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Principles of Nursing: Medical

Evidence for Concept Map

Chronic obstructive pulmonary disease is considered to be one of the most common respiratory disorders that directly limit the airflow which leads to inflammatory responses. The emphysema is the permanent dilation of the airways that lead to the destruction of the walls which lead to airways collapse that cause impaired flow out of lungs. Moreover, the chronic bronchitis is the inflammation of the bronchial tube that leads to chronic cough due to airways obstruction that is irreversible. The airways inflammations lead to several clinical symptoms that are first diagnosis sing for the disease.

Collect Cues and Information

The patient current health status reveals that she is facing difficulty in breathing due to shortness of breath. The oxygen saturation level of the patient was revealed to be of 93% and the patient is also facing inspiratory and expiratory wheeze that is adding complication for the patient.

Pathophysiology and relevancy to the patient:

Genetics and environmental irritant initiate the prognosis of the disorder by increasing the inflammation of the lungs. The direct contact with the risk factor leads to an increase in the production of the free radical in the lung which is directly involved to increase inflammation. The anti-protease activity of the lung is also destroyed after the initiation of the disorder from irritants that increase chances of lung inflammation. The prognoses of the inflammation also reduce the capacity of the lung to decrease the damage to the lung tissue that lead to breathing difficulty. The inflammatory response leads to increased oxidative stress, the release of cytokines and increases protease function. The increase proteolysis destruction of the lung parenchyma decreases the airways elasticity and permanent enlargement of the alveoli. The result of these is airways fibrosis, the collapse of the passage and hyperinflation of lungs that cause bronchitis and emphysema which result in COPD.

Interpretation of The Information

The information that is revealed after the analysis includes patient has increased respiratory rate with shortness of breath that is increasing complication. The poor oxygen saturation level is also increasing respiratory discomfort of the patient. Medical history of obesity and hypertension also increases the chances of cardiac failure. The increase in blood glucose level is also one of the issues concerning the patient diabetic condition. The histories of the COPD also indicate the chances of exacerbation of the COPD. 

Three Priority Nursing Issues

The poor oxygen saturation level is one of the priorities as decreased oxygen supply to the different organs can hamper the functioning which will increase complication for the patient. The second priority should be the hypertensive states of the patient as her medical and family history indicate the greater chances of the cardiac issue thus need to be addressed immediately. The third priority is to increase blood glucose level as it will hamper the body functioning which will have a negative impact over the patient that can lead to deteriorated health which needs attention.

Three Important Aspects of the RLT Model

Maintaining the safe environment is important to decrease the chances of increase complication due to COPD which can hamper the breathing pattern. Sleeping should be addressed secondly as the patient is having a sleeping disorder that directly impacts the health status. The eating and drinking habits need to be addressed to decrease the issue related to diabetes and obesity concerning patient health status.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

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