*NURSING > EXAM > i-Human Case Week 9: 70-Year-Old Male with Difficulty Breathing (Dyspnea) – Acute Decompensated H (All)

i-Human Case Week 9: 70-Year-Old Male with Difficulty Breathing (Dyspnea) – Acute Decompensated Heart Failure Case Summary and SOAP Note

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This comprehensive student nurse case report presents a detailed evaluation and management plan for a 70-year-old male who presented to the Emergency Room with progressive shortness of breath and a pr ... oductive cough lasting five days. The patient’s history of Chronic Obstructive Pulmonary Disease (COPD), combined with a 40-pack-year smoking history and recent non-adherence to inhaler therapy, contributes to an acute exacerbation requiring prompt clinical intervention. Through the i-Human Week 9 simulation, this case explores the step-by-step nursing process — from comprehensive assessment, diagnostic reasoning, and differential diagnosis to nursing interventions, patient education, and discharge planning. Key learning objectives include identifying the pathophysiological mechanisms of COPD, interpreting diagnostic data, prioritizing respiratory nursing care, and applying evidence-based management strategies for acute respiratory distress. The report also emphasizes holistic and interprofessional care, addressing psychosocial support, lifestyle modification, and patient empowerment in chronic disease management. In addition, this case highlights the critical role of nurses in early recognition of symptom exacerbation, oxygen therapy titration, and health promotion for smoking cessation. By completing this case, the student demonstrates enhanced clinical judgment, application of nursing theory to real-world scenarios, and the ability to synthesize pathophysiological knowledge into patient-centered care planning. [Show More]

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