Assignment 12.2: Shadow Health-Focused Exam: COPD and Anti-asthmatics Concept Lab Case Study Patient: Debbie O’Connor DOB: 10/05/1964 Height: 5’5 Weight: 195lbs Allergy: NKDA

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Patient states symptoms have progressed in the recent 4 months as she has been getting more fatigued with worsening shortness of breath on minimal exertion, and a productive cough expectorating ph... legm. She describes the cough as a wheezing, crackling sound which happens a few times an hour throughout the day with worsening frequency after she smokes a cigarette. She reports feeling anxious about her health and when symptoms arise although she denies having an anxiety disorder. The patient describes the sputum as mostly clear with episodes of yellow, gray and dark-colored expectoration. She denies seeing any blood but does describe it as the texture being thick starting two weeks ago. Ms. O’onnor reports constant wheezing and a strong desire to stop smoking to reduce her breathing symptoms. She reports multiple attempts at quitting smoking with the longest being 10 years when she had her daughter. She has tried using gum, patches and lozenges being unsuccessful at most attempts due to lack of required compliance. Reports symptoms have made her less social with no desire to go out even affecting her activities of daily living. Denies oxygen use out of fear of igniting a fire. Lives with her daughter who is a nonsmoker and is supportive of her mother's decision to stop smoking. Ms. O’onnor states her daughter cooks most of her meals however when she is not around, the alternative is frozen meals. She reports a 30lb weight gain over the last couple of months. She uses Formoterol inhaler twice a day and denies the use of any other medications including vitamins. Denies alcohol and drug use. Denies having a fever, having contracted influenza recently. She admits to not having the flu shot in some time and was educated on the importance of being diligent [Show More]

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