Oxygen Therapy Research Paper

Supplemental oxygen may be required for some of your patients. Given the wide variety of oxygen delivery systems available, describe a patient scenario and explain which type of oxygen you would order for this patient based on the individual circumstances. Oxygen Therapy Research Paper

The major purpose of oxygen therapy is to ensure an improvement in sleep and levels of energy part from good quality of life. Therefore, oxygen therapy is often prescribed for individuals who cannot get adequate oxygen on their own. This may be as a result of respiratory conditions which prevent the lungs from absorbing oxygen (Dal & Hodder, 2015). Some of these respiratory conditions include; pneumonia, chronic obstructive pulmonary disease, asthma, heart failure or cystic fibrosis.

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Patient Scenario

A 54-year-old man who is disoriented in time, place and person presents with shortness of breath, a fast heart rate, and profuse sweating.  The informant reports that the patient is well known for Chronic Obstructive pulmonary disease and has a history of a non-productive cough for the past three days. On clinical examination, he has changes in skin color with a central cyanosis and has reportedly a lot of difficulty doing some simple tasks. His arterial blood oxygen is 40 mmHg which is indicative of supplemental oxygen.

Oxygen to be Ordered for This patient.

Oxygen therapy will be prescribed for this patient and it will be administered through a venture mask. Therefore, liquid oxygen will be administered at 4 l/minute but not more than 2 L/minute for 15 minutes. The target in this case will be 89-92% oxygen saturation. Within the first 60minutes of starting the oxygen therapy, the arterial blood gases will be measured to ascertain whether there is an increase in the partial pressure of oxygen in arterial blood while the partial pressures of carbon(IV) oxide and PH levels reduce (Dal & Hodder, 2015). To ascertain whether or not the arterial oxygen saturation from blood and that of a pulse oximeter have adequate amount of oxygen administered. Oxygen Therapy Research Paper

Reference

Dal, N. R., & Hodder, R. (2015). Long-term oxygen therapy: New insights and perspectives.

Milan: Springer.

What is oxygen therapy?

Oxygen therapy is a medical treatment prescribed by a physician and administered through a cannula or face mask. A typical prescription details what type of oxygen system should be used, the level of intensity (liters per minute) to be applied and when the oxygen should be administered (e.g., during exercise or sleep). More information from the American Thoracic Society about oxygen therapy and children.

How is oxygen given?

Supplemental oxygen is supplied in tanks which must be prepared and delivered by an oxygen supply company. The oxygen is inhaled by patients via a nasal cannula (a lightweight tube) or a face mask which is attached to the oxygen tank by plastic tubing. At home, many PHers use a machine called a condenser or concentration, which supplies oxygen indefinitely, although it requires electricity to work. When patients are outside of the home, oxygen is supplied by portable tanks that last for a few hours only, depending upon how much oxygen is required. The rate at which oxygen is set to flow varies from person to person and is prescribed by a physician.

Will my insurance cover my oxygen?

Medicare covers oxygen through a five-year contract with your home oxygen supplier. This contract begins once an oxygen supplier bills Medicare for your oxygen. Medicare pays 80% of the supplier’s charges, and you are responsible for paying the remaining amount. However, a supplemental Medicare plan may cover the 20% difference, so check with your supplemental plan provider for more information.

*Over the past few years, Medicare has been changing the way it pays for oxygen. Some oxygen suppliers have been taking advantage of patients’ confusion to bend, and even break, the rules governing what they must provide. To learn more, please see the Supplemental Oxygen Guide listed below.

As many as 80-85 percent of oxygen users rely on Medicare, so many insurance providers model their plans off of Medicare’s policies. If you have an alternative insurance provider that is not Medicare, please refer to your provider’s Summary of Benefits and Coverage for more information.Oxygen Therapy Research Paper

If your health care professional has prescribed oxygen therapy, we have resources to help you learn more about this important treatment.

