Skilled nursing in-services; Presentations regarding Medicare part D . Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Role includes: -Develop and coordinate the 4 week critical care core program and align with up to date evidence based nursing practice. Comment Patient 2, on the other hand, had an increased A-a gradient, indicating a lung problem in addition to any central cause for hypoventilation. Enhanced Discharge Process to Reduce 30-Day COPD Readmission Rates: A Quality Improvement Project. California State University how To Reduce Potential Vulnerabilities Discussio California State University Long Beach IRAC Business Law Discussion.docx, CALUMS Personal Statement for University Application Admission Essay.docx. This plan guides you when youre feeling well and when an exacerbation (flare-up) is starting. PowerPoint Presentation Last modified by: Dr. Kaara Ray B. Calma is a full-time Lecturer in the School of Nursing and Midwifery at Deakin University Australia, and is a Registered Nurse with a PhD completed at the University of Wollongong Australia. Views: 530, By: JenniferDwayne
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7pm. Our beautiful, affordable PowerPoint templates are used and trusted by both small and large companies around the world. advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. Takeaway. View COPD Powerpoint.pptx from NUR 395 at Ameritech College of Healthcare, Draper. NUR.
CPR - Cardiac Pulmonary Resuscitation by completion of introductory period. welcome to the literature of the year. Reduction in forced expiratory flow rates Increases in residual volume Increases in ratio of residual volume to total lung capacity Increased total lung capacity (late in the disease) Diffusion capacity may be decreased in patients with emphysema. progressive obstruction over time. Appointments 216.444.6503. "Blue bloaters" are patients with predominant bronchitiscyanosis and edema. COPD - . B - Background. Separately COPD is more costly per case than . , Laboratory Tests Elevated hematocrit suggests chronic hypoxemia. COPD is often evaluated in patients with relevant symptoms and risk factors. COPD is the progressive and partially reversible MORE AMOUNT OF SPUTUM. 2003. definition. rada jones md 09/12/06. Youll also find an interactive removable insert containing helpful forms, lists, and charts for making a disaster preparedness plan that is specific to your own needs. Cervical Cancer Care Seeking Behaviour Among Community Women, Jos-North, Plat 2021 Heart Failure Gls slide set_protected.pptx, 10 Most Common Types of Probiotics Gut Foundation.pptx, Understanding Therapeutic drug monitoring (TDM) at a glance, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. COPD: Conserving Your Energy. . 1.
mr. d has. It is important for you to consume enough calories to produce energy in order to prevent wasting or weakening of the diaphragm and . The SlideShare family just got bigger. 28-7, Emphysema Pathophysiology
Hyperinflation of alveoli
Destruction of alveolar walls
Destruction of alveolar capillary walls
Narrowed airways
Loss of lung elasticity, Emphysema Pathophysiology Two types:
Centrilobular (central part of lobule)
Most common
Panlobular (destruction of whole lobule)
Usually associated with AAT deficiency, Emphysema Pathophysiology Structural changes are:
Hyperinflation of alveoli
Destruction of alveolar capillary walls
Narrowed, tortuous small airways
Loss of lung elasticity, Emphysema Pathophysiology Small bronchioles become obstructed as a result of
Mucus
Smooth muscle spasm
Inflammatory process
Collapse of bronchiolar walls
Recurrent infections production/stimulation of neutrophils and macrophages release proteolytic enzymes alveolar destruction
inflammation, exudate, and edema, Emphysema Pathophysiology Elastin and collagen are destroyed
Air goes into the lungs but is unable to come out on its own and remains in the lung
Causes bronchioles to collapse, Emphysema Pathophysiology Trapped air hyperinflation and overdistention
As more alveoli coalesce, blebs and bullae may develop
Destruction of alveolar walls and capillaries reduced surface area for O2 diffusion
Compensation is done by increasing respiratory rate to increase alveolar ventilation
Hypoxemia usually develops late in disease, Emphysema Clinical Manifestations
Dyspnea
Progresses in severity
Patient will first complain of dyspnea on exertion and progress to interfering with ADLs and rest, Emphysema Clinical Manifestations Minimal coughing with no to small amounts of sputum
Overdistention of alveoli causes diaphragm to flatten and AP diameter to increase, Emphysema Clinical Manifestations
