Can you imagine a person who is still alive but has no lungs? Maybe you can but it`s really impossible, right? Just try to inhale for five seconds and exhale then hold your breath for one hour. Can you do that? I bet you can`t. Only an extraordinary person can hold his breath for one hour. But for us who are just normal individual, we can hold breath for at least 1 to 3 minutes. Our lungs play a vital role for our survival. Without it, every single cell in our body will be deprived of having oxygen which may eventually lead to our death.
Young as you are, you consider yourself as a healthy person with a healthy lungs. But as you get older and engaged ...view middle of the document...
According to our patient, it`s been a month that she`s complaining for this condition. She had been to a clinic for check up but still not fully relieved with the medications she`s taking. The admitting diagnosis was Chronic Obstructive Pulmonary Disease (COPD) secondary to bronchiectasis.
Our patient, Mrs. Fighter is a 61 year-old female, 33 years in marriage, an aborigine and resident of Brgy. Manjagaw, Surigao City. She conversed to us in Surigaonon which is her native dialect. She is the 6th child out of 7 siblings. She only finished up to Grade VI. She has 4 children, 2 males and 2 females. Three out of her four children are married and are living independently. Only her youngest female daughter stays with her. During our interview, we have to talk to her a little bit louder and utter words clearly for she already had a difficulty in hearing because of her age. Her husband is a fisherman while she is a housekeeper and farming is their alternative source of livelihood. She is a PhilHealth member and other expenses of hospitalization is paid by her children.
REVIEW OF RELATED LITERATURE
Chronic obstructive pulmonary disease (COPD) is a disease of the lungs in which the airways become narrowed. This leads to a limitation of the flow of air to and from the lungs causing shortness of breath. In contrast to asthma, the limitation of airflow is poorly reversible and usually gradually gets worse over time.
COPD is also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease. It refers to a group of diseases, primarily bronchitis and emphysema. Over a period of time, these changes result in more severe conditions such as pulmonary hypertension and right heart failure. www.answer.com
Bronchiectasis is a chronic dilatation of the brochi and bronchioles caused by inflammation and destruction of bronchiolar walls. Sputum accumulates and obstructs the bronchioles; poor airway clearance results in sever coughing, which permanently dilates the bronchi. The disorder usually involves the lower lung lobes and may progress to atelectasis, fibrosis, and respiratory insufficiency. Bronchiectasis is commonly caused by pulmonary infections; bronchial obstructions; aspiration of foreign bodies, vomitus, or material from the upper respiratory tract; and immunologic disorders.
Complications include progressive suppuration, major pulmonary hemorrhage, emphysema, and chronic respiratory insufficiency.
The primary risk factor for COPD is chronic tobacco smoking. In the United States, 80 to 90% of cases of COPD are due to smoking. Exposure to cigarette smoke is measured...