Intervention for Smoking Cessation
The most important intervention for this patient is to quit smoking. This would be very difficult for a person who smoke for more than 20 years to quit. I would explain to the patient that the best way to treat her emphysema is to stop smoking. First of all, I will assess on what this patient knows about smoking cessation. Some smokers may not have a correct information and positive attitude about quit smoking, which could be the reasons that contribute to the failure of previous attempts of quitting. I would explain to her that tobacco smoking is responsible for 90 percent of all cases of COPD, including emphysema (MacGill, 2015). Normally, when particles enter the lung, these particles lands on a thin layer of mucus inside the lungs. The little hairs, called cilia, help to move mucus and the particles from the lungs upward toward the throat. This process allows the mucus to be expelled or swallowed (American Thoracic Society, 2015). Coughing is another way the lungs protect themselves from irritants in bronchial tubes (American Thoracic Society, 2015). Inhalation of smoke, over times, will destroy cilia, and they no longer remove mucus effectively. Subsequently, mucus accumulates inside the lungs causing irritation and coughing (American Thoracic Society, 2015). The most effective way to stop coughing is to stop smoking.
I would also point out that the patient is developing a condition called Leukoplakia as evidence by white patches are
Overall the treatment plan to treat Mr. Puff’s nicotine dependency would centre around education, and counselling as this is the least invasive option. Implementing nicotine replacement therapy, bupropion SR or varenicline have been noted to be effective pharmacological interventions for patients with COPD and would be important for Mr. Puff as well (Tonnesen, 2013). Smoking cessation is the most modifiable factor for COPD. Furthermore, it increases the rate of survival and decreases mortality. COPD and smoking are significantly correlated with the progression of the disease process. Smoking cessation allows for the accelerated decline in expiratory volume to be prevented as well. It is therefore the most effective option to halt the advancement
As a result of emphysema there is a significant loss of alveolar attachments, which contributes to peripheral airway collapse. There are two major types of emphysema according to the distribution within the acinus and they are; (i) centrolobular emphysema which involves dilatation and destruction of the respiratory bronchioles; and (ii) panlobular emphysema which involves destruction of the whole of the acinus. According to theory, centrolobular is the most common type of emphysema in COPD and is more prominent in the upper zones, while panlobular predominates in patients with alpha-1 antitrypsin deficiency and is more prominent in the lower zones. In relation to patients D.Z. with emphysema, the walls between the tiny air sacs in the lungs are damaged due to long-term cigarette smoking effect on his lungs as evidenced by patient c/o difficulty breathing at rest and productive cough with thick yellow-green sputum r/t a
Do you smoke, Dip, Snort, or vape nicotine? If you answered yes to any of these questions, you should quit nicotine. There are so many reasons to quit consuming nicotine. Did you know nicotine can actually be used as a rat poison? Did you know one drop of liquid nicotine is enough to kill an infant to a child up to 7 years old? There’s no denying the fact that nicotine is poisonous to your body and should be avoided at all costs.
Emphysema is the most common cause of death from respiratory disease in the United States and is generally caused by several years of heavy cigarette smoking (Olendorf, 2000). When a person smokes, the body’s immune system tries to fight off the invading smoke by using certain substances. These substances can also attack the cells of the lungs, but normally the body is able to release other substances to prevent this. In the case of people who are smokers, this doesn’t happen and the original substances that were released to fight off the smoke also end up injuring the cells of the lungs as well. Eventually, the lungs will not be able to supply enough oxygen to the blood and a host of problems can occur with this. Risk factors that have been identified for emphysema include exposure to tobacco smoke either through active or passive smoking (2nd hand smoke), occupational exposure such as dust or chemicals, ambient air pollution, or genetic abnormalities, including a deficiency of alpha-antitrypsin, an enzyme inhibitor that normally counteracts the destruction of lung tissue by certain other enzymes (Smeltzer, 2010). The symptoms of emphysema develop gradually over many years. It is generally characterized by three primary symptoms: chronic cough, sputum production, and dyspnea on exertion. Other signs and symptoms include weight loss and the development of a
Health promotion efforts that I implement regularly to my patients are information packets on the cessation of smoking. One question that is asked of all patients who come into the emergency room, is if they smoke and if so, how much. If patients admit to smoking, a packet of information is distributed to them. These packets contain information on how to quit smoking, as well as resources within the area that can assist them. I then encourage each patient to go through the packet and ask any questions that they might have as I continue my assessment. In addition, I also educate each patient on how cessation of smoking will help to prevent any further diseases and improve their overall health.
