Week 2 discussion Respiratory Discussion
University:
SOUTH UNIVERSITY
Week 2 discussion Respiratory Discussion
Paper Instructions
Discussion Topic
Task Reply to this topic
Due May 4 at 11 59 PM
Respiratory Discussion
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work with evidence bases references. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. In addition you must respond to your professor if applicable.
Complete your participation for this assignment by the end of the week.
For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum.
Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Learn how to access and navigate Aquifer.
This week, complete the Aquifer case titled “Family Medicine 28 58-year-old man with shortness of breath”
- Apply information from the Aquifer Case Study to answer the following discussion questions
- Discuss the Mr. Barley’s history that would be pertinent to his respiratory problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
- Describe the physical exam and diagnostic tools to be used for Mr. Barley. Are there any additional you would have liked to be included that were not?
What plan of care will Mr. Barley be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?
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Sample Answer
The History Pertinent to the Respiratory Problem
Barley is a fifty-eight-year-old male patient who visited the facility complaining of a productive cough with white phlegm and dyspnea. The symptoms have existed for the last two weeks. He does not have a history of pulmonary or cardiac insufficiency, anxiety, depression, anemia, or pulmonary embolism.
The patient is a chain smoker with a history of 40 packs annually. He denies recent travels, epigastric pain, chest pain, or fever. The habit of smoking puts him at risk of COPD or bronchitis. He denies exposure to chemicals since he wears protective clothing as he runs an organic farm.
The Physical Exams and Diagnostic Tools
The physical examination revealed diffuse end-expiratory wheezing, an increased AP diameter, inspiratory crackles at the bottom of the lungs, and shortness of breath. Pulmonary test function was also administered since it is important for COPD diagnosis.
The patient’s physical exam findings and history point to COPD since he showed some typical signs of COPD. For example, a PFT of 69% is indicative of the condition. One of the tests that can be added is a chest x-ray. The chest X-ray can be used to rule out any other differential diagnosis of cough and dyspnea (Jensen, 2018). Nonetheless, PFT is the gold standard used in pulmonary disease assessment.
The Plan of Care
The tests performed indicate that the patient is experiencing mild COPD. The first line of care should be the use of short-acting bronchodilators such as albuterol (Kopsaftis et al., 2018). This patient should also be educated to quit smoking as soon as possible as he was not sure if he could go for nicotine replacement therapy (Guilleminault et al., 2018).
The patient has been experiencing COPD exacerbations; hence antibiotics should be prescribed. Such medication would be vital in relieving symptoms of yellow-colored phlegm, cough, and dyspnea. A long-acting bronchodilator, tiotropium, can also be given together with albuterol. The patient should visit the facility after two weeks for a follow-up.
References
- Guilleminault, L., Rolland, Y., & Didier, A. (2018). Characteristics of non-pharmacological interventions in the elderly with COPD. Smoking cessation, pulmonary rehabilitation, nutritional management, and patient education. Revue des Maladies Respiratoires, 35(6), 626-641. https //doi.org/10.1016/j.rmr.2017.12.004
- Kopsaftis, Z. A., Sulaiman, N. S., Mountain, O. D., Carson-Chahhoud, K. V., Phillips, P. A., &Smith, B. J. (2018). Short-acting bronchodilators for the management of acute exacerbations of chronic obstructive pulmonary disease in the hospital setting systematic review. Systematic Reviews, 7, 1–13. 10.1186/s13643-018-0860-0
Jensen, S. (2018). Nursing health assessment A best practice approach. Lippincott Williams & Wilkins.
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