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March 24, 2016 | Author: | Posted in health and medicine, nursing

Principles and Practice of Adult Nursing


Scientific and social changes of the 21st century have brought as radical change in the Health care delivery system . Nursing is an important component of the health care delivery system and the role of a nurse in patient welfare has no boundaries for praise . The Nursing profession has evolved through time to establish a firm role in the medical domain based on strong ethical , moral and professional principles . The nursing practice has undergone a positive shift from that of a vocation to a [banner_entry_middle]

professional status today . That is to say nursing has a more active role to play in the health care delivery system than the past and nursing , as a profession is `Accountable today . Florence Nightingale was the founder of modern nursing who established the nursing philosophy based on health maintenance and restoration . The civil war (1860-65 ) enhanced the growth of nursing in United States and the two World Wars saw the nobility of the nursing practice

An Overview of the Patient Personal History

The patient in this case was admitted for an acute exacerbation of COPD with a complication of Atelectasis and Cor pulmonale . Chronic obstructive pulmonary disease (COPD , also known as chronic obstructive lung disease (COLD , is a term used to describe progressive lung diseases , which include emphysema , chronic bronchitis and chronic asthma . The common symptoms of COPD are progressive limitations of the airflow into and out of the lungs and shortness of breath . Emphysema and chronic bronchitis are closely related and patients with COPD may have both , which affects lung

function , preventing the lungs from bringing oxygen to the body and getting rid of carbon dioxide . Some cases with COPD may also have an “asthma-like ” or reactive component . Emphysema involves destruction of the alveoli in the lungs . Chronic bronchitis is characterized by a chronic cough and mucus production . Although , smoking is the main cause of COPD , other environmental and industrial pollutants also contribute to COPD even in non-smokers . Passive cigarette smoke also contributes to acute respiratory symptoms and COPD . The other major causes of COPD include occupational dusts and chemicals vapors , irritants and toxic fumes . Respiratory infections in early childhood also contribute towards reduced lung function and increased respiratory problems in adulthood leading to COPD .A rare , inherited form of emphysema , known as alpha-1-antitrypsin deficiency , also causes COPD . Atelectasis is a condition where there is a collapse of part or all of a lung by blockage of the bronchus or bronchioles or by very shallow breathing . Atelectasis can be both acute and chronic . Acute atelectasis is the recent collapse of the lung and is primarily notable only for airlessness . In chronic atelectasis , the affected area is often characterized by a complex mixture of airlessness , infection , bronchiectasis , and fibrosis . The most common cause of atelectasis is an obstruction of a large bronchus Smaller airways also become blocked . The obstruction is caused by a plug of mucus , a tumor , or an inhaled foreign object inside the bronchus Alternatively , the bronchus is… [banner_entry_footer]



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