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Cystic fibrosis full report
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Medical impact CF is a chronic condition therefore the patients are either seeking medical attention or receiving (sometime involuntarily) a great deal of medical scrutiny and intervention during their lifetime. Standard principles of care is the optimal service provided from the centre to improve prognosis for patients with CF. It uses multi-disciplinary approach with frequent clinical visits, physiotherapy to improve lung function and nutritional therapy that prevents malnutrition of pancreatic insufficiency and manages CF-related diabetes (Colomboa and Littlewood 2011, Cystic Fibrosis Trust 2011, Kerem et al. 2005) CF multi-disciplinary team also undertakes clinical research of the condition, where new treatment and therapies are constantly exploring, becoming more effective. In the clinic whilst the patients wait to be seen by medical staff, they were often asked to complete a questionnaire or to participate in the studies. Some patients volunteered to take part in a clinical trial such as a Kalydeco trial. Accurso (1997) found that at birth the lungs of CF babies are normal but soon, many become infected with bacteria. This bacterial infections cause chest exacerbations in the patients. A 14-day course of intravenous antibiotics is usually given to the patients (CF Trust, 2011). CF patients constantly seek medical attention for various reasons and in most cases, because of the exacerbations. However, hospital-based care is not always favoured by the patients, as it is disruptive for them and their families, taking patients away daily, work activities and social lives for considerable amounts of time (Sequeiros and Jarad 2009). Both consultants and physiotherapist encourage less interruptive patient-administered homecare.... ... middle of paper ... ...of adults with cystic fibrosis. Journal of the Royal Society of Medicine 98(45), pp.S37-S46. Pizzignacco, TM, de Mello DF, de Lima, RA. 2010. Stigma and cystic fibrosis. Revista Latino-Americana de Enfermagem 18(1), pp. 139-42. Rosenstein, BJ, Zeitline, PC. 1998. Cystic fibrosis. The Lancet 351, pp. 277-282. Sawicki, GS, Sellers, DE, Robinson, WM. 2009. High treatment burden in adults with cystic fibrosis: challenges to disease self-management. The Journal of Cystic Fibrosis 8(2), pp. 91-96. Sequeiros, IM, Jarad, NA. 2009. Home intravenous antibiotic treatment for acute pulmonary exacerbations in cystic fibrosis-Is it good for the patient?. Annals of Thoracic Medicine 4(3), pp. 111-114. Visse, M, Abma, T, Oever, HVD, Prins, Y, Gulmans, Y. 2013. Perceptions of hospital admission in patients with cystic fibrosis. Journal of Hospital Administration 2(3), pp. 54-65.
Below will be looking into the progression of the disease and effects it will have on bill and his family, also will look into the pathophisology of COPD, nursing considerations, treatment management and the community services available to Bill so he can return home safely.
In spite of the fact that there is no cure for cystic fibrosis, treatment can ease symptoms and decrease complications. Other forms of treatment include, chest physical therapy (CPT) used to loosen mucus up to four times each day. Pulmonary rehabilitation (PR) is another treatment physician’s recommend. PR is utilized to enhance lung capacity and general prosperity.
Friedman JF, Lee GM, Kleinman KP, Finkelstein JA. "Acute Care and Antibiotic Seeking for Upper Respiratory Tract Infections for Children in Day Care: Parental Knowledge and Day Care Center Policies." JAMA Pediatrics 157.4 (2003): 369-374. .
...r illness causes them (). Service users expect respect and sensitivitiy as well as competent treatment and practical support. Nurses must be willing to engage with patients with effective therapeutic communication as well as demonstrating the 6 C’s (). It is evident that nutritional and fluid intake is important for COPD sufferers. It is a long term condition, so enabling people with the condition to self manage and to be educated about the importance of their health choices (By implementing a nursing model or theory and following the cycle of ASPIRE, it would seem impossible for the primary carer to not treat Mr B holistically. Every aspect of his life is affected by his COPD and by evaluating and backing up the care plan with evidence based practice, being in partnership with Mr B every step of the way, he would be able to get the help he needs.