Pharmacists are health care professionals that work in their communities to raise the quality of life for the patients they serve. Pharmacists have been working at Consumer Values Stores (CVS) since their first doors opened in 1963. The company has since largely expanded and has become the second largest retail-pharmacy chain in the United States with more than 8,000 store nationwide. CVS is a billion dollar company and has since changed its corporate name to CVS Health along with becoming a leader in corporate social responsibility. The chain is going to great lengths to improve public health all over the country by doing such things as ceasing the sale of cigarettes in its stores and starting a nation-wide smoking cessation program called “We’re Tobacco Free”. CVS has also partnered with MinuteClinic to operate inside some of its stores.
In order to treat this disease, smokers need to participate in smoking cessation which involves the most important step, to stop smoking. Medications to help treat COPD include bronchodilators, such as inhalers, which relax muscles around the air way. Inhaled steroids can reduce air way inflammation and help prevent exacerbations. Lung therapies include oxygen therapy which will help increase blood oxygen. If severe enough, surgeries such as lung volume reduction surgery, lung transplants, and a bullectomy may be
A female patient 83 years of age has been diagnosed with Emphysema and has had this disease for 10 years. She has been in good shape her whole life and has been big into health and fitness. However, the critical etiological risk factor was that she participated in tobacco smoking for a brief period of her 20’s. She was informed of the disease by visiting a general practioner and therefore getting referred to a respiratory specialist. The laboratory tests used to establish her diagnosis included a lung function test, X ray and sleep apnoea test in hospital overnight. Her most common symptoms include shortness of
Chronic Obstructive Pulmonary Disease, also known as COPD, is the third leading cause of death in the United States. COPD includes extensive lungs diseases such as emphysema, non-reversible asthma, specific forms of bronchiectasis, and chronic bronchitis. This disease restricts the flow of air in and out of the lungs. Ways in which these limitations may occur include the loss of elasticity in the air sacs and throughout the airways, the destruction of the walls between air sacs, the inflammation or thickening of airway walls, or the overproduction of mucus in airways which can lead to blockage. Throughout this paper I am going to explain the main causes, symptoms, diagnosis, and ways to reduce COPD.
The lungs are very important for our bodies to oxygenate our blood by removing carbon dioxide and replace it with oxygen inhale and exhale process. Unfortunately, there are several diseases affecting our respiratory system. Some people do not notice that they have issues in their respiratory system when they have difficulty in breathing. They will think it is because they made a great effort. According to COPD Foundation, ‘Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe progressive lung diseases, including emphysema, chronic bronchitis, refractory (non-reversible) asthma, and some forms of bronchiectasis. This disease is characterized by increasing breathlessness.’[1] One of the most common types of COPD is emphysema. According to Cleveland Clinic, ‘Emphysema is most common in men between the ages of fifty and seventy.’[3] This essay will cover the characteristics of emphysema, the lifestyle and home remedies for patients who have emphysema, and how the patients can cope with emphysema.
Emphysema is common, yet serious condition that is a type of chronic obstructive pulmonary disease. It is so serious because it can enlarge and eventually destroy air spaces within the lungs. This disease effects millions of people in the United States, and is the third leading cause in the United States. Smoking is the leading cause of this condition. Understanding how COPD works, it helps to know how the lungs work as well. When you inhale air, that air is sent down your windpipe, or trachea, into tubes called bronchi. These bronchial tubes then branch into the lungs by getting smaller, thinner and by the thousands, these are
Medical History: The patient is a 60 pack/year smoker. She was diagnosed with emphysema5 years ago,
-The client made aware that it is not necessary to cease smoking before starting treatment
TREATMENT FOR EMPHYSEMA Doctors can help persons with emphysema live more comfortably with their disease. The goal of treatment is to provide relief of symptoms and prevent progression of the disease with a minimum of side effects. The doctor's
I have yet to see a benefit from smoking. While it is possible to get emphysema from breathing in environmental or occupational pollutants, smoking seems to be the number one cause. According to mayoclinic.com, there are over 4,000 chemicals found in both first and secondhand tobacco smoke (Emphysema, 2009). Smoke enters into the lungs breaking down the elastic fibers, wreaking havoc on the entire respiratory system, including the alveoli. Sadly, there is no easy cure. The best first step is to stop smoking or exposure to the causing pollutants. Afterwards, treatment is to manage symptoms, and hopefully slow down progression. Those I know with emphysema are treated with supplemental oxygen tanks to increase oxygen flow, steroids to relieve emphysema related bronchitis, and bronchodilators to open the air passageways. In a best, or worst, case scenario for one individual I know is if her emphysema worsens, but overall health maintains, she may qualify for a lung transplant. Like those elastic