Effects of bronchitis Term Paper Example | Topics and Well Written Essays - 750 words

Effects of bronchitis - Term Paper Example However, exacerbations of bronchitis are more common with the main pathogen being bacteria. The acute exacerbations are also severe in patients with chronic bronchitis. Chronic bronchitis affects 15percent to 25 percent of the adults and most of them suffer from acute exacerbations (Schlossberg 197). Chronic bronchitis is included in chronic obstructive pulmonary diseases (COPD). Chronic bronchitis is described as â€Å"the presence of a chronic productive cough for more than half of the time over two years† (Rubin and Strayer 564). Major causes of chronic bronchitis include smoking in adults and cystic fibrosis (Goljan 303). Pathological aspects or physiological abnormalities which predispose an individual to bronchitis include bronchial obstruction by abnormal secretions, mucociliary clearnance impairment, bronchial constriction and impaired host defenses (Schlossberg 197). Bronchitis leads to a plethora of manifestations and if not managed promptly can lead to serious conse quences. Chronic bronchitis is caused by hypersecretion of submucosal mucous secreting glands in the trachea and bronchi. This leads to sputum overproduction in chronic bronchitis. In many cases, as mentioned before, neutrophils or acute inflammation is seen superimposed on chronic inflammation. Chronic bronchitis leads to mucus plugs in the respiratory tract lumen hence causing respiratory tract obstruction. This blocks the release of carbon dioxide from the respiratory tract through expiration, hence the arterial PaCO2 will be greater than 45 mmHg in such patients. Chronic bronchitis also leads to goblet cell metaplasia and hypertrophy of mucus secreting glands. Patients suffer from dyspnea late in the disease and also exhibit cyanosi of mucous membranes and skin. This is due to poor oxygen saturation caused by hypoxemia. Thus, these patients are also called â€Å"blue bloaters†. The chronic inflammation and fibrosis

Nursing Home Abuse and Neglect Essay Example | Topics and Well Written Essays - 4000 words

Nursing Home Abuse and Neglect - Essay Example The most favored solution is the implementation of legislation that requires a combination of safeguards be put into place. These safeguards would include mandating screening of patients on a more frequent basis, an ombudsman program, and required training for all staff that includes consequences if caught being abusive or neglectful. The time from reporting abuse to the investigation of abuse by should be reduced from the standard of ten days to a standard of within 24 hours. According to Dr. Terry Fulmer of New York University (Journal of American Geriatrics Society, Feb 2004) elder mistreatment is "the intentional actions that cause harm, or create a serious risk of harm, to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder". Such mistreatment of elders in nursing homes is a significant problem in this country. Gone are the days when families quite naturally took on the responsibility of caring for the elderly. Most elderly in the country, who cannot care for themselves, are sent to nursing homes. Reports from across the country tell horrifying stories of those abused or neglected. In New Orleans, Louisiana a nursing home employee aged 19 raped a 92 year old woman (New Orleans City Business, 2004). Another nursing home resident had her leg amputated because of bedsores. ...An elderly man lost his testicles because of botched attempts to insert a catheter (New Orleans City Business, 2004). In her guest editorial to Nursing Homes Magazine (March 2005) Gloria Schramm tells the sad story of how her uncle was treated while he was in a nursing home. She recalls how he was miserable, had fallen from his chair because he was not properly restrained, and was unassisted at mealtimes when family was not there to assist him. She recalled how he waited long periods of time for simple things such as a drink of water, a diaper change, or help with repositioning himself in bed. The daily visits from family were critical to his recovery as the level of care he received otherwise was lacking. III. Background: Nursing homes were not always the answer in this country. Prior to World War II the poor and destitute elderly were sent to almshouses, or poor farms, which were known for their poor conditions and inadequate care. Some cities took responsibility for their poor and built, or renamed existing homes, to reflect the change in level of care. "In New York City, in 1903, the Charity Board renamed its public almshouse the Home for the Aged and Infirm. The city of Charleston followed suit in 1913, transforming their almshouse into the Charleston Home." (Haber, 2007) After World War II legislation was put into place that somewhat funded nursing homes and nursing homes were built to act as long term care hospitals. Because of concern for those elderly in need women's groups and religious groups established old age homes for the elderly. "As the founder of Boston's Home for Aged Women (1850), explained-a haven for those who were "bone of our bone, and flesh of our flesh" (Haber and Gratton, p. 130).