Title: Chronic Obstructive Pulmonary Disease Method of Teaching: Lecture Discussion Time Frame: 2 hours Objectives: At the end

of 2 hours discussion, the level three students will be able to: Define COPD. Identify the risk factors for COPD. Identify what diagnostic procedures are done to diagnose COPD. Enumerate the different diseases included in COPD. Identify nursing cares appropriate for COPD. Learning Content:

Chronic Bronchitis Symptoms Of Chronic Bronchitis Causes Of Chronic Bronchitis Chronic Bronchitis Diagnosis Treatments For Chronic Bronchitis Risk Factors For Chronic Bronchitis Pathophysiology of Chronic Bronchitis Tuberculosis TB Transmission TB Risk Factors Pathophysiology of TB Treatment of TB Diagnostic Tools for TB TB Nursing Care Emphysema facts Introduction to emphysema What is emphysema? What are the causes or risk factors for emphysema? What are symptoms of emphysema? How is emphysema diagnosed? Physical examination Exams and tests What are the stages of emphysema? What is the treatment for emphysema? Smoking cessation

Medications for emphysema Pulmonary rehabilitation for emphysema Surgery Nursing Care for Emphysema

Learning Resources: Books Brunner and Suddarths Medical Surgical Nursing Internet - http://www.onhealth.com/emphysema/article.htm Learning Activities (Lesson Proper) CHRONIC BRONCHITIS

A. Introduction: Good morning class! Im Ms. Donisa G. Sabroso and Jamida D. Javarez, level III nursing student. We will be your reporter for today, and our topic will be all about Chronic Bronchitis. It is important to us to learn this because we are still in the learning phase as nursing students. We are expecting that at the end of 30 minutes discussion you will be able to learn that cigarette smoking and pollution are bad to our health. But before I start I would like all off you to turn off your phones and listen attentively. B. Development (Body/Guts of Lesson): CHRONIC BRONCHITIS involves inflammation and swelling of the lining of the airways that leads to narrowing and obstruction of the airways. The symptoms of chronic bronchitis are cough and sputum production dyspnea (shortness of breath) cyanosis wheezing (a coarse whistling sound produced when airways are partially obstructed) narrowing and plugging of the breathing tubes (bronchi) How is chronic bronchitis diagnosed? Pulmonary function tests - diagnostic tests that help to measure the lungs' ability to exchange oxygen and carbon dioxide appropriately spirometry - a spirometer is a device used by your physician that assesses lung function peak flow monitoring (PFM) - a device used to measure the fastest speed in which a person can blow air out of the lungs pulse oximetry - an oximeter is a small machine that measures the amount of oxygen in the blood x-ray - a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film Computed tomography scan (CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body What are the treatments for chronic bronchitis? oral medications bronchodilators for inhaled medications

 oxygen supplementation from portable containers lung reduction surgery to remove damaged area of lung Lung transplantation What are the causes of chronic bronchitis? Cigarette smoking is cited as the most common contributor to chronic bronchitis, followed by: bacterial or viral infections environmental pollution (chemical fumes, dust, and other substances) What are the risk factors for chronic bronchitis? cigarette smoking inhaled irritants (for example, smog, industrial pollutants, and solvents) underlying disease processes (asthma, cystic fibrosis, immunodeficiency, congestive heart failure, familial genetic predisposition to bronchitis, and congenital or acquired dilation of the bronchioles, known as bronchiectasis) C. Conclusion: to sum up, Chronic Bronchitis involves inflammation and swelling of the lining of the airways that leads to narrowing and obstruction of the airways. Cigarette smoking is cited as the most common contributor to chronic bronchitis, followed by:bacterial or viral infection environmental pollution (chemical fumes, dust, and other substances). D. Valuing: In short it is not good to our health to smoke and to inhale some irritants to our lung like smog, industrial pollutants, and solvents. So be aware to your health.