Problem
De Peri, a 55-year-old aboriginal man, is hospitalised to the respiratory ward with sudden onset shortness of breath. Shortness of breath is associated with activity on exertion with productive cough. He had previously experienced symptoms that necessitated hospitalisation nearly six months ago due to an abrupt aggravation of chronic obstructive pulmonary disease (COPD). He has his own BiPAP machine for night-time ventilatory support. De Peri is receiving 1 to 2 litres of oxygen at home via nasal prongs. He is a compulsive chain smoker. No history of fever, chills, wheezing, chest pain, palpitations, distension, nausea, vomiting, or diarrhoea is available. Even with moderate exercise, he suffers respiratory difficulties.
1. Identify the chronic health problem based on this scenario and common symptoms experienced by the client.
2. Identify three body systems affected by this chronic health problem
3. Discuss briefly, how the chronic health problem can affect the daily activities of living.
4. Identify two possible nursing interventions for this client.
5. How would the enrolled nurse encourage and support informed independent decision making for this client, in order to achieve optimal chronic condition health outcomes
6. How would the Enrolled Nurse perform nursing interventions to ensure cultural diversity, dignity and respect are implemented.
7. How would the enrolled nurse encourage and incorporated self-care into the plan of nursing care for this client.