Management of acute and long term condition. Case study of Alex (COPD)

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The Assessment and Management of Acute and Long-term Physical and Mental
Health .To develop an increasing awareness of the importance of the
nurse’s role in the recognition of and response to, acute and long-term
healthcare needs, informed by the best available evidence and in
compliance with local and national guidelines.

Please include ;Roles of Multi disciplinary team in long term and acute care

Case Study Scenario –Care of a patient with COPD

Patient:

Alex, a64-year-old man, is married with4 children and 1 grandchild.

Past Medical History:

Management of acute and long term condition
He has a long standing history of emphysema, known COPD. Despite his
history of COPD,Alex struggled to give up smoking.
He weighs 101kg and his BMI is above 31. He enjoys eating fast food and
do not see the need for healthy eating.
Alex is isolated and at times withdrawn due to having lost his job
recently. He finds comfort in smoking 20 cigarette a day and does not
see the point of stopping.

amily history:
Mum: COPD, Nil other.

Management of acute and long term condition. Case study of Alex (COPD)

Current medication:
Once-daily long-acting muscarinic antagonist and, long-acting beta2
agonist with inhaled corticosteroid in a combination inhaler.
He does not take recreational drugs, or over the counter medications/
herbal remedies.
Alex has refused an annual influenza vaccination.

Present situation:
Alexwas seen by the intermediate care team at home complaining of
worsening breathing difficulties over the last few days. When the nurse
arrived, he was sitting in his armchair with his home oxygen turned on
(2L via naso-specs).
He has had an upper respiratory infection for about 2 weeks. Alex would
prefer to stay at home rather than get admitted to hospital. However,
the nurse has encouraged him to be admitted to your ward for further
assessment.

His initial observations are:
RR: 36c/m
SpO2: 86% breath sounds = wheezing, pursed lip breathing, using
accessory muscles when breathing, peripheral signs of cyanosis
HR: 100b/m
BP: 100/64mmHg
Temp 37.5C
Cardiac rhythm: Sinus tachycardia
AVPU: Alert but anxious
Pupils equal and reacting to light

Using this case study, write a 2000 words essay
Some guidelines for the essay my lecturer told me: am sure you know all
of this but still-
For references- No newspapers, no Wikipedia, no NHS websites, no BBC
websites, no headlines
Please reliable and up-to-date references, use simple words, no 4 lines
sentences, do not use I, you can use diagram, figure etc

When you write your essay use assessment tool e.g water low score, use
nursing process e,g ABCDE
Assessment. Write step by step, sign and symptoms and how you are going
to diagnose.

PLEASE use simple words when writing the essay also use Harvard Reference.

Management of acute and long term condition. Case study of Alex (COPD)

Applying your knowledge of physiology, pathophysiology and
patho-psychology of acute and long-term conditions, critically analyse
and evaluate the effectiveness of a range of possible evidence-based
interventions in the acute and community setting related to your chosen
case study scenario.

Student will demonstrate they are able to:
recognise and interpret, demonstrating critical understanding, the signs
of acute deterioration or a change in dependency, in physical or mental
health enabling the appropriate response.
identify and apply a systematic and comprehensive assessment to
facilitate the recognition of risk for service users, carers and health
care professionals, and the appropriate response. He has a long standing history of emphysema, known COPD. Despite his
history of COPD,Alex struggled to give up smoking.
He weighs 101kg and his BMI is above 31. He enjoys eating fast food and
do not see the need for healthy eating.
Alex is isolated and at times withdrawn due to having lost his job
recently. He finds comfort in smoking 20 cigarette a day and does not
see the point of stopping.amily history:
Mum: COPD,

Management of acute and long term condition. Case study of Alex (COPD)