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Case Study on COPD Assignment

   

Added on  2021-06-14

9 Pages2782 Words74 Views
COPD Case Study 1COPD CASE STUDYby (Name)The Name of the Class (Course)Professor (Tutor)The Name of the School (University)The City and State where it is locatedThe Date
Case Study on COPD Assignment_1
COPD Case Study 2COPD Case StudyIntroductionMary Gyne is a female aged 56 years old. She comes to the health facility complaining ofshortness of breath, a persistent cough and chest tightness. She says that she is married and has three children; two daughters and one son. The children have moved out of the home and she now only lives with her husband, Jared. Mary states that she has experienced chest pains before, only that the current ones are severe. They also do not seem to even after taking a cough syrup based on self-prescription bought over the counter. Prior observation of the patient indicates that she may be having COPD, yet to be proven with further lab tests. There is the need to highlight the history of the patient, that led to her contraction of COPD. There is also the need to establish some of the deep symptoms associated with the health problem. It is also important to take note of the psychosocial effects of the health problem as well as how the problem could be well managed. Throughout the case study, anonymity of the patient by the NMC code of ethics. The paper provides a thorough discussion of the patient. History taking resulting in a diagnosis of COPDTaking note of the history of the patient was important. It was determined that she has been a frequent smoker and has been engaged in the habit for the last 15 years. She also has a history with COPD, her paternal grandfather having experienced the health problem before his demise. The family history of COPD, therefore, showed that there was a high likelihood of the patient having the health problem. The physician, therefore, had a health problem in mind and further tests would aim to confirm whether it was actually the health problem.
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COPD Case Study 3The patient was also asked whether she has ever experienced any symptoms consistent with COPD before (van Boven et al., 2015). It was determined that save for occasional chest pains and coughing; she had not experienced any major problem that may be tied to the development of the health problem. Since the patient is of advanced age, above 40 years, she happens to be at a point where she faces the risk of developing the health problem. Although she does not mention to have asthma, the consistent smoking may have had played a major part in the development of COPD. A CT scan was conducted on the patient in which it was determined that she had emphysema. There was a depiction of the inflammation of the alveoli, a condition that is consistent with emphysema in a patient. The inflammation of the airsacs leads to the impairment of the lung tissue, thereby, reducing upon its capability to function appropriately. While the emphysema is not a sole determinant of COPD, it is still an indication of chances of the problem in a patient (Rasmussen et al., 2017). Use of laboratory tests conducted a differentialanalysis. The blood tests showed that there was a high level of eosinophil in the blood of the patient. A sputum test was also conducted which provided positive indications of large eosinophil deposits. The results of the tests were, thus, imperative in confirming that the patient had COPD. Owing to the accuracy of the findings that were obtained with the use of family history, symptoms of the patients as well as the CT scan and the differential analysis, there was no need to conduct further tests. The results available had already showed that the patient had the health problem that the physician had suspected. Some of the tests that were, therefore, not conducted included the depression score, the MRC score the CAT score and spirometry test.
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