The Ziraldos toile by Kaira Onedamdy

Nutrition

kairaonedamdy — 2024-10-10 13:00:40 UTC

one malnutrition visible sign is weight loss
when being in a facility care, it's less enjoyable than eating at home
important nutrients: proteins, lipids, fibres, calcium, zinc, iron
25-40% of patients who suffer from COPD are underweight
50% of elderly COPD patients are malnourished
malnutrition affects muscle strength --> worsens COPD due to low performance of respitory muscles
poor nutrition affects rate of exacerbation of COPD
smoking increases food craving (high-fat & fast food fats)
smoking creates an appetite suppressant effect

kairaonedamdy — 2024-10-10 13:00:43 UTC

oliviaharb1 — 2024-10-10 13:03:28 UTC

Sexual encounters are difficult due to Mr. Ziraldo's shortness of breath
Mrs. Ziraldo’s urinary incontinence impacts her self confidence and she is embarrassed which makes intimacy harder
Mr. Ziraldo could be suffering from erectile dysfunction as many men his age are
Mrs. Ziraldo could be suffering from vaginal dryness as many women her age are

oliviaharb1 — 2024-10-10 13:03:40 UTC

Nicotine Replacement Therapies (NRT):
Patches, gum, lozenges
Behavioral support (counselling)
They help reduce withdrawal symptoms and ease discomfort

Best results are achieved by combining behavioral therapy and medication

oliviaharb1 — 2024-10-10 13:04:08 UTC

• She felt the need to have a meeting with the nurse

she is worried about her husband’s condition and is most likely to experience anxiety
She is also experiencing many heath problems such as: urinary incontinence, cataract, worried about her sexual life
All of these things can increase the risk of depression

oliviaharb1 — 2024-10-10 13:04:38 UTC

Mr. Ziraldo smokes socially.
When his friends smoke and play cards with him, it causes him to want to smoke.
Instead of smoking together, they could do another activity like drinking coffee together to lessen the social triggers that cause Mr. Ziraldo to smoke.

oliviaharb1 — 2024-10-10 13:04:56 UTC

• Mr. Ziraldo takes medication to help with his COPD

• Trelegy Ellipta

Reduce airway inflammation, decreases mucus production, relax the airways and alleviates COPD symptoms

• Ventolin (bronchodilator: opens airways)

Quickly relieves asthma symptoms

• Pravastatin

Increases HDL (high-density lipoprotein) production, which helps with preventing the progression of COPD

oliviaharb1 — 2024-10-10 13:05:31 UTC

COPD has a Significant negative impact on mental health status
higher risk of comorbid conditions such as stress, anxiety and depression
COPD patients may have higher rates of both anxiety and depression due to social isolation
Symptoms such as fatigue, reduced motivation, tiredness, and insomnia are both symptoms of COPD and depression
Shame and ambarrassement for having a smoking-related disease and functional limitations may contribute to isolation that can lead to anxiety and depression
being stressed and depressed can also make COPD symptoms worse and harder to treat

oliviaharb1 — 2024-10-10 13:05:44 UTC

• Her vision is blurry

Her risk of falls is high

•She cannot cook for Mr. Ziraldo and might start having difficulties doing things she enjoys that require sight like dancing.

patriciaclaudia221 — 2024-10-10 13:33:37 UTC

Impact on the respiratory system

Smoking leads to the proliferation of langerhan cells as well as destruction of the bronchial structure

2024-10-10 14:11:33 UTC