Oxygen is prescribed when oxygen levels go below about 88%. Your doctor may choose to measure your oxygen level in different circumstances: while sitting, while walking in the hallway or on a treadmill, and during sleep. If your oxygen level drops below about 88%, your doctor may prescribe supplemental oxygen to prevent your oxygen level from dropping further. Many people report that they have less breathlessness and fatigue, and are better able to live an active lifestyle when using oxygen.

Using oxygen can be frustrating and inconvenient. We recommend that you talk openly with your doctors about your concerns. Some people find it difficult to adjust to using oxygen, particularly when outside the home. But over time, most people living with pulmonary fibrosis and idiopathic pulmonary fibrosis find that the benefits of using oxygen greatly improve their quality of life. 

When you use oxygen, you are doing something important for your health. In addition to reducing breathlessness and fatigue, supplemental oxygen can reduce stress on your organs. People living with PF and IPF can jog, work out, and play sports (with permission from their doctors) while using oxygen.

The nursing process, which can be an organized way of planning, providing, and assessing individualized look after clients in any talk about of health or illness was not implemented in this case. Kamila, after moving the individual from the bed to the commode should of assess the oxygen saturation of your client since the customer was on 2 L via sinus cannula. The nursing process is recurrent with each steps depend on the correctness of the prior one. Using the medical process being decisive, the goal is to provide spectacular, individualized, client-centered care and attention. I came across it vital to learn the baseline evaluation of my patient. When Melissa prepared me about the status of my patient; I evaluated the patient, essential signals were within the standard range and I didn’t article it to either the nurse or my team leader.Oxygen Therapy Research PaperAlthough during survey the ongoing nurse failed to mention the patient was on 2 L via nasal cannula, as the college student nurse assigned to that patient I will of survey the incidence and my evaluation to the nurse to avoid future escalation of the individual condition. This assessment of the individual being lacking Breath on exertion could be helpful in the development of the attention plan of the patient in response to actual or potential health issues or needs.

Excellent communication between the professional medical team is fundamentally very important in caring for a client. Constant follow up is important in contrasting the baseline assessments and the genuine findings to determine if the final results are met. In this case I didn’t speak it to nurse nor the team leader who could of reported to your clinical instructor. I got in the acquiring end, and didn’t take it further. This sort of poor communication is not beneficial toward the patient outcomes or a modification in the program of health care.

As patient advocate, in caring for a patient we have to critically think about the outcomes you want to achieve in planning care. Because Critically thinking can be an intelligently well-organized procedure for positively and competently conceptualizing, making use of, analyzing, synthesizing, or evaluating information accumulated from, or created by, observation, experience, reflection, reasoning, or communication, as a pilot to assurance and action. I didn’t critically think in taking care of my patient by not anticipate that the nurse contact the healthcare provider, to ask for an order foe air which is at this point very important in the plan care of the patient.

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Oxygen remedy is a medical involvement, which involves supervision of oxygen in both severe and chronic good care. Oxygenation of body tissue is essential for cell metabolism and succeeding physiological functioning of your body (PLoS Drugs, 2008). Corresponding to Bailley (2010), constant oxygen therapy is often prescribed for patients with severe Hypoxemia and Chronic Obstructive Pulmonary Disease (COPD). There are three common modes for oxygen supervision. These include; compressed gas, liquid gas and air concentrators. Physicians need to be extra vigilant to ensure that patients with Chronic Obstructive Pulmonary Disease obtain constant and long-term oxygen therapy. There is significant data that proves administration of long-term and ongoing oxygen therapy raises survival of patients with severe hypoxemia however, not nocturnal desaturation (Bailley, 2010).Oxygen Therapy Research Paper

When put through long-term oxygen therapy for 24 months, the mortality rate of patients with a PaO2 not exceeding 58 mm Hg reduced significantly as compared to nocturnal therapy. In another test, patients with a PaO2 varying between 40 and 60 mm Hg on long-term air remedy increased their survival rate by 5 years as compared to patients under placebo (NNT, five) (Bailley, 2010). Bailley (2010) also records that other nursing interventions found effective in COPD treatment include inhaled corticosteroids, anti-cholinergic real estate agents, long-acting beta2 agonists and pulmonary treatment. However, selection of any intervention depends upon the level of the condition.

