Bill McDonald is 65 years of age and is a male patient who is diagnosed with Chronic Obstructive Pulmonary
Disease (COPD). He has smoked one pack per day of cigarettes for 35 years. He has a long history of
recurrent bronchial infections.
He has a chronic productive cough with copious amounts of purulent sputum.
On admission, the patient complains that he is short of breath even at rest and wheezing, productive
coughing and lethargy more than usual.
After a few days of treatment in the hospital, Bill is going to be discharged with home oxygen at 2 litres per
minute per nasal cannula. The patient’s O2 saturation on room air was less than 88% and his PaO2 was less
than 55, which was obtained from an arterial blood gas (ABG) at room air.
The nurse needs to make arrangements with the community nurse to obtain an agency to supply the oxygen
equipment needed and to provide follow-up home care on a regular basis. The supplier makes arrangements
to deliver an oxygen concentrator and portable tanks or concentrated oxygen and oxygen regulators and
needed supplies, including 20 meters of tubing and nasal cannulas.
Analyse the case and respond to all below questions in the essay
Discuss the pathophysiology of COPD as it relates to the acute and chronic symptoms the
patient is experiencing.
Analyse the management plans (medical and nursing) for a patient with an acute
exacerbation of COPD.
Explore home care considerations that need to be assessed before Bill is discharged.
Identify support resources available in the community and develop an education plan for Bill,
particularly his learning needs associated with his disease process and discharge plans.
Assignment Submission guidelines:
Due date: 21st April 1159 pm , 2017 (Friday) via turnitin submission link on course blackboard
Length: 2000 words ± 10%
1. Submission requirement: 1” margins on all sides of page with double spaced in 12 point Times New
Roman in WORD format. You are required to comply with set work limits, deviations beyond 10%
either way maybe penalized (do not count the words in your reference list but do count the words
used in in-text citations).
2. Submitting assignment in accordance with APA 6th referencing style.
3. Search for and identify the key literature related to best practice in the topic area. You will be
expected to use evidence-based journal articles (a minimum of ten), textbooks (a minimum of five)
and appropriate authoritative web sites (not Better Health Channel, Virtual Hospital, etc.), and all
references used are to be no older than ten years.
4. Headings are encouraged to help you outline and structure your assignment. Do not use bullet points
to organize your paragraphs; writing must be organized in logical and sequential paragraphs.
5. An electronic copy of your assignment must be retained by you until after your final course grade
has been processed by the University, and this copy must be available on request if resubmission is