Reference no: EM133503834
Case: Alfred Palmer is a 56 year old male admitted this morning with an infective exacerbation of his Chronic Obstructive Pulmonary Disease (COPD). Alfred has a history of smoking since he was 12 years of age but finally managed to quit 5 years ago when he was diagnosed with
COPD. Alfred had noticed he had been coughing more and his sputum had turned a thick yellow colour. He has also reported that he had not eaten or drank much in the past week before his admission to hospital as "I just haven't felt well". John's weight is 55 kgs and his height is 180cms.
He is currently receiving 4th hourly nebulised ventolin and is on 2L/min of oxygen via nasal prongs. His observations are: heart rate is 98 beats/min, respiratory rate is 28 breaths/min, oxygen saturation is 92% on room air and temperature is 37.8 oC. He has an intravenous cannula (IV) insitu and his medical chart shows that he is prescribed IV antibiotics. When you enter the room you notice Alfred is sitting up on the side of his bed leaning over his bedside table, coughing and trying to breath. He is pale and seems to be using his accessory muscles to assist his breathing. As you listen to his chest with the stethoscope you can hear coarse crepitations and there seems to be decreased air entry in both lower lobes. He responds that "I am struggling to get my breath and I can't seem to cough this stuff up."
(a) Interpreting the assessment data, identify one (1) priority problem affecting Alfred. Justify your reasons for your chosen priority problem.
(b) Identify one (1) nurse-led intervention that could be implemented to address the priority problem identified in Q4(a).
(c) Identify one (1) collaborative intervention that could be implemented to address the priority problem identified in Q4(a).
(d) Identify the rationale for each selected nursing intervention.
(e) Identify one (1) evaluation criteria for each intervention identified in question 4(b) and for Q4(c) (two (2) evaluation criteria in total). Justify how each evaluation criteria measures the effectiveness of each intervention.