A 57-year-old self-employed contractor makes an appointment for another “chest infection.” He caught an Upper Respiratory Tract Infection from his grandchildren 10 days ago, and he now has a productive cough with green sputum, and his breathlessness and fatigue has forced him to take time off work.
As a nurse practitioner in a primary care practice, you have seen him with similar symptoms two or three times every year for the last several years.
A diagnosis of COPD was confirmed 6 years ago, and he was started on a short-acting β2-agonist.
This helped with his day-to-day symptoms, although recently the symptoms of breathlessness have been interfering with his work and he has to pace himself to get through the day.
Recovering from exacerbation takes longer than it used to—it is often 2 weeks before he is able to get back to work—and he feels bad about letting down customers.
He cannot afford to retire but is thinking about reducing his workload.
He quit smoking once for a short time but has otherwise smoked 1 ½ pack per day for 40 years.
His last pulmonary function tests 6 months ago showed an FEV1 that was 52% of predicted.
Case Study Questions
Based on this information, what are your treatment goals for this patient?
The Food and Drug Administration is responsible for protecting the public health by ensuring the safety , efficacy, cosmetics , and products that emit radiation.
After conducting research on the pros and cons on the use of artificial food coloring , choose a side in which you argue whether the Food and Drug Administration Should or Should not effect a ban on the use of artificial food coloring.
To start off, many food coloring just haven’t been tested enough to determine the long-term dangers. We’re not talking about ingesting small amounts, either.Consumption of food dyes has increased 500 percent in the past 50 years! As for the dyes that have been tested, studies have come back inconclusive — but some have shown links to certain types of cancers.
Other studies — more than 30 years’ worth of research, according to The Center for Science in the Public Interest — link food coloring to hyperactivity and behavior problems in children.The Center wants the FDA to ban certain dyes that they say cause these issues.
Their petition includes two of the most common, Yellow 5 and Red 40, as well as Blue 1, Blue 2, Green 3, Orange B, Red 3 and Yellow 6.
Internationally, the U.S. is behind other countries on its artificial dye policies. The U.K.’s Food Standards Agency has imposed a voluntary ban on several of these dyes because of their potential harm.And although they turned down a more widespread ban, the European Parliament agreed to place warning labels on all European-produced foods containing one of six artificial coloring.