Scenario:”45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. The patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.”
The Assignment
In your Case Study Analysis related to the scenario provided, explain the following.
• The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.
did not improved which continued after Isabella’s death. Instead, it is more probable that the reason for this distance was a means to protect Philippa’s reputation as queen. As mentioned in chapter one, a queen’s reputation was crucial especially as they were only represented as two different types of women – the ideal pious and submissive wife or the opposite, the adulterous Jezebel. After her affair with Mortimer and her role in the minority period, Isabella had acquired a negative representation thereby in order to protect her own reputation it is likely Philippa intentionally kept her distance thus explaining the absence of both animosity and communication.
Isabella’s role within politics was considerably reduced after the minority period but her influence in the country was still present and this allowed her to indirectly impact politics throughout her retirement. Initially, Isabella’s movement was greatly restricted by Edward when she was housed at Berkhamstead and Winsor for two years. For Edward, his mother was his prisoner and he made sure not to associate with her, especially in political circumstances such as on the Rolls of Parliament. However, after 1334, her financial and social situation vastly increased allowing her to move freely around the country and therefore allowing her to influence domestic politics. While the amount which Isabella manipulated this opportunity is debated, Isabella undeniably took an interest in political events and was well informed of developments in both domestic and foreign matters. As she was queen-mother and spent time with her son each year, she will have been informed of information in confidence as she was still considered a good source of advice for the king. Likewise, Isabella kept in close correspondence with the rest of her family and this regular correspond