Assessment of geriatric problems in patients with chronic obstructive pulmonary disease aged 50-65 years
Thesis 2014. Assessment of geriatric problems in patients with chronic obstructive pulmonary disease aged 50-65 years/ Hammad, Saeid Mohamed El Saeid. 618 أمراض النساء والولادة والموضوعات ذات الصلة
محتويات
تصنيف ديوى[عدل]
618.97
المؤلف[عدل]
Hammad, Saeid Mohamed El Saeid.
العنوان[عدل]
Assessment of geriatric problems in patients with chronic obstructive pulmonary disease aged 50-65 years/ بيان المسئولية : Saeid Mohamed El Saeid Hammad ; Supervised by Mohamed Samy Gad, Osama Ahmed Sobhy, Mostafa Mahmoud Shahin. عنوان موازي: تقييم مشاكل الشيخوخة فى مرضى الانسداد الرئوى المزمن فى سن 50- 65 سنة
تاريخ النشر[عدل]
2014. الحجم: 74 p. : ابعاد الوعاء: 30 cm. +
درجة الرسالة[عدل]
Thesis(M.S)Alexandria University.Faculty of Medicine.Department Of Internal Medicine.
ملخص[عدل]
Chronic Obstructive Pulmonary Disease (COPD), a common preventable and treatable disease, is characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases. Exacerbations and comorbidities contribute to the overall severity in individual patients.
Pathological changes characteristic of COPD are found in the airways, lung parenchyma, and pulmonary vasculature. The pathological changes include chronic inflammation, with increased numbers of specific inflammatory cell types in different parts of the lung, and structural changes resulting from repeated injury and repair.
Many patients with COPD have comorbidities that have a major impact on quality of life and survival. Airflow limitation and particularly hyperinflation affect cardiac function and gas exchange. Inflammatory mediators in the circulation may contribute to skeletal muscle wasting and cachexia, and may initiate or worsen comorbidities such as ischemic heart disease, heart failure, osteoporosis, normocytic anemia, diabetes, metabolic syndrome, and depression.
The cardinal symptoms of COPD are dyspnea, chronic cough, and sputum production and the most common early symptom is exertional dyspnea. Less common symptoms include wheezing and chest tightness. The diagnosis of COPD is based upon the following findings: • The presence of symptoms compatible with COPD (eg, dyspnea at rest or on exertion, cough with or without sputum production, progressive limitation of activity) are suggestive of the diagnosis especially if there is a history of exposure to triggers of COPD (eg, tobacco smoke, occupational dust, indoor biomass smoke(.
• Spirometry showing airflow limitation that is incompletely reversible with inhaled bronchodilator is the hallmark of the diagnosis of COPD. According to the Global Initiative for Obstructive Lung Disease (GOLD), severity of COPD is divided into four grades: GOLD 1: Mild, GOLD 2: Moderate, GOLD 3: Severe and GOLD IV: Very Severe.
Aging, agradual, continuous process of natural change that begins in early adulthood. During early middle age, many bodily functions begin to gradually decline.
The goals of healthy aging are maintaining physical and mental health, avoiding disorders, and remaining active and independent. The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socio environmental circumstances.
Specific elements of physical health that are evaluated include nutrition, vision, hearing and urinary continence, and balance. The geriatric assessment also, include cognitive assessment and affective assessment.
The aim of the present work is to assess common geriatric problems in patients with chronic obstructive pulmonary disease aged 50- 65 years.
One hundred subjects aged 50-65 years were include in the study in two groups:
• Group I: 75 male or female patients with COPD • group II: 25 male or female subjects without COPD.
Exclusion criteria of both groups ,patients with diabetes mellitus and cardiac disease.
Thorough history taking and complete physical examination. Laboratory investigation: CBC ,FBS ,Blood urea,serum creatinine,SGOT,SGPT,and complete urine analysis. ECG and chest X-ray. الموضوع: Internal Medicine.
مؤلف فرعي[عدل]
Sobhy, Osama Ahmed, / Supervisor. مؤلف فرعي: Gad, Mohamed Samy, / Supervisor. مؤلف فرعي: Shahin, Mostafa Mahmoud, / Supervisor.
الهيئة المشرفة[عدل]
Alexandria University. / Faculty of Medicine. -Department of Internal Medicine.
