Case Study
Oxygenation and Perfusion
You are a nurse caring for your newest admission, a 68-year-old retired teacher who has a 50 pack-year history of smoking, which resulted in emphysema. She attends exercise classes at her local gym seeking to maximize her oxygenation. Recently, the patient has begun to contemplate the use of portable oxygen to decrease her workload to breathe.
a. What respiratory accommodations would you expect to observe in your patient due to her COPD?
b. How do the effects of emphysema increase respiratory workload?
c. As her condition becomes chronic, what effects would you expect to develop?
d. Considering her medical history, for which illnesses is she at greater risk?
e. Describe the lung sounds you would anticipate auscultating.
f. How would your patient’s COPD impact her dietary needs?
g. Outline measures thatwould promote your patient’s comfort.
h. Why would it be helpful to encourage adequate fluid intake?
i. What exhalation technique would be helpful to your patient? What are its benefits?
j. Why is it important to monitor oxygen flow rate in patients with COPD?
REFERENCE: Fundamentals of Nursing: The Art and Science of Person-Centered Care by Carol Taylor, Pamela Lynn, Jennifer L. Bartlet
Case Study Rubric
Below Expectations Met Expectations Proficient Excellent/Mastery
Question 1 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 2 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 3 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 4 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 5 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 6 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 7 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 8 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 9 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
Question 10 Points:
0 (0.00%)
Student did not answer the question or assignment not submitted. Response(s) submitted were not supported in literature. No analysis or insight was displayed Points:
15 (15.00%)
The question is answered and correct. All components of are addressed, except two partially addressed. Response indicates thought and competency of information. Points:
17 (17.00%)
The question is answered and correct. All components are fully addressed. Response provides full thought, insight, and analysis. Source is provided. Points:
20 (20.00%)
The question response is thorough and fully addressed. Student provided details or examples. Response provides fully thought, analysis, and is supported with literature reference in APA format.
