Complaints of moderate COPD Case Study 2022

Running head: HADDEN CASE STUDY
Hadden Case Study
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Author Note

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Introduction
Mr. Hadden is a 63 year-old man who has been brought to the emergency clinic on
the complaints of moderate chronic obstructive pulmonary disease (COPD). It has been
discovered upon asking the patient that he has been an avid smoker of religiously smoking
around 20 cigarettes per day for the last 40 years. He has obstructive sleep apnoea and uses
continuous positive airway pressure (CPAP) and mild hypertension. In the following
paragraphs, the clinical reasoning cycle will be used such that the priorities regarding the
medication self-management of the patient could be achieved. In addition, deducing the
nursing interventions and their analysis will also be discussed briefly.
Identification of the priorities of Hadden’s medication self-management
Self-management of medication has been characterized by one spectrum of specialists
as the degree to which a patient accepts drug as recommended, including the right portion,
recurrence, and dividing yet additionally it’s preceded, safe use after some time. Adherence
to prescriptions expects patients to start an endorsed medicine suitably (first stage), actualize
dosing effectively (second stage), and dodge improper suspension (third stage) (Khan et al.,
2017). Underlying drivers of prescription non-adherence are not obviously seen, yet are dared
to include a perplexing interchange between medicinal services framework factors, clinical
ailment, pharmacotherapy, financial variables, and patient components. After analyzing the
case study, it can be observed that there are certain inhibitions or perceptions of Hadden
which are needed to be acknowledged and addressed by the nurses (Bourbeau et al., 2015).
He shares that he feels awkward to carry the oxygen out of the house premises as other
people stare at him. It is important for him to understand that the improvement in the health
condition is of utmost priority and not the staring of the people. In addition, he also mentions
that he takes medicine only when he remembers them. It is one of the issues that are prevalent
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in patients who are in their old age. Hence, it is crucial to prioritize the medication self-
management of Hadden such that a positive health outcome could be established. In presence
of the following issues, it has also been reported by Hadden that he does not take his oxygen
quite often as he is directed to because he does not want to get attached to anything. Upon
understanding the intensity of the health condition of Hadden, it is important for him to take
oxygen as frequently as it is directed by the physician because of his decreasing oxygen
saturation levels.
Nursing interventions
Patients with health conditions which are deemed chronic regularly require complex
medication regimens, which can be trying to oversee and can prompt non-adherence and
prescription mistakes. The issue is especially predominant among patients with low wellbeing
education. Self-administration has increased expanded significance in the administration of
constant obstructive pneumonic sickness patients. The heterogeneity in self-administration
intercessions has convoluted the improvement of suggestions for clinical practice (Krauskopf
et al., 2015). After considering the situation of Hadden, one of the appropriate interventions
to reduce the usage of cigarettes to avoid exacerbation of his condition is nicotine
replacement therapy. Clinical trials demonstrate that Nicotine Replacement Therapy (NRT)
dramatically improves the hope of stopping-by 50-70 percent relative to stopping without
assistance (Yang et al., 2017). NRT does not contain the harmful substances present in
cigarettes or tobacco smoke or secondhand smoke, such as the cancer-causing chemicals
(Mulhall & Criner, 2016). In addition, it is also important for the nurse to educate the usage
of oxygen not depending upon the notion or perspectives of other people and improve the
health condition. It is important to educate the patient about the benefits of oxygen support
and the pathophysiology of the functioning of the oxygen support. An information sheet of
Nursing