Project #20874 - COPD

I have to write a journal using an assigned scenerio.  I wrote the first page which included the introduction of my character.  I need a few additional pages that address the individual and family developmental stage.  Must includen the stigma, adapation, social isolation, culture, body image, sexuality, family/friend support, the sick role, quality of life and future uncertainity, behavior, quality of life, powerlessness, loss of control and must include potential complications and treatments listed with client goals.  I need to include income and medication cost.  Anything that would affect the scenerio I have included below.

Here is the scenerio:

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

Demog: 68 yo Native American male; widowed; retired coal-fired power plant

 

Diagnosed: age 66 years

Hx: smoker X 50 years; industrial pollutant exposure; exertional dyspnea

 

Current disease status: active

Potential complications: pneumothorax; heart failure; respiratory failure

 

 

Treatments: medication regimen; activity/nutrition plan; chest physio via home health; social worker consult

 

Current situation: decreasing PFS & blood gases; oxygen therapy prn; coughing; fatigue; anorexia; sense hopelessness/impending doom; less interested treatment regimens

 

 

Client goals: regain some sense of hope; avoid nursing home placement;  

Here is the start of my paper:

It was sometime in September of 1958, approximately twenty minutes prior to the start of seventh grade, when my childhood best friend asked me to run across the street to smoke a cigarette with her before the bell would ring.  This was the first mistake I would make, but the biggest was lighting up with her.   I can still remember feeling light-headed and dizzy as I walked into school.  I remember worrying if the “cool” kids would notice how dizzy I was and call me out.  My best friend and I would meet back across the street from the school after last period and light up again.  This was our daily routine; we were now one of the “cool” kids.

My name is Ben Smith.  I am sixty eight years old with the lungs of a ninety year old.  I suffer from COPD, which is short for Chronic Obstructive Pulmonary Disease.  I was married to the same woman for thirty years before she passed away ten years ago from breast cancer. My life was turned up-side-down when she passed away.

I decided that I should start to take better care of myself if I wanted to live. After all, I was the one who smoked a pack a day for the past 50 years and worked for as a foreman in a factory that produced  asbestos for a major insulation company. So, I made an appointment for a routine physical.  My doctor had given me a script for some blood work; I left my appointment and went straight to the lab to have my blood taken. 

A few days went by before I got the phone call. It was Dr. Beste.  He wanted me to come in  and have a talk with him because one of my labs had come back abnormal.  Ok, I can handle this.  I got up and went to his office….. No big deal.  Dr. Beste had explained that my PSA had come back very elevated and he would need to perform more test.  He was thinking I might have Prostate Cancer.  Great… there goes that “C” word again! 

A few weeks went by before I received yet another phone call.  It is prostate cancer. But there was hope because my new doctor is going to do a procedure called a prostatectomy.  However, because of my age, I needed a chest X-ray and other diagnostic test prior to my surgery.  Ok, no big deal, right?  Wrong! 

I was sitting in my recliner watching Wheel of Fortune when I  received the phone call that would change my life forever.  The phone call that would take me back to that September day in 1958.  The phone call that would make me realize how big of mistake lighting up that first cigarette really was.  I was told that there was something in the X-ray and I would need to follow up test to confirm their suspicion of lung disease. 

 

It’s been two years and I have since had my surgery and am now cancer free. However, I now live my life with a lung disease that I feel is much worse than cancer.  My days of going dancing with friends are over.  My days of going to the local gym to work out is over.  My days of walking my dog around the block is over.  My days of wanting to start dating is over.  Hell……I can’t even get up to fix myself a nice steak dinner without loosing my breath or tripping on my oxygen tubing.

 

Subject Medicine
Due By (Pacific Time) 01/16/2014 12:00 am
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