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Pneumonia chronic obstructive pulmonary disease clinical reasoning case study

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What is Chronic Obstructive Pulmonary Disease? Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. There are two classifications of COPD: chronic bronchitis and emphysema. These two types of COPD can be sometimes confusing because there are patients who have overlapping signs and symptoms of these two distinct disease processes. In COPD, the airflow limitation is both progressive and associated with an abnormal inflammatory response of the lungs to noxious gases or particles. Mortality for COPD has been increasing ever since while other diseases have decreasing mortalities.
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Streptococcus pneumoniae - Infectious Disease Advisor

The purpose of this study is to determine whether different support groups formats and family supports improve the functional status of clients with pulmonary disease. The Sample of 90 clients as research participants recruited through a convenience. This is a case study on a 76 year old man. Mr Alan Chari pseudonym used to protect the identity of a patient ,was admitted over night in my department. He is a divorcee who stays with son. He is a retired teacher and his son is permanently employed by a local company as an electrician.
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Guidelines and Measures

He had a long history of asthma developed dyspnea with only moderate exertion. He slept on two pillows. There was no peripheral edema.
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Rationale: Studies have shown that poor oral hygiene and periodontal disease may foster colonization of the oropharyngeal region by respiratory pathogens, particularly in hospital or nursing home patients. If aspirated, these pathogens can cause pneumonia, one of the most common respiratory infections, especially in institutionalized subjects. Other cross-sectional epidemiologic studies point to an association between periodontal disease and COPD. This systematic review examines the literature to determine if interventions that improve oral hygiene reduce the rate of pneumonia in high-risk populations.
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