Critically discuss 3 Interventions/ treatments with the rationales for each, for 3 health problems (based on evidence- e.g. Clinical trials and NICE guideline, journals, books, NHS website, etc)- so should have 3 treatments with rationales for each of the 3 problem below (so 9 in total)

 

Mr X is 48 and has exacerbated COPD, assume that Mr X currently only has these 3 health problems and no other ones:

Problem 1- Increased breathlessness (dyspnoea) due to COPD 340 words

https://www.nhs.uk/conditions/chronic-obstructive-pulmonary-disease-copd/treatment/

https://www.nice.org.uk/guidance/ng115/chapter/recommendations#managing-exacerbations-of-copd – section Managing exacerbations of COPD 

1 Short-acting bronchodilator inhaler- Beta2

2 Tablet- systemic Corticosteroids

3 Tablet- Antibiotics

 

Problem 2 Heavy Smoker- 30 cigarettes a day, everyday for past 30 years (330 words)

1 Smoking Cessation- Support Group or CBT 

https://www.who.int/news/item/05-11-2021-two-new-tobacco-cessation-medicines-added-to-the-who-essential-medicines-list

https://www.who.int/teams/health-promotion/tobacco-control/who-report-on-the-global-tobacco-epidemic-2019 

2 Nicotine Replacement Therapy- Smoking Patch (as it’s less addictive than the gum and spray)

3 Medication- Bupropion (as varenicline is not allowed to be used in Uk as of 2021 to now) 

 

Problem 3 Not sleeping well due to Obstructive Sleep Apnea  (330 words)

https://www.nhsinform.scot/illnesses-and-conditions/lungs-and-airways/obstructive-sleep-apnoea – Treatment options for OSA include:

  • 1 lifestyle changes –  sleeping on your side
  • 2 lifestyle changes – cutting down on alcohol (Mr X drinks 20 units of alcohol per week)
  • 3 using a continuous positive airway pressure (CPAP) device