The effects of obesity on pulmonary function in adults discussion
- Discuss what you think this patient’s likely diagnosis is. Why do you support this “likely” diagnosis?
This patient is likely to be suffering from asthma. This is because the symptoms she presents add up because of shortness of breath that worsens in the spring season, having asthma present in her family history of, smoking and having a cat. Asthma is an airway inflammation condition and complex obstruction of the air circulation (Hammer & McPhee, 2019). This can result in tightness in the chest, coughing, SOB, and wheezing. Allergens or other triggers exposure can result in chronic and acute inflammatory processes The effects of obesity on pulmonary function in adults discussion .
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- Identify the pathogenetic mechanisms that are responsible for this patient’s symptoms of wheezing, shortness of breath, and chest tightness.
Physiological or pharmacological mediators of asthmatic airway reactions, allergens that can cause inflammation and reactivity of the airway, and exogenous physical and chemical elements are the pathogenetic mechanisms responsible for the patient’s symptoms (Hammer & McPhee, 2019)The effects of obesity on pulmonary function in adults discussion .
- What might you expect the results of her pulmonary function tests to be? Why?
Since her pulmonary functioning is reduced, I would expect the outcomes of her pulmonary function tests to be lower than normal. It is possible to conduct a forced vital capacity (FVC) test. It assesses the volume of air breathed out from inspiration to expiration. The volume of air one can exhale in the first second of the assessment is called FEV1. There is a lower FEV1 / FVC ratio in patients with asthma (Ozbey et al., 2019). The chances of having asthma rise if the patient is overweight (Ozbey et al., 2019).
- Provide and discuss a plan of care for her. What would be your priority patient education outcomes? How would you achieve these outcomes?
Identifying the symptoms/stimuli and creating an action plan to respond to worsening should be part of the care plan (Pinnock et al., 2017). The priority outcomes for education ought to be the withdrawal of smoking and the development of an action plan. With this plan, acquiring a peak flow meter may assist. It would be a useful beginning to inquire from the patient if she is willing to quit smoking. Nicotine-related medications, treatment, and even quitting smoking abruptly can all be useful aids. Assisted self-management for asthma may decrease unplanned care and enhance asthma care (Pinnock et al., 2017).
References
Hammer, G., & McPhee, S. (2019). Pathophysiology of disease: An introduction to clinical
medicine (7th ed.). New York, NY: McGraw-Hill Medical.
Pinnock, H. Parke, H. L., Panagioti, M., Daines, L., Pearce, G., Epiphaniou, E., Bower, P., Sheikh, A., Griffths, C. J., & Taylor, S. J. C. (2017). Systematic meta-review of supported self-management for asthma: A healthcare perspective. BioMed Central, 15(64) The effects of obesity on pulmonary function in adults discussion .
Ozbey, U. Ucar, A., & Aliye, C. (2019). The effects of obesity on pulmonary function in adults with asthma. Lung India, 36(5).
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Darla Thomas, a 25 y.o. African-American previously well woman, presents to her primary care Nurse Practitioner’s office with complaints of episodic shortness of breath and chest tightness. She has had the symptoms on and off for about 2 years but states that they have worsened lately, occurring two or three times a month. She notes that the symptoms are worse during the spring months. She has no exercise-induced or nocturnal symptoms. The family history is notable for a father with asthma. She is single and works as a secretary in a high-tech firm. She lives with a roommate, who moved in approximately 2 months ago. The roommate has a cat. The patient smokes occasionally when out with friends, drinks socially, and has no history of drug use. Examination is notable for mild end-expiratory wheezing. Pulmonary function tests are ordered to confirm the diagnosis. In this discussion: Discuss what you think this patient’s likely diagnosis is. Why do you support this “likely” diagnosis? Identify the pathogenetic mechanisms that are responsible for this patient’s symptoms of wheezing, shortness of breath, and chest tightness. What might you expect the results of her pulmonary function tests to be? Why? Provide and discuss a plan of care for her. What would be your priority patient education outcomes? How would you achieve these outcomes? Include citations from the text or the external literature in your discussions The effects of obesity on pulmonary function in adults discussion