MPITB  Old Adults Inpatients Nursing Care Case Study


Mr. W is an 83 year old man who was brought to the hospital from a long term care facility by paramedics after reporting severe dyspnea and shortness of breath. He has been experiencing coldlike symptoms for the past 2 days. He has a productive cough with thick greenish sputum.

When Mr. W awoke in the nursing home, it was found that he had difficulty breathing even after using his albuterol (Proventil) metered dose inhaler (MDI). He appears very anxious and is in respiratory distress.

His history includes chronic obstructive pulmonary disease related to smoking 2 packs of cigarettes per day since he was 15 years old. He also has a history of HTN and coronary artery disease. He had bypass surgery 15 years ago. Mr. W is a widower, his wife died 8 years ago. Mr. W has 2 grown child and several grandchildren who visit him weekly. His past occupation was a construction worker.

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