Along with the problems of chronic illnesses themselves, many other problems may come. Treatments and medications are just the beginning of things when it comes to problems with illnesses. With cystic fibrosis, you start out with a high number of medications and treatments to begin with. The older you get and the worse your condition gets, the more you take. (“Psychological impact,” n.d.) Many struggles come along with taking these medications and treatments. When children are first diagnosed with cystic fibrosis, they are typically very young. From the beginning, there are many medications and treatments that needed to be taken and done. Sometimes, trying to get children to take medications and treatments is like pulling teeth. The medications for cystic fibrosis are extremely important. If cystic fibrosis patients miss medica...
In the Shadow of Illness, the book describes different experiences of families who have or had children with cystic fibrosis (CF). CF is an inherited disease that is passed on from the mother or father who is a carrier, but doesn’t have the condition. Doctors have figured that in this scenario, the parents are likely to have a child with CF. Individuals with CF have to take Cotazymes to help the pancreas digest food. If the person does not take these enzymes, the food goes straight through them as diarrhea. Also, the person’s lungs are affected by a thick mucus that must be removed or thinned before it clogs. Doctors recommend the patient to perform daily breathing exercises that prevent the mucus from thickening; for example, swimming
MADGE, S and ESMOND, G (2001) Respiratory Nursing. Edinburgh: Harcourt Publishers Limited. London: Taylor & Francis.
Cystic fibrosis is one of the most common lethal mutations in humans. The autosomal recessive allele is carried by 1/20 Caucasians, 1/400 couples will have children with the disease, and ¼ children will be afflicted. If untreated, 95% of affected ch ildren will die before age five (Bell, 1996).
Cystic Fibrosis (CF) is a very common, potentially life threatening condition. The disease is caused by inheritance, and affects the exocrine glands of the patient. Cystic fibrosis is found primarily among Caucasians and those of European descent. Those diagnosed with Cystic Fibrosis battle daily to perform simple tasks, such as breathing, as the mucus in their bodies thickens immensely. This mucus will potentially accumulate in the patient’s vital organs, such as the lungs, pancreas, and intestines. One can determine if he/she has cystic fibrosis by analyzing certain symptoms. Cystic Fibrosis can be diagnosed according to the symptoms the patient shows, and can be treated through specific types of treatments, such as gene therapy.
When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most resent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement from the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.
Hinkle, Janice, and Kerry Cheever. “Management of Patients with Chronic Pulmonary Disease." Textbook of Medical-Surgical Nursing, 13th Ed. Philadelphia: Lisa McAllister, 2013. 619-630. Print.
In summary, the paper focused on caring for an infant with bronchiolitis. The student nurse has realised that it is important to gather information from the parents because they know their baby best. Nursing interventions should encourage family members to participate as well as they are the one who care about their child most. Special attention need to pay for children who attend day-care facility and follow up care is necessary.
Hess Dean R., M. N. (2012). Respiratory Care: Principles and Practice 12th Edition. Sudbury, MA: Jones and Bartlett Learning.
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patient’s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth leading cause of death in the United States and the number one cause of death from infectious diseases (Lemon, & Burke, 2011). It is vital to keep the airway clear of the mucus that may be produced from the inflammatory response of pneumonia. This care plan is increasingly important because of R.M.'s state of functional decline; he is unable to perform ADL and to elicit a strong cough by himself due to his slouched posture. Respiratory infections and in this case, pneumonia, will further impair the airway (Lemon, & Burke, 2011). Because of the combination of pneumonia and R.M's other diagnoses of lifelong asthma, it is imperative that the nursing care plan of ineffective airway clearance be carried out. The first goal of this care plan was to have the patient breathe deeply and cough to remove secretions. It is important that the nurse help the patient deep breathe in an upright position; this is the best position for chest expansion, which promotes expansion and ventilation of all lung fields (Sparks and Taylor, 2011). It is also important the nurse teach the patient an easily performed cough technique and help mobilize the patient with ADL's. This helps the patient learn to cough and clear their airways without fatigue (Sparks a...