Friday, January 3, 2020
The Effects Of Deep Breathing Exercises On The Prevention...
PICO question: How does the use of incentive spirometers compare to the use of deep breathing exercises in the prevention of pulmonary complications in post-operative, hospitalized patients? Background and Rationale: Currently, postoperative pulmonary complications ââ¬Å"account for about 25% of deaths occurring within 6 days of surgery,â⬠(Yoder, M 2015). Post-operative pulmonary complications (PPCs) are of major concern due to the increased length of hospital stays and high rates of occurrence and death as a result. Those at greater risk of developing a pulmonary complication include preexisting lung disease, medical comorbidities, poor nutritional status, overall poor health, and in those who smoke. (Yoder, M, 2015.) The type of surgery the patient is having also affects the risk. Complications include, but are not limited to, pneumonia, bronchospasm, respiratory failure and prolonged mechanical ventilation. The development of such complications negatively affects the expected outcomes for patients. ââ¬Å"The basic mechanism of PPCs is a lack of lung inflation that occurs because of a change in breathing to a shallow, monotonous breathing pattern without periodic sighs, prolonged recumbent positioning and temporary diaphragmatic dysfunction. Mucociliary clearance along with the decreased cough effectiveness, increases risks associated with retained pulmonary secretions, ââ¬Å" (Overend, T., Anderson, C., Lucy, S., Bhatia, C., Jonsson, B., Timmermans, C., 2001). Currently,Show MoreRelatedMy Paper On Pleural Effusions1674 Words à |à 7 Pagespleural effusions. Pleural effusions are a collection of fluid in the pleural space, the cavity surrounding the lungs. Typically, there is 10 mL of fluid in this space to lubricate the pleura, however when disrupted by diseases such as pneumonia, pulmonary embolisms, congestive heart failure, or cancer, fluid begins to third space and collect in abnormal amounts. The biggest challenge then becomes dyspnea and tachypnea. This is because the extra fluid decreases pressure making it difficult for theRead MoreCare of a Patient with a Dvt2325 Words à |à 10 PagesAnnie Coffey is a 72 year old woman that has developed a deep vein thrombosis (DVT) due to reduced mobility while on bed rest. This assignment will discuss the signs, symptoms, prevention and management of a DVT and the use of warfarin as long term treatment. The assignment will explain what a DVT is and discuss its potential implications. The nurseââ¬â¢s role in the prevention of DVTs will be discussed in detail as well as the nursing management of Annie. The importance of patient education will beRead MoreClinical Reasoning2419 Words à |à 10 Pagesneeds to be monitored for complications since she is not only a surgical patient but also an orthopedic patient. The shift started at 1600 on post operation day one. The care plan for Gemma for the PM shift will employ clinical reasoning cycle: including nursing problems in order of priority, interventions with rationales and evidences, evaluations on Gemmaââ¬â¢s performance. This nursing diagnoses and care plan is to focus on early detection and prevention of complications associated with post operationRead MorePost Operative Nursing3821 Words à |à 110 Pageswith the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hiltonââ¬â¢s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hiltonââ¬â¢s surgical nurse will involve coupling my knowledge and the professionalRead MoreCase Study Of A Patient2213 Words à |à 9 PagesTheory B.V., a 55 year old male admitted to the hospital on 15/03/2016. His approximate educational level is College Diploma. He is admitted with the medical history of chronic obstructive pulmonary (COPD) disease and coronary artery disease (CAD). Definition of Chronic obstructive pulmonary disease (COPD) COPD is preventable and one of the most common respiratory diseases. COPD characterized by an airflow limitation that is progressive and not fully reversible. It is usually describedRead MoreChest Pain4677 Words à |à 19 Pagesvital organs of the body, such as the brain, heart, kidneys, lungs, and intestines. Dissection means a tear in the inner lining of the aorta. This can cause massive internal bleeding and interrupt blood flow to the vital organs. 4. Pulmonary embolism: A pulmonary embolus is a blood clot in one of the major blood vessels that supplies the lungs. It is a potentially life-threatening cause of chest pain but is not associated with the heart. 5. Spontaneous pneumothorax: Often called a collapsed lungRead MoreCase Study : Chronic Obstructive Pulmonary Disease2114 Words à |à 9 PagesAge: 55, Gender: Male Date of admission: 15/03/2016 Approximate educational level: College Diploma Definition of Chronic obstructive pulmonary disease (COPD) COPD is one of the most common respiratory diseases. It is characterized by airflow limitation that is progressive, not preventable, and not fully reversible. It is usually describes a mixture of chronic bronchitis (increased mucusRead MoreCase Presentation on Bronchitis4543 Words à |à 19 Pagesrespiratory dysfunction in children tends to be more serious than in adults because the lumens in a childââ¬â¢s respiratory tract are smaller and therefore, are more likely to become obstructed. Moreover, because very young children can panic when breathing becomes labored, a great deal of nursing support should be at hand to care for them. Respiratory disorders range from upper respiratory tract to lower respiratory tract infections. Upper respiratory tract infections include those diseasesRead MoreCommunity Acquired Pneumonia18251 Words à |à 74 Pagesof pneumonia generally run an uncomplicated course. Complications may include the following: pleurisy, pleural effusion, atelectasis, delayed resolutions, lung abscess, emphyma, pericarditis, arthritis, meningitis and endocarditis. (Dirksen, 2005) There is no optimal therapy for community-acquired pneumonia. It is treated by administering an antibiotic which is effective in killing the offending microorganism as well as managing any complications of the infection. (Hockenberry, 2007) Nurses playRead MoreDifferential Diagnosis Exercise ( Dde )2932 Words à |à 12 Pages10/5/2014 Creighton University College of Nursing Differential Diagnosis Exercise (DDE) Name: Mary M. McAuliffe Clinical Sign or Presenting Problem : Fever A. Identify appropriate history questions to be asked of the patient, nursing staff, or family in order to discriminate critical characteristics or attributes about the presenting problem. HPI Onset: When did you first notice the fever? Where were you when you first began having the symptoms? Location: Not applicable Duration: Is the
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