPD - Physical Findings Tachypnea Accessory respiratory muscle use Pursed lip exhalation Weight loss due to poor dietary intake and excessive caloric expenditure for work of breathing, Dominant Clinical Forms of COPD Pulmonary emphysema Chronic bronchitis Most patients exhibit a mixture of symptoms and signs, COPD - Advanced Dx secondary polycythemia cyanosis tremor somnolence and confusion due to hypercarbia Secondary pulmonary HTN w or w/o cor pulmonale, COPD Treatment Strategy Elimination of extrinsic irritants bronchodilator & glucocorticoid therapy Antibiotics Mobilization of secretions respiratory vaccines Oxygen therapy - if oxygen saturation <90% at rest on room air, A-a gradient A-a gradient = predicted pO2 observed PO2 PAO2 = (FIO2 X 713) (PaCO2/0.8) at sealevel PAO2 = 150-(PaCO2/0.8) at sealevel on room air Normal range 10-15mm > 30 years of age Normal range 8mm < 30 years of age Increased A-aDO2=diffusion defect Right to left shunt V/Q mismatch, Examples A doubel overdose brings two 30 yr old patients to the ED. This booklet covers many important topics, such as how COPD is diagnosed, treatment options, how to manage COPD symptoms and flare-ups, tips for living well with a lung condition, and how to cope with COPD. Chronic Obstructive Pulmonary Disease (COPD) Slide 2-. Dr. Kaara Ray B. Calma is a full-time Lecturer in the School of Nursing and Midwifery at Deakin University Australia, and is a Registered Nurse with a PhD completed at the University of Wollongong Australia. aims & objectives. Chronic obstruction of the flow of air through Learn about tools to help you quit smoking as well as risk factors for COPD in this double-sided flyer. In advanced COPD, a chest X-ray might show lungs that appear much larger than normal. a disease state characterized. 270 views. In the health care provider view, users can access the CAT and mMRC Breathlessness Scale; an evidence-based therapy flowchart; COPD medications lists; inhaler and nebulizer education videos; and much more. Description: COPD 'COPD is fifth commonest cause of death in England and Wales accounting for . Views: 714, By: JenniferDwayne Slides: 36. chronic slowly progressive disorder characterised by airway obstruction which does not change, COPD - . Youll like what you see! A CT scan of your lungs can help detect emphysema and help determine if you might benefit from surgery for COPD. What is hypertension? In the United States alone it affects about 16 million people. PowerPoint Presentation Last modified by: Ameritech College of Healthcare, Draper. A chest X-ray isn't used to diagnose COPD, but it may help rule out conditions that cause similar symptoms, such as pneumonia. The use of the standardized technique is particularly helpful for nurses, who can use it to organize their thoughts and break vital information into segments that describe the, S - Situation. Inhalation of gases and particles is thought, Air-trapping (when the alveoli fill with CO2. She is a passionate nurse, educator and researcher, with research interests in undergraduate nursing education, nursing workforce, chronic illness experience, patient education, health . B - Background. Msc Nursing 1st year Views: 530, By: JenniferDwayne This one-page fact sheet focuses on preventing pneumonia in individuals with COPD. $ 6000 per referral plan for emergencies and stay safe during a disaster event when the fill! Beautiful, affordable PowerPoint templates are used and trusted by both small and large companies around the world like! Hyperinflation- the diaphragms are at the level of the disorders of the chest and respiratory... 12- to 20-page easy-to-read booklets feature interactive portions for patients and caregivers to discuss together ; COPD is commonest... Resident, feb. 2007 - prolonged or recurrent cough, dyspnea, or, COPD causes flow! Which is up-to-date and accurate or chronic Obstructive pulmonary Disease ( COPD ) is an umbrella term two... 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