Nursing practice, Chronic Obstructive Pulmonary Disease (COPD)
APA 6 edition Dear Attached all the document and information that are required. Please consider it strongly, it explain everythings needed. The paper must be written in Australian Academic English. Minimum 3 references are required. References must current (last 5 years). The tutor said that the below reference (book) MUST be used: Brown, D. and Edwards, H. (2011 or 2013 editions). Lewis\'s medical-surgical nursing: Assessment and management of clinical problems. (3rd Edition) Marrickville: Mosby. Every answer MUST have references.
Assessment 1: Guided Scenarios
Instructions: This assessment requires you to respond to a series of questions within given clinical scenarios and support your answers will contemporary evidence. Consider the relevant contextual factors within the given scenario when developing your responses to the questions. Check the required style, marking criteria, and the attached examples.
Length: 750 words.
Required Style: Your responses to questions in the learning activities must be typed. Responses may be in academic prose, sentences and/or point form at the student’s discretion. All short answer response sources should be appropriately acknowledged and referenced using an APA approach consistent with QUT citewrite. Include a reference list of resources used in your assessment. This is additional to the word limit. Number your answers clearly. There is no need to re-type or include the scenarios or assessment questions.
Marking Criteria: Each mark is awarded for a key point in your response that is correct, responds closely to the focus on the question and is supported with a valid academic resource / reference. Partial marks are used. Please check the examples provided on blackboard to further clarify expectations before you begin this assessment.
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Date:
Scenario 1
Q1
Jamie's current problem is Chronic Obstructive Pulmonary Disease (COPD). The common symptoms of COPD as presented by Jamie include; the pale skin and pink lips, due to the obstruction respiratory rate was high and were deep and through the mouth. Jamie had inspiratory wheeze on inhalation that was audible on the stethoscope. The vital signs also present classical symptoms of COPD (Russell, Ford, & Barnes, 2011).
Q2
In such a case, the priority nursing care in Jamie's case should be in providing measures that assist in facilitating gaseous exchange. Jamie has been in the hospital for some time and his vital signs stabilized the priority intervention approach in oxygen therapy will involve supplemental long-term oxygen therapy (LTOT). It improves exercise, survival, sleep, and cognitive performance in hypoxemia CITATION Pru13 \l 1033 (Pruitt & Jacobs, 2013).
Q3
Nasal prongs have the following two advantages; they are cheaper to use and can be easily replaced during treatment compared to the facial masks. In addition, their slim line shape allows the patient to easily move around and undertake duties normally with minimal hindrance in comparison to the facial mask CITATION AlS13 \l 1033 (Al-Shaqs & Brockway, 2013).
Q4
Initial treatment began with nasal prongs. However, Non-rebreather masks are utilized when Jamie continues experiencing shortness of breath, dizziness, headaches, including cluster headaches. In addition, the non-rebreather can be used when signs of COPD symptoms persist indicating that higher amounts of oxygen supply are needed CITATION Pru13 \l 1033 (Pruitt & Jacobs, 2013).
Q5
Low oxygen supply is accompanied by several behavioural changes with the most evident one being irritability. In addition, the individual behaviour changes during the day are also a good indicator. Jamie may become uninterested in things he enjoyed and become unresponsive to stimulus. Apraxia or the inability to perform everyday physical movements may also be present and the development of sleeping disorders CITATION Pru13 \l 1033 (Pruitt & Jacobs, 2013)
Scenario 2
Q6
Assessment by nursing staff in formulating appropriate rehabilitation has proven effective in facilitating effective rehabilitation and discharge. The priority areas of assessment include pre-morbid function and mobility, availability of social support including if the patient has a carer or someone willing and able to provide support, the current relevant clinical conditions, and the mental state of Mrs. Adams CITATION Man09 \l 1033 (Scottish Intercollegiate Guidelines Network, 2009).
Q7
Several risk factors to falling after hip surgery have been identified and they are usually of three categories; intrinsic, extrinsic, and exposure to risk. However, it is recognized that the falls are often caused by the dynamic interaction of the factors in all the three categories. For Mrs. Adams, the risk factors presented include; the combination of multiple drugs she is taking presents an increased risk of falling and cognitive impairment. Moreover, the decline in muscle strength and endurance after 30 years and also the reduction in strength impair mobility and gait and increase the risk of falling for Mrs. Adams CITATION Buc13 \l 1033 (Bucher, 2013). In addition, her initial fall that broke her femur and the current fall may have negatively impacted on her psychological status and increase her risk of falling. Finally, her underlying medical conditions (Osteoarthritis) may lead to peripheral loss in sensation and the pressure ulcer on her right heel might increase her risk of falling CITATION Buc13 \l 1033 (Bucher, 2013).
Q8
To enhance patient mobility, the nurse can reassure and give explanations to Mrs. Adams regarding her ability to regain her mobility and while observing the dislocation signs. In addition, engagement by the nurse at the physical, mental, social, and psycho...