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  • Case Study COPD

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    Nicole Simone
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    This summary outlines a nursing case study and care plan for a patient with COPD exacerbation. The initial concerns are COPD exacerbation due to nearby forest fires and ensuring oxygen tank safety. A nursing diagnosis is developed using the Nursing Process, identifying impaired gas exchange, risk for ineffective tissue perfusion, and ineffective self-management related to inability to meet increased oxygen demands. Priority nursing diagnoses include impaired gas exchange, ineffective self-management, anxiety, and activity intolerance. Nursing interventions are identified for each diagnosis, including avoiding irritants and encouraging movement to address impaired gas exchange and ineffective self-management.

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    This summary outlines a nursing case study and care plan for a patient with COPD exacerbation. The initial concerns are COPD exacerbation due to nearby forest fires and ensuring oxygen tank safety. A nursing diagnosis is developed using the Nursing Process, identifying impaired gas exchange, risk for ineffective tissue perfusion, and ineffective self-management related to inability to meet increased oxygen demands. Priority nursing diagnoses include impaired gas exchange, ineffective self-management, anxiety, and activity intolerance. Nursing interventions are identified for each diagnosis, including avoiding irritants and encouraging movement to address impaired gas exchange and ineffective self-management.

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    136 views2 pages

    Case Study COPD

    Uploaded by

    Nicole Simone
    This summary outlines a nursing case study and care plan for a patient with COPD exacerbation. The initial concerns are COPD exacerbation due to nearby forest fires and ensuring oxygen tank safety. A nursing diagnosis is developed using the Nursing Process, identifying impaired gas exchange, risk for ineffective tissue perfusion, and ineffective self-management related to inability to meet increased oxygen demands. Priority nursing diagnoses include impaired gas exchange, ineffective self-management, anxiety, and activity intolerance. Nursing interventions are identified for each diagnosis, including avoiding irritants and encouraging movement to address impaired gas exchange and ineffective self-management.

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    of 2

    1). Looking at this patient’s case, what initial concerns do you have?

     COPD exacerbation, forest fires close to home, oxygen tank safety


    2). Utilizing the Nursing Process in your course shell, come up with one complete
    nursing process for this patient using ADPIE.
     Assessment- Subjective/objective data collection
     Diagnosis- Impaired gas exchange, risk for ineffective peripheral tissue
    perfusion, risk for decreased cardiac tissue perfusion, ineffective self-health
    management related to inability to meet increase oxygen demand and dyspnea
    on exertion, activity intolerance related to imbalance between oxygen supply and
    demand
     Planning- SMART goal development (specific, measurable, attainable,
    realisitic/relevant and time restricted
    o Avoid irritants, breathing treatment and medication compliance, monitor
    O2 sat, encourage healthy weight, encourage movement/activity,
    demonstrate pursed lip breathing, notify local fire department and electric
    company of tank in use at the home, discuss new living situation
     Implementation- Direct/indirect care to patient
     Evaluation- evaluate if the process is working and identify what is bringing the
    individual closer to her goals
    3). List your 4 priority nursing diagnosis including one psychosocial diagnosis.
     Impaired Gas Exchange
     Ineffective self-health management
     Anxiety
     Activity intolerance
    4). What would you relate each of your nursing diagnosis to?
     Impaired Gas Exchange related to decreased lung compliance
     Ineffective self-health management related to inability to meet increase oxygen
    demand and dyspnea on exertion
     Anxiety related to increase in sings of COPD exacerbation
     Activity intolerance related to imbalance between oxygen supply and demand
    5). What evidence do you have to support your chosen nursing diagnosis?
     I have the NANDA to help me formulate the nursing diagnosis. Also Mrs. Grey
    has increased her oxygen intake to 5 L and she has obvious signs of increased
    work of breathing and anxiety. I know that there was exposure to irritants
    continually but did not remove herself from the environment. She was also a
    smoker for 48 years and quit 10 years ago

    6). Name at least 4 Nursing Interventions for each of your nursing diagnosis
     Impaired Gas Exchange
    o Avoid irritants
    o Breathing treatments
    o Medication compliance
    o Pursed lip breathing
     Ineffective self-health management
    o Maintain healthy weight
    o Increase in movement/activity
    o Notify local fire department and electric company of tank in use at the
    home
    o Discuss new living situation
     Anxiety
    o Identify appropriate coping strategies
    o Identify factors that increase and reduce anxiety
    o Decrease environmental stimulation
    o Administer medications
     Activity intolerance
    o Assess ability to perform normal tasks
    o Assist the patient in prioritizing activities
    o Encourage alternating periods of rest and activity
    o Encourage nutritional intake

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