Week 5 Discussion .docx - After watching the video and...

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After watching the video, and reflecting on the information presented, address each of the following questions. 1. What are the common symptoms associated with an exacerbation of COPD? 2. What assessment techniques will you use to assess Mary? 3. Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking. 4. Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department's website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary? 5. What will you do to follow-up on Mary's smoking cessation process? Hello Professor and Class, The Chronic Obstructive Pulmonary Disease (COPD) is a chronic inflammatory lung disease that obstructs the lung airflow and disturbs normal breathing. Either chronic bronchitis, emphysema, asthma, prolonged smoking history, and infectious diseases can be a primary reason for developing the chronic obstructive pulmonary disease. However, most often, COPD affects older adults and middle ages population. Our client, Mary, belongs to a middle age group and on top of this, she has prolonged smoking history. Mary's chief complaint is a harsh productive cough, increasing shortness of breath, hard coughing, the difficulty of catching her breath, and having twinges in the chest; all these symptoms are typical of exacerbation of COPD. In addition, COPD exacerbation symptoms may include feeling excessively sleepy or confused, wheezing more than usual, producing increased amounts of mucus (often yellow, green, tan, or even blood- tinged), wheezing, chest tightness, unintended weight loss, swelling in ankles, feet or legs, changes in skin or nail color, early-morning headaches, fever, or trouble sleeping. The symptoms of chest pain, blue lips or fingers, confusion or shortness of breath when talking requires immediate medical attention. It is essential to pre-authorize appropriate and effective nursing intervention. I would start Mary's assessment by observing her appearance, body position, mental status, and her degree of comfort. As per Jarvis, "People with COPD often sit in a tripod position, leaning forward with arms braced against their knees, chair, or bed. This gives them leverage so the abdominal, intercostal, and neck muscles all can aid in expiration"(Jarvis, 2016, p.424). Next, I would assess
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the patient's breathing and her breathing pattern. Is she using her accessory muscles when
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