Question

 

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?

Answer 1

What are the common symptoms associated with an exacerbation of COPD?

A case with COPD exacerbation will be having below symptoms:

• Chronic Cough with mucous prodcutiomW usually it worse at patient exacerbatining COPS
• Severe Wheezing
• chest tight ness
• Short ness of breath
• dyspnea
• sweating
• hypoxia
• AMS ( Altered Mental status)

Note : Severe COPD may lead to respiratory faiure

Nursing Assessment :

• Assess for Dyspnea
• Muscle fatgue
• Work of breathing wherther is its increasing or decreasing
• Any worsening symptoms
• Monitor ABG results Need to Look at Pc02 and Po2 levles
• Mange Anxiety

A major role of the Nurse is patient family education

• Breathing retraning
• use of postural drainge techinques
• Energy conversion

Identify smoking strategies :

Single most importapant factor in preventing COPS is Smoking cessation

Write down your reasons for quitting

Make a list of all the reasons you want to quit smoking. They might include:

• Improving your health
• Lowering your risk of disease
• Not exposing family or friends to secondhand smoke
• Setting a good example for your children
• Saving money
• Getting rid of the lingering smell of tobacco smoke

Each time you pick up a cigarette or have the urge to do so, read your list and remind yourself why you want to quit smoking.

Make a plan

Make a plan to quit. Most people have the best success with quitting smoking by setting a quit-smoking date and then abruptly stopping on that date.

Smoking Cessaing support reference :

also can get support from hotlines and Web sites. Examples include
1–800–QUIT–NOW and http://smokefree.govexternal link. These resources can help you set up a plan for quitting smoking.