Posted: April 28th, 2015

Client with Chronic Obstructive Pulmonary Disease

Scenario 2 – Client with Chronic Obstructive Pulmonary Disease
Kathleen Kennedy is a 75 year old woman who has been diagnosed with Chronic Obstructive Pulmonary Disease (COPD).
Kathleen lives in her own two bed room unit near the beach, where she has resided for the past 14 years following the breakdown of her long-term relationship with her partner of 35 years. Kathleen moved from inter-state as she wanted to have a fresh start. Kathleen is an author who has published twelve books and now is able to live comfortably off the proceeds. She is currently writing another book which is due at the publishers in three weeks.
Kathleen had smoked from when she was 17 years old until 8 years ago when she quit. Quitting was not her idea; it was suggested by her General Practitioner (GP) due to her deteriorating lung function. Kathleen is experiencing significant shortness of breath on exertion, and is now unable to carry any shopping home from the shops, two blocks away. Her GP has suggested that she consider home oxygen, however Kathleen is reluctant to do this as she feels she would be unnecessarily restricted to her home. Kathleen continues to go out each day, volunteering at Meals on Wheels in order to help other people, and is keen to continue to do so.
Kathleen has always been meticulous in ensuring she eats good quality food, not using any pre-prepared food. This has become increasingly difficult for her as she is no longer able to stand for long periods of time to prepare meals.
Her current medications are:
• Salbutamol 2 puffs PRN
• Prednisone 5mg BD
• Theophylline 500 mg BD
• Metaprolol 40mg BD
Kathleen’s GP has asked the community health centre where you work to visit Kathleen to determine whether she is able to cope with her current situation as he is concerned about her 5kg weight loss in the previous month. Kathleen is 171 cm tall and weighs 52 kg. She indicated she was not trying to lose weight.

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