Case Study 2 Scenario:
Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis.
Case Study Analysis Assignment Outline:
The case study analysis paper should include the following sections with responses and rationales for all the prompts.
Introduction (3-5 paragraphs)
Provide an overview of the pathophysiology of the disease exhibited by the client. Include:
• What additional assessment findings would you look for?
• What lab abnormalities would you expect to see?
• What diagnostics would you anticipate the healthcare team ordering?
• Provide a rationale for your answers.
Implications for Self-Care (2 paragraphs)
• Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.
• How does this disease process impact the client’s and/or their care provider’s ability to care for themselves?
Patient Education Strategy (2-3 paragraphs)
• Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings.
• Describe the educational strategies that should be incorporated when building a plan of care for your client.
• Support with rationale.
Interdisciplinary Collaboration (2-3 paragraphs)
• Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale.
• Consider the care the client will need while inpatient and upon discharge.
• Consider nutrition, community services, and financial implications.
Conclusion
• Summarize the key concepts of this disease process and client case study scenario.
Case Study Analysis Paper: Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
Introduction
Chronic Obstructive Pulmonary Disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It is characterized by persistent airflow limitation that is not fully reversible. COPD is the third leading cause of death worldwide, after heart disease and stroke, and is a major cause of disability and reduced quality of life.
Pathophysiology
The pathophysiology of COPD is complex and involves a chronic inflammatory response of the lungs to inhaled noxious particles or gases. This inflammation causes damage to the airways and alveoli, leading to airflow obstruction. The two main types of COPD are emphysema and chronic bronchitis.
Assessment Findings
In addition to shortness of breath, other assessment findings that may be present in a client with an exacerbation of COPD include:
Laboratory Abnormalities
Laboratory abnormalities that may be seen in a client with an exacerbation of COPD include:
Diagnostics
The healthcare team may order the following diagnostics to assess the client’s condition:
Implications for Self-Care
Maslow’s hierarchy of needs is a framework for understanding human motivation. It suggests that people are motivated to meet basic needs first, such as physiological needs for food, water, shelter, and sleep, before moving on to higher-level needs such as safety, love and belonging, esteem, and self-actualization.
Clients with COPD often fall lower on Maslow’s hierarchy of needs due to their physical limitations and the demands of managing their disease. This can make it difficult for them to meet their basic needs and can lead to feelings of helplessness and frustration.
Care providers can help clients by providing them with education and support to manage their disease and improve their quality of life. They can also help clients to connect with community resources that can provide assistance with basic needs.
Patient Education Strategy
Nursing interventions and teaching points for a client with an exacerbation of COPD include:
Educational strategies that should be incorporated when building a plan of care for a client with COPD include:
Interdisciplinary Collaboration
Interdisciplinary team members who need to be included in the care of a client with COPD include:
The care that a client with COPD will need while inpatient and upon discharge will depend on the severity of their condition. Inpatient care may include oxygen therapy, medication administration, and respiratory therapy. Upon discharge, clients will need to continue to manage their medications, participate in pulmonary rehabilitation, and make healthy lifestyle choices.
Nutrition, community services, and financial implications are all important considerations for clients with COPD. A dietitian can help clients to develop a healthy eating plan that meets their nutritional needs and helps them to maintain a healthy weight. Community services can provide assistance with transportation, home care, and financial assistance. Financial implications of COPD include the cost of medications, medical equipment, and lost wages.
Conclusion
COPD is a complex and chronic disease that can have a significant impact on the lives of individuals and their families. By providing comprehensive