Chronic obstructive pulmonary disease (remission) in patients with home care.doc

 PAGE \* MERGEFORMAT 10 Chronic obstructive pulmonary disease (remission) in patients with home care Chronic obstructive pulmonary disease (COPD is a group including chronic bronchitis, emphysema, chronic obstructive pulmonary disease. The elderly respiratory system common disease, often due to recurrent and gradually increase, to patients with significant pain, and seriously affect the quality of life of patients [1] . before the elderly COPD patient care focused on acute episodes of care, but the addition of acute exacerbation, the family is elderly COPD patients with a major rehabilitation of sites in remission . The application of family nursing intervention model for elderly COPD patients in remission for 6 months of comprehensive care intervention, so that the rehabilitation of patients with satisfactory results, are reported below. A case report 1.1 patients, male, aged 69, complained of chronic cough, sputum 6 years, increased with chest tightness, shortness of breath, swelling of both lower extremities admitted to hospital 10 days before admission in patients with these symptoms when light weight, self-serving antibiotic treatment (specific drugs name unknown, history of smoking more than 20 years, about 20 cigarettes a day. Charles said that admission body temperature 1.2 36.4 , pulse 90 beats / min, breathing 22 times / min, BP120/70mmHg, (1mmHg = 0.133KPa were conscious, the spirit of poor, help into the room, lips cyanosis, neck soft, jugular vein anger , hepatic venous flow and positive signs, barrel chest was symmetrical, mobility decreased breathing, percussion was too voiceless, lung lower bound down, coarse breath sounds lung, right lung and a small amount of phlegm could be heard sounds, lungs could be heard and moist rales, no precordial bulge, apical fluctuations do not diffuse, heart rate 90 beats / min, the law Qi, heart sounds are still forces and the valvular disease is not known of the murmur, liver ribs 1.5cm soft,