Patient becomes chest breather, relying on accessory muscles
Ribs become fixed in inspiratory position, Emphysema Clinical Manifestations Patient is underweight (despite adequate calorie intake), Chronic Bronchitis Pathophysiology Pathologic lung changes are:
Hyperplasia of mucus-secreting glands
in trachea and bronchi
Increase in goblet cells
Disappearance of cilia
Chronic inflammatory changes and narrrowing of small airways
Altered fxn of alveolar macrophages infections, Chronic Bronchitis Pathophysiology Chronic inflammation
Primary pathologic mechanism causing changes
Narrow airway lumen and reduced airflow d/t
hyperplasia of mucus glands
Inflammatory swelling
Excess, thick mucus, Chronic Bronchitis Pathophysiology
Greater resistance to airflow increases work of breathing
Hypoxemia and hypercapnia develop more frequently in chronic bronchitis than emphysema, Chronic Bronchitis Pathophysiology Bronchioles are clogged with mucus and pose a physical barrier to ventilation
Hypoxemia and hypercapnia d/t lack of ventilation and O2 diffusion
Tendency to hypoventilate and retain CO2
Frequently patients require O2 both at rest and during exercise, Chronic Bronchitis Pathophysiology Cough is often ineffective to remove secretions because the person cannot breathe deeply enough to cause air flow distal to the secretions
Bronchospasm frequently develops
More common with history of smoking or asthma, Chronic Bronchitis Clinical Manifestations Earliest symptoms:
Frequent, productive cough during winter
Frequent respiratory infections, Chronic Bronchitis Clinical Manifestations Bronchospasm at end of paroxysms of coughing
Cough
Dyspnea on exertion
History of smoking
Normal weight or heavyset
Ruddy (bluish-red) appearance d/t
polycythemia (increased Hgb d/t chronic hypoxemia))
cyanosis, Chronic Bronchitis Clinical Manifestations Hypoxemia and hypercapnia
Results from hypoventilation and airway resistance + problems with alveolar gas exchange, COPD Complications Pulmonary hypertension (pulmonary vessel constriction d/t alveolar hypoxia & acidosis)
Cor pulmonale (Rt heart hypertrophy + RV failure)
Pneumonia
Acute Respiratory Failure, COPD Diagnostic Studies Chest x-rays early in the disease may not show abnormalities
History and physical exam
Pulmonary function studies
reduced FEV1/FVC and residual volume and total lung capacity, COPD Diagnostic Studies ABGs
PaO2
PaCO2 (especially in chronic bronchitis)
pH (especially in chronic bronchitis)
Bicarbonate level found in late stages COPD, COPD Collaborative Care Smoking cessation
Most significant factor in slowing the progression of the disease, COPD Collaborative Care: Drug Therapy
Bronchodilators as maintenance therapy
-adrenergic agonists (e.g. Ameritech College of Healthcare, Draper. About the Position: As the Area Practice Manager, you will oversee the operations of all Pulmonary and Critical Care Services (Critical Care providers only), including overseeing 40+ colleagues including: 11 physicians, 9 providers and APPs, 10 MAs/RNs, 1 Nursing Supervisor, 1 Assistant Clinical Lead, Lung Nodule Nurse Navigator, LN Program . Provided by: Wad5. Description: COPD 'COPD is fifth commonest cause of death in England and Wales accounting for . Widescreen (16:9) Presentation Templates. Get powerful tools for managing your contents. The Basics of COPD contains helpful information for individuals new to COPD. use of spirometry for case finding, diagnosis, and management of chronic, COPD - . This n urse PowerPoint template for free comes with many medical illustrations. Updated November 2021. Request an Appointment. Tap here to review the details. COPD Foundation Guides for Better Living are comprehensive educational booklets for use by individuals with COPD and their families, pulmonary rehabilitation programs, COPD support groups, and health care facilities. Chronic obstructive pulmonary diseases COPD is also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD) Chronic obstructive pulmonary disease (COPD . Designed to support NPs in primary care who play a crucial role in the management of patients with PAH, a rare, complex disease this tool explains the clinical presentations of PAH, provides an overview of treatment options and identifies when patients should be referred to pulmonary hypertension (PH) centers. Weakness. Download GOLD Teaching Slide Set. chronic bronchitis and Emphysema Number of Views: 87. This flyer highlights the benefits and importance of quitting smoking at any age. Typically performed by isoelectric focusing of serum, which reflects the genotype at the PI locus for the common alleles and many of the rare PI alleles Molecular genotyping can be performed for the common PI alleles (M, S, and Z). what to expect:. Author: Stephen Gundry is COPD nurse, Newcastle Hospitals NHS Foundation Trust. