Nursing Essay on Gerontology Example | Topics and Well Written Essays - 750 words

Nursing on Gerontology - Essay ExampleThus, the three briny nursing diagnoses of the patient are 1) otiose air duct clearance related to pneumonia and continuing obstructive pulmonic disease (COPD), 2) impaired hit man permute related to acute and chronic lung disease, and 3) displaying symptoms of depression due to respiratory illness. It is highly possible that her respiratory condition is caused by her history of smoking. Cigarette contains noxious chemicals that irritate the respiratory lining. These protective mechanisms include the increased production of mucus layers the epithelium to prevent the chemicals from reaching the booths, causing progress damage. In addition, the respiratory cells to divide in a faster rate to try to compensate for the chemical-induced wind injury. As a result, the normally one-cell thick respiratory epithelium that is able to facilitate gas exchange between the atmosphere and blood is now converted to a thick epithelium with multiple cell l ayers, which decreases the amount of air passing through. This clinically presents as ineffective airway clearance, causing impaired gas exchange, thus explaining the shortness of breath experienced by the patient, and the need for supplement oxygen to meet the demands of the physical structure (Reilly, Silverman & Shapiro, 2012, pp. 2153-2154). Addressing the first two nursing diagnoses should be prioritized because these two are the ones causing the depression. In fact, it is estimated that almost trio of individuals suffering from a chronic medical condition present with signs of depression. When a person acquires a chronic illness, he or she must adjust both to the disease and to its treatment. Consequently, the health condition can discover a persons independence, quality of life and perception. These changes cause significant stress that can ram a person to abnormal levels of sadness, causing depression. Although a lesser priority, this nursing diagnosis should also be tu rn to since the loss of interest, sleep disturbance and repeated thoughts of death or suicide can adversely affect management of the concomitant respiratory disease (Cleveland Clinic, 2009). III. Open-Mindedness Again, the patient has depression resulting from the inconvenience brought by ineffective airway clearance and impaired gas exchange due to chronic airway obstruction, not elsewhere classified. Based on this statement, the measurable outcome should include 1) increased forced expiratory volume in a second (FEV1) to demonstrate melioratement in airway clearance 2) increased oxygen loudness of hemoglobin to objectively measure improvement in gas exchange, and 3) better functional status (SF-36 wellness Survey) score compared to before treatment. IV. Inquisitiveness Nurses have a vital role in the achievement of these outcomes. To improve FEV1 and oxygen saturation, nurses should first be familiar with the management plan of the patient. A) They ensure that the patients medic ations, bronchodilators for airway obstruction and supplemental oxygen to improve gas exchange, are being taken as per the doctors orders, so that homecare can become an option (Hernandez et al., 2008). B) Any questions about these medications, both by the patient and her family, should be addressed to promote compliance and adherence. By doing so, this can involve the family into the patient management (Jonsdottir, 2008). C) Also, the patient should be command during the measurement of FEV1 using spirometer and oxygen satura