NURSING DIAGNOSIS OF EMPHYSEMA, OSTEOPOROSIS AND HYPETENSION Essay

NURSING DIAGNOSIS OF EMPHYSEMA, OSTEOPOROSIS AND HYPETENSION - Essay Example Emphysema happens mostly in patients with reduced alpha 1- anti-trypsin (A1AT) levels. Alpha 1 anti-trypsin deficiency (A1AD) destroys alveolar tissues. Smoking reduces A1AT to greater extend and cause emphysema People at this stage of life are recovering from middle adulthood and experience Despair versus Integrity. The basic strength at this age is wisdom. Those who lived up to their dreams in life usually enjoy good memories and this is what is identified as integrity. Having failed to achieve better life and bearing in mind the situation of the patient's aliments, the patient is not able to find her true self to develop her personal ego as expected of her age. She may not develop wisdom This is evidenced by the patient's ailments which appear like co morbidity of several disease conditions or a cascade of ailments. she had suffered osteoporosis for 8 years, emphysema for 12 years, hyperlipidemia for 5 years and hypertension for 15 years keeping pain diary to assist in identification of irritating and ease factors on pain, assisted the patient in selecting best management strategy and acknowledge and recognize patients past experience (Green 2007) Aggrenox one (200mg) tablet twice a day, Coreg 3.125 mg per oral administration twice a day and Cozaar 50mg per oral administration everyday to reduce high blood pressure. ... Treatment Open (bronchial ventilation) by suction or giving medication that reduce secretions, acid base management techniques and use of medication. keeping pain diary to assist in identification of irritating and ease factors on pain, assisted the patient in selecting best management strategy and acknowledge and recognize patients past experience (Green 2007) Medication Aggrenox one (200mg) tablet twice a day, Coreg 3.125 mg per oral administration twice a day and Cozaar 50mg per oral administration everyday to reduce high blood pressure. Administer Acetaminophen 650mg six hours interval to relive mild pain and reduce fever. Ipratropium Bromide two puffs twice a day to reduce allergic reactions and secretions as well as for brocho-dilatation Diet 3. The patient to be put on a steady diet with more calcium and vitamin D and also carry out exercises to strengthen the back. Referred the patient to osteoporosis support. Pr Assessment Functional Health Patterns Nursing Diagnosis 1 The patient has intermittent sleep patterns only able to tolerate with HOB up in high fowler position. The patient has suffered osteoporosis for the past 8 years, multiple admission for pneumonia. Osteoporosis causes a lot of skeleton-muscular pain because the bones gradually weaken and any slight strain on the body structure is very painful(Green 2007) The functional health patterns are identified as; 1. Sleep-Rest Patterns 2. Sensory Perception Patterns Psychological Nursing diagnosis the patient experienced stress and anxiety Physiological Nursing Diagnosis The patient experienced disturbed sleeping patterns and Ineffective airway clearance In relation to being