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Chronic obstructive pulmonary disease (copd), First Report (Edukasyon sa Pagpapakatao).pptx, L2DAY1 - Bridges for Communication and Information.pptx, Get a team of knowledgeable developers right away.pdf, HEART DISEASE PREDICTION USING MACHINE LEARNING.pptx, What is Research - Importance of Research.pptx. The SlideShare family just got bigger. The COPD Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. p.1314-1318. SBAR is an effective and easy-to-use communication tool that divides patient status points to be conveyed into categories. You can read the details below. Grace Parker (the patient's name has been changed) attends a nurse-led COPD clinic for routine reviews. The patient and caregiver track contains several helpful tools, including an interactive My COPD Action Plan and activity tracking calendar; inhaler, nebulizer and exercise videos; and a wallet card to track important information such as medications and immunizations. . Operating Room Nurse/ Clinical Research Nurse . COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time. In the United States alone it affects about 16 million people. chronic obstructive pulmonary disease. The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another. PK ! Chronic obstructive pulmonary disease (COPD)is a disease state characterized by airflow limitation that is not fully reversible. courtney pearce & jenna paterno . . This page was reviewed on January 10, 2023 by the COPD Foundation Content Review and Evaluation Committee. COPD. key messages. - PowerPoint PPT presentation. We believe everyone should have access to free online first aid information which is up-to-date and accurate. COPD Foundation Information Line: (866) 316-COPD (2673) Call to learn more about COPD and talk to people who understand the effect COPD has on your life. Retrieved February 07, 2009 from Health Source: Nursing and Academic Edition Database. We've encountered a problem, please try again. Chest X-ray. 4. CPR - Cardiac Pulmonary Resuscitation by completion of introductory period. O puede enviar un correo electrnico a: info@copdfoundation.org. Chronic obstructive pulmonary disease (copd) power point. As pulmonary sequelae constitute a serious long COVID subtype, exploring patient experience and needs can generate knowledge to guide nursing practice. A focused respiratory system assessment includes collecting subjective data about the patient's history of smoking, collecting the patient's and patient's family's history of pulmonary disease, and asking the patient about any signs and symptoms of pulmonary disease, such as cough and shortness of breath. The tri-fold card. a disease state characterized. advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. A chest X-ray can show emphysema, one of the main causes of COPD. We've encountered a problem, please try again. COPD - . It appears that you have an ad-blocker running. The use of the standardized technique is particularly helpful for nurses, who can use it to organize their thoughts and break vital information into segments that describe the, S - Situation. Click here to review the details. We've updated our privacy policy. Many in this series of 12- to 20 . It can be very helpful to have an action plan to follow when managing your COPD. Electrocardiography may detect signs of ventricular hypertroph, Classification GOLD stage Classification based on pathologic type, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. COPD - Physical Findings. You can read the details below. Hallmark symptom - Dyspnea Chronic productive cough Minor hemoptysis pink puffer blue bloater. Asthma patients can also develop chronic (not fully reversible) airflow obstruction. Chronic obstruction of the flow of air through The inclusion criteria for . Uploaded on Sep 27, 2014. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. It is important to keep a list of your medications and immunizations handy. All other trademarks are the property of their respective owners. The diagnosis is confirmed by spirometry.Other tests may include a 6-minute walk test, laboratory testing, and radiographic imaging.. Assessment - A diagnosis of COPD should be considered in patients over the age of 35 who have a risk factor (generally smoking) and who present with exertional breathlessness, chronic . 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