For patients diagnosed with chronic obstructive pulmonary disease with a history of smoking cigarettes (P) can the use of nicotine replacement therapy (I) compared to only using nicotine replacement therapy (C) increase the patient's ability to permanently stop smoking (T) and slow down the progression of the effects of the disease?( O) Introduction to my patient
My PICOT question was developed after reading the case study about a patient named Vincent Brody who had for the last 50 years of his life consumed 40 cigarettes a day and despite his diagnosis of Chronic obstructive pulmonary disease (COPD) and a recent episode of exacerbation of his condition that required him to be admitted to hospital he was continuing to smoke.
Picot development
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i used the Murdoch library and found an article on how to style my question using the criteria of population, intervention, comparison, observation and time (Riva, J. J., Malik, K. M. P., Burnie, S. J., Endicott, A. R., & Busse, J. W. 2012)started to question why patients who had repository issues like the ones that are accompanied with COPD would continue to smoke and risk further implantations to their health and dramatically decrease their ability to breathe. This question helped to form the background concept of my picot question of what is the most effective way to help people to quit smoking permanently.
I felt the best way to answer this issue was to gain a better understanding of both COPD and why patients found it hard to break the habit of smoking and what methods had been most successful in helping smokers to become
Mrs. Jones has a history of COPD. She was already taking albuterol for her illness and it was ineffective when she took it that day. Mrs. Jones had been a smoker but had quit several years ago. According to Chojnowski (2003), smoking is a major causative factor in the development of COPD. Mrs. Jones's primary provider stated that she had a mixed type of COPD. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) was established to address the growing problem of COPD. The GOLD standards identify three conditions that contribute to the structural changes found in COPD: Chronic bronchiolitis, emphysema, and chronic bronchitis. A mixed diagnosis means that the patient has a combination of these conditions (D., Chojnowski, 2003). Mrs. Jones chronically displayed the characteristic symptoms of COPD. "The characteristic symptoms are cough, sputum production, dyspnea on exertion, and decreased exercise tolerance." (D., Chojnowski, 2003, p. 27).
Growing up with a best friend who has been smoking since middle school, I have seen many of the negative effects it has on a person. Football was a passion and way of life for Andy; however, smoking caused him to struggle with breathing while running up and down the field. He would cut down on his daily amount of cigarettes before and during the season, but cutting down was little help for him. Not only was his breathing affected by smoking, but he also had yellow teeth, smoker’s cough, and would get “the shakes” when in need of a smoke.
To effectively manage COPD it is essential for patients to monitor themselves by writing a list of dates and times when experiencing symptoms and reactions to treatments. (Lung Chicago Managing COPD, 2016). Understanding a patient’s personal disease characteristics will help in determining treatment to prevent exacerbations. To maintain stable condition of the disease, COPD patients need to understand and reduce risk factors. Counseling programs such as smoking cessations need to be available for COPD patients as part of their treatment. Pharmacotherapy for the disease is also used to reduce its symptoms and difficulties on
Introduction : Mrs Dorothy Beecham has been admitted to hospital with community –acquired pneumonia and query DVT. She is currently on waiting list of total knee replacement. Her past medical history including cardiovascular disease, COPD, osteoporosis, varicose vein and recurrent DVT in the past two years. A blood test has been done and result is available. DVT on her right calf is also confirmed by Doppler ultrasound. This article is going to explain the future risk of how recurrent DVT going to impact on her health by use literature and relevant pathophysiology knowledge. At the same time, a patient education plan will be established for supporting care needs. This care plan including the symptoms of recurrent DVT and when to seek for medical advice after Dorothy after her discharge from hospital.
The functioning of the chronic obstructive pulmonary diseases (COPD) is that it has a permanent decrease in the ability to force air out of the lungs. Consequently, it causes emphysema to become a more advanced disease with no cure. Emphysema is known for their permanent enlargement of the alveoli, which are accompanied by the destruction of the alveolar walls. The lungs lose their elasticity, so it loses its ability to recoil passively during expiration. People who have emphysema becomes exhausted fast because they need about fifteen to twenty percent of their body energy to breath which is more than what a healthy person needs. Smoking inhibits and destroys cilia in the conducting zone structures, which is the line of defense for the respiratory system.
The report is focused on the effort to define what strategy, method or program is the most effective in producing long-term and positive changes in smoking behavior. The first part of the report deals with the problem the reviewer has to face of sorting through outcome research that is permeated by many methodological deficiencies. The most pervasive problem in the evaluation of the outcome data from smoking cessation programs is the validity of the treatment results.
Smoking is the leading cause of preventable death in the United States and worldwide (Centers for Disease Control, 2013, World Health Organization, 2008). Tobacco cessation counseling is a vital component of any public health strategy seeking to decrease mortality, disease and costs associated with smoking. To that end, the Healthy People 2020 Tobacco Use Objectives cover three main areas: reducing tobacco use, instituting health system changes, and creating social and environmental changes (U.S. Department of Health and Human Services, 2013). Objective TU-10 falls under the category of health system changes as it seeks to open doors for patients to make quit attempts and to pursue tobacco cessation methods by increasing tobacco cessation counseling by physicians and other health care providers.
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Someone diagnosed with COPD must understand that the damage done to the lungs by this disease is not reversible. The prognosis is one of stopping further damage to the lungs. To minimize this damage the person is treated for symptoms of the disease and not healing of it. The symptoms of COPD usually show up after the lungs have been significantly damaged and due to this late formation of symptoms and their inability to ...
Through public education, most elementary school kids can understand that smoking is bad for them and that cigarettes are additive. Cigarettes are addictive due to nicotine, a drug found in tobacco (“Quitting Smoking”, 2015). According to Schneider (2016), some of the greatest health problems associated with smoking include: lung cancer, other cancers, coronary heart disease, other heart disease, cerebrovascular disease, other vascular disease, diabetes mellitus, pneumonia, influenza, tuberculosis, chronic obstructive pulmonary disease (COPD), prenatal conditions, and sudden infant death syndrome. As stated by the Authority of the American Lung Association in an article titled “Health
Smokers understand how hard it is to quit. They admire those who were able to quit. We understand the risk of smoking and the obvious side effects that could result in death. Although all the studies show the death effect of smoking, many of us are still unable to quit. In the essay, Phillip brought his girlfriend to a social gathering, where she pulled out a cigarette and started smoking.
The prevalence of COPD is heavily associated with elderly persons that are predisposed to various risk factors (Viegi et al., 2001). The prevalence of these risk factors is often a major aspect in the diagnosis of the disease, the most detrimental of these being cig...
Vijayan, V. K. (2013). Chronic obstructive pulmonary disease. Indian Journal Of Medical Research, 137(2), 251-269.
Research is a pivotal tool necessary in order to expand knowledge. It provides the basis of evidence that leads to discoveries. This is especially crucial in nursing and health care. Nursing research allows nurses to further understand illness, prevention of disease, and effective ways to provide optimal health care (National Institute of Nursing Research, 2003).
The risk of lung cancer among cigarette smokers increases with the duration of smoking and the number of cigarettes smoked per day. This observation has been made repeatedly in cohort and