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Effects and causes of smoking
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COPD Chronic Obstructive Pulmonary Disease is the name of a collection of lung diseases. Such as chronic bronchitis, and emphysema. 83% of the deaths caused by COPD are caused by smoking. Lung cancer, coughing, wheezing, and dying? Isn’t that what you think of when you hear smoking? You’re thinking yeah, I hear this all the time, I know what smoking does to you. But it does a lot more than just screw up your respiratory system. It messes everything up. Let’s start with skin, since this day and age everyone is obsessed with outer beauty. Smoking reduces the amount of oxygen that reaches that precious layer of yours. Causing it to become ashen and grey. Speeding up the aging process and increasing the likelihood of you looking like a withering
The presented case is of a patient named R.S. who has a smoking history of many years, which can be directly tied to his development of chronic bronchitis, a chronic obstructive pulmonary disease (COPD) specified as Type B. It is estimated that in 90% of chronic bronchitis or “blue bloaters”, cigarette smoking is the major cause. Chronic bronchitis involves persistent and irreversible airway obstruction, due to the constant inflammation of the bronchial mucosa, leading to hypertrophy and hyperplasia of bronchial glands. The latter exposes the individual to higher risks of bacterial infections; often colonization of organisms such as Streptococcus or Staphyloccocus pneumoniae can be exhibited. This is due to the lost or impaired function of mucociliary clearance action which results from the replacement of certain sections of ciliated columnar epithelium by squamous cells in the bronchi. (Copstead &Banasik, 546-547)
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
Mrs. Jones, An elderly woman, presented severely short of breath. She required two rest periods in order to ambulate across the room, but refused the use of a wheel chair. She was alert and oriented, but was unable to speak in full sentences. Her skin was pale and dry. Her vital signs were as follows: Temperature 97.3°F, pulse 83, respirations 27, blood pressure 142/86, O2 saturation was 84% on room air. Auscultation of the lungs revealed crackles in the lower lobes and expiratory wheezing. Use of accessory muscles was present. She was put on 2 liters of oxygen via nasal canal. With the oxygen, her O2 saturation increased to 90%. With exertion her O2 saturation dropped to the 80's. Mrs. Jones began coughing and she produced large amounts of milky sputum.
Introduction BiPAP is a form of noninvasive mechanical ventilation used in patients with acute respiratory failure. Many of these patients go on noninvasive ventilation due to COPD exacerbations that are infectious, with congestive heart failure, and ventilator parameters based on their clinical assessment and changes in arterial blood gases. Two different studies were conducted on COPD patients, using a BiPAP machine to improve exacerbations and their activities of daily living. There are many positive outcomes for using these noninvasive ventilators, however when used incorrectly, negative outcomes or no changes at all are always possible. Positive Use for COPD Exacerbations
Chronic obstructive pulmonary disease, better known as COPD, is a disease that affects a person’s ability to breathe normal. COPD is a combination of two major lung diseases: emphysema and chronic bronchitis. Bronchitis affects the bronchioles and emphysema affects the alveoli.
The principle cause of the COPD is long-term exposure to harmful airborne chemicals and particles. The best way for COPD patients to avoid getting worse is to avoid smoking (WebMD, 2016).
The purpose of this essay is to explore nursing care priorities for a patient with a common health condition. A common health condition is a disease or condition which occurs most often within a population. The author has chosen scenario 3 for this essay and will describe the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD). The WHO definition of COPD is a lung disease which has a chronic obstruction of the airways that impedes normal breathing and is not fully reversible (). According to), there are estimated to be over 3 million people in the UK with COPD. It is common in later life and there are approximately 25,000 deaths each year, with 15% of COPD being work related (The identity of the patient will remain anonymous in adherence with the Nursing and Midwifery Council, Code of Conduct on patient confidentiality (). However, the patient will be referred to as Mr B in this essay. The author has chosen the priority of eating and drinking for Mr B. Patients with COPD are at increased risk of malnutrition and nurses must make certain they screen patients and offer advice or refer as necessary (). If this priority is managed well it will have a positive effect on the other priorities (, 2012). In accordance with NICE Guideline 101 (), the treatment and care provided should consider each persons’ individual requirements and preference. Care and treatment should take into account people’s individual needs and choices. To allow people to reach informed decisions there must be good communication, supported by evidence-based practice (). This essay will provide an evidence based discussion on how care will be implemented in relation to Mr B and his eating and drin...
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.
