Chapter 21, Problem J10CRE

The client is a 77-year-old man admitted to the hospital with chronic obstructive pulmonary disease (COPD). He smoked two packs of cigarettes per day for more than 50 years and states he quit smoking 10 years ago. He also has a history of hyperlipidemia. 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today.   Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. 0700 Chest x-ray: Increased density in the right lower lobe.

identify 4 risk management tools that can be used to make management decisions. describe each tool and how its use can help with decision-making.

develop contents for brochure based on the health teaching plan COGNITIVE The patient will understand the myths and cultural stigma surrounding tuberculosis and its implications. Affective The patient will communicate feelings and worries about stigma in a safe atmosphere. Regardless of cultural differences, the patient will be more motivated to adhere to the treatment plan. Psychomotor The patient will engage in wearing a mask in public to prevent TB spread and lessen the stigma. 1. Cultural stigma and beliefs around tuberculosis 2. Differentiating between facts and misconceptions 3. The impact of stigma on mental and physical health. A.1. Managing stigma A.2. Overcoming the fear of stereotypes. A.3. Sharing of personal experiences. B.1. Treatment adherence despite stigma. B.2. The long-term advantages of seeking care. Ways for presenting mask application to people avoiding stigma. Lecture with visuals Group discussion and Q&A Role-playing and storytelling. Motivational…