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Nursing Essay on Gerontology
Pages 3 (753 words)
I. Truthseeking This is a case of an 82 year old female, who comes in with the chief complaint of shortness of breath. Because of this, she is already using oxygen. The patient has been smoking for 40 years already, although she is not barrel-chested. In addition, she presents with signs of depression.
Thus, the three main nursing diagnoses of the patient are 1) ineffective airway clearance related to pneumonia and chronic obstructive pulmonary disease (COPD), 2) impaired gas exchange 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 cells, causing further damage. In addition, the respiratory cells to divide in a faster rate to try to compensate for the chemical-induced tissue 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 layers, 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 body (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. ...
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