Ranchord (2009) records that although most clinicians understand the dangers of oxygen remedy in chronic pulmonary disease and hypoxemia-induced respiratory drive patients, there may be little gratitude that contact with higher than normal physiological levels of oxygen (a condition called Hypoxemia) is associated with damaging effects in patients with ischemic heart condition. Corresponding to Ranchord (2009), before years, clinicians were made to assume that inhaled air increased air in the arteries during acute myocardial infarctions, however; this may reduce the cardiac output, increase blood pressure and resistance to blood flow.

This incident had lead to some potential negative outcomes like the individual being less than breath. If Melissa didn’t go directly to the room to do her first examination, patient could of attended respiratory arrest. One of the probable cause of respiratory arrest is cut down respiratory system drive. If respiratory arrest is prolonged, cardiac arrest rapidly follows because continuing hypoxia problems cardiac system, dangerous impact is brain harm cause by insufficient oxygen to the brain and loss of life.Oxygen Therapy Research Paper

Evidence-based practice is the reliable and thoughtful use of recent best indication to enhance the quality treatment of the patients. It’s important for me to provide safe and correct patient attention to avoid any negative end result that could lead to deterioration of the patient condition. (Issel, 2010) identify patient safety has freedom from accidental personal injury, ” It is becoming set up as a basis of quality look after acute care organizations and, consequently, for other healthcare settings in which direct attention is provided. As healthcare professional I need to be vigilant in providing the safest attention and anticipate that the best current evidence is use to make decisions about patient good care.

Oxygen therapy refers to the administration of supplemental oxygen as part of managing illness. In healthy individuals, oxygen is absorbed from the air in adequate amounts, but certain diseases and conditions can prevent some people from absorbing enough oxygen.

It may be administered as a medical intervention to manage short-term (acute) or emergency situations or as a part of long-term patient care. Oxygen therapy may therefore be a key tool in the hospital setting to manage a medical emergency or in the home setting to manage long-standing illness.

Oxygen is vital for metabolic processes in cells and therefore the function of tissues within the body. The atmospheric content of oxygen within room air is only 21%. Although this amount is adequate for healthy individuals, those with certain diseases can benefit from an increased oxygen fraction in the gas they breathe, which will increase the oxygen content of their blood.

Some acute and long-term (chronic) illnesses can reduce the amount of oxygen that is transferred from the alveoli in the lungs to the blood. Examples of these conditions include chronic obstructive pulmonary disease (COPD) and pneumonia. In people with these conditions, oxygen therapy can help them function better and become more active. A doctor performs tests such as the pulse oximetry test or arterial blood gas test to decide whether or not a person has a low oxygen level and requires oxygen therapy Oxygen Therapy Research Paper

For most of the diseases that affect oxygen absorption, increasing the oxygen fraction to around 30 % to 35% is enough to make a significant improvement. This can be done using a nasal cannula, which is made up of two plastic tubes that are fitted into the nostrils. When 100% oxygen is needed, a tight-fitting face mask can be used and for infants, a 100% oxygen can be delivered to an incubator.

Oxygen can also be delivered by placing a small tube in the windpipe at the front of the neck. The delivery of oxygen in this way is referred to as trans tracheal oxygen therapy. A person who receives trans tracheal oxygen therapy must have a humidifier attached to the oxygen system to add moisture because the oxygen does not pass through the mouth or nose. The addition of this moisture stops the airways from becoming too dry.

Oxygen can also be administered using breathing support systems such as ventilators or a continuous positive airway pressure machine.Oxygen Therapy Research Paper