Nursing practice, Chronic Obstructive Pulmonary Disease (COPD)

Nursing Practice
Name:
Institution:
Date:
Scenario 1
Q1
Jamie's current problem is Chronic Obstructive Pulmonary Disease (COPD). The common symptoms of COPD as presented by Jamie include; the pale skin and pink lips, due to the obstruction respiratory rate was high and were deep and through the mouth. Jamie had inspiratory wheeze on inhalation that was audible on the stethoscope. The vital signs also present classical symptoms of COPD (Russell, Ford, & Barnes, 2011).
Q2
In such a case, the priority nursing care in Jamie's case should be in providing measures that assist in facilitating gaseous exchange. Jamie has been in the hospital for some time and his vital signs stabilized the priority intervention approach in oxygen therapy will involve supplemental long-term oxygen therapy (LTOT). It improves exercise, survival, sleep, and cognitive performance in hypoxemia CITATION Pru13 \l 1033 (Pruitt & Jacobs, 2013).
Q3
Nasal prongs have the following two advantages; they are cheaper to use and can be easily replaced during treatment compared to the facial masks. In addition, their slim line shape allows the patient to easily move around and undertake duties normally with minimal hindrance in comparison to the facial mask CITATION AlS13 \l 1033 (Al-Shaqs & Brockway, 2013).
Q4
Initial treatment began with nasal prongs. However, Non-rebreather masks are utilized when Jamie continues experiencing shortness of breath, dizziness, headaches, including cluster headaches. In addition, the non-rebreather can be used when signs of COPD symptoms persist indicating that higher amounts of oxygen supply are needed CITATION Pru13 \l 1033 (Pruitt & Jacobs, 2013).
Q5
Low oxygen supply is accompanied by several behavioural changes with the most evident one being irritability. In addition, the individual behaviour changes during the day are also a good indicator. Jamie may become uninterested in things he enjoyed and become unresp...