Chronic Obstructive Pulmonary Disease (COPD) is a lung disease that affects breathing. This disease is one that blocks or obstructs air flow which then affects the way that one breathes. It diminishes the capability of airflow in and out of the lungs. COPD is the term used for a group of different diseases that affect the lungs. The two most common types of COPD are emphysema and chronic bronchitis. Emphysema is a destruction of the small bronchioles in the lungs and chronic bronchitis is an inflammation of the lining of the bronchial tubes. Both emphysema and chronic bronchitis are obstructive diseases that impact breathing in a negative manner. (COPD, 2014)
This assignment will examine the case of a man admitted to hospital with an exacerbation of chronic obstructive pulmonary disease (COPD). Firstly there will be a definition of COPD and COPD exacerbation. Then there will be a short discussion of how the patient’s data relates to pathophysiology of COPD exacerbation. This information is used to decide what the patient’s first two priority problems are, and two nurse interventions used to best treat those problems.
Chronic obstructive pulmonary disease (COPD) is preventable disease that has a detrimental effects on both the airway and lung parenchyma (Nazir & Erbland, 2009). COPD categorises emphysema and chronic bronchitis, both of which are characterised by a reduced maximum expiratory flow and slow but forced emptying of the lungs (Jeffery 1998). The disease has the one of the highest number of fatalities in the developed world due to the ever increasing amount of tobacco smokers and is associated with significant morbidity and mortality (Marx, Hockberger & Walls, 2014). Signs and symptoms that indicate the presence of the disease include a productive cough, wheezing, dyspnoea and predisposing risk factors (Edelman et al., 1992). The diagnosis of COPD is predominantly based on the results of a lung function assessment (Larsson, 2007). Chronic bronchitis is differentiated from emphysema by it's presentation of a productive cough present for a minimum of three months in two consecutive years that cannot be attributed to other pulmonary or cardiac causes (Marx, Hockberger & Walls, 2014) (Viegi et al., 2007). Whereas emphysema is defined pathologically as as the irreversible destruction without obvious fibrosis of the lung alveoli (Marx, Hockberger & Walls, 2014) (Veigi et al., 2007).It is common for emphysema and chronic bronchitis to be diagnosed concurrently owing to the similarities between the diseases (Marx, Hockberger & Walls, 2014).
The leading cause of COPD is cigarette smoking, either people that smoke or used to smoke or had long term exposure to other lung irritants. “There are significant data to suggest that people who smoke are at a much higher risk of developing COPD than people who do not” (Clancy & Turner, 2013, p. 820). Lung irritants include second hand smoke, air pollution, chemical fumes or industrial dust and frequent use of cooking gas or fires without proper ventilation. Symptoms of COPD usually begin at age 40. Smoking is the main risk factor for COPD. People either smoke or used to smoke and smokers who have a family history of this disease are more likely to develop COPD. Asthma, although uncommon, can also cause development of this disease if treatments do not work.
Chronic obstructive pulmonary disease is a lung disease that includes chronic bronchitis, emphysema, asthma and bronchiectasis. COPD is a known to increase breathlessness, frequent coughing, wheezing, and tightness in the chest. Many patients are unaware of their symptoms and spend years not knowing that they are COPD patients. In the begging COPD may cause no symptoms or only mild symptoms, but as the years pass and the disease gets worse symptoms are usually more severe. One common test to test for COPD is the spirometry test. COPD is so common it affects almost 30 million people in the U.S. COPD can be developed from inhaling pollutants, which includes smoking and second-hand smoke. Fumes, chemicals, and dust are also some reasons people develop COPD. Genetics is also one of the big reasons many patients develop COPD. COPD mostly affects people at the age of 40 and older who are mostly smokers. There is no cure for COPD, only treatments to relieve symptoms and to keep the disease from getting worse. One example of a COPD patient, is Mrs. S who is a 65 years old man with COPD, but Mr. S has never been treated for COPD. Meaning
As most of you know, smoking is bad for your health, but what some of you might not know is that you don’t actually have to smoke to be harmed by smoking. Lung cancer, which is the leading cause of cancer deaths in men and women, is mainly caused by cigarette smoking. Secondhand smoking causes approximately 2 percent of lung cancer deaths each year. It causes respiratory disease, Sudden Infant Death Syndrome (SIDS), middle ear disease, and asthma attacks in children.
Approximately one in two lifetime smokers will die from their habit. Half of these deaths will occur in middle age. The most common of the diseases caused by smoking is cancer, of course. Not only is it a cause of lung cancer, but cancer of the larynx, and the esophagus, and it contributes to the development of cancers of the bladder, pancreas, and kidney. Lung cancer comes from the tar in the cigarettes.