Explore the case study on Nancy, and consider a comprehensive assessment of her condition and the r

Explore the case study on Nancy, and consider a comprehensive assessment of her condition and the relevant patient care, medication treatment and management. Provide a detailed discussion of COPD anatomy, physiology and pathophysiology. Discuss the pharmacological management of Nancy’s COPD condition, including the pharmacodynamics of medications in relation to her condition. 1. Explain the pathophysiology of COPD2. Analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with COPD3. Evaluate and critique the pharmacological management prescribed for the patientCase study:Nancy 68 yr old visited her GP 2 days ago. Her emphysema seems to be getting worse. She explains she has been sleeping in a chair at home because she is having trouble breathing lying down. She doesn’t want to disturb her husband. She feels exhausted. The GP prescribes Spiriva and Amoxycillin and sends her home. However, Nancy gets worse. Two days later, she is admitted to the medical ward.It is afternoon shift on the medical ward when you take a call from the Pleasantville family practice telling you that Mrs Nancy Gray will be arriving by ambulance this afternoon. She has an exacerbation of COPD with a suspected superimposed infection.Soon Nancy arrives. She is brought into the ward in a wheelchair by the ambulance officer. You hear her breathing as she is wheeled towards you. She is perched on the edge of the chair, clasping an oxygen mask to her face. You bend down to speak to her she is clutching a paper bag with her medications. She shakes her head, concentrating on breathing. You notice she is pale; her lips are tinged with blue. You support her with your hand, noticing her skin is moist and cool. The muscles in her neck and shoulder bulge as she breathes. She tries unsuccessfully to stifle a hacking cough. The ambulance officer reports that Nancy, now aged 68, has experienced COPD for many years. She has been progressively getting worse over the last few weeks and now has a productive cough, poor appetite and sleeplessness. You wheel Nancy to her bed. She says she would rather sit in a chair. You help her into the chair and offer her a hospital nightie.”I really don’t feel up to it right now,” she says.  Health Science Science Nursing HLTH 263 Share QuestionEmailCopy link Comments (0)

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