Lung Cancer*
o Leading cause of death in the US and Europe
o Risk Factors:
Cigarette smoking/second-hand smoke
Genetic predisposition
Exposure to toxins
History of previous lung cancer
Gender
Asbestos, radon, and environmental exposure
Workplace pollutants
History of Hodgkin disease
Poor diet
Beta-carotene supplements
o Risk Reduction:
Join smoking cessation program
Stop smoking
Avoid exposure to asbestos or radon
Limit exposure to toxins such as diesel exhaust, arsenic, silica,
chromium, or other environmental irritants.
Subjective data collection
, o History of present health concern – COLDSPA
o Past health history
o Family history
o Lifestyle/ health practices
Objective data collection
o Preparation:
Explain Procedure to client
Have client remove clothes from the waist up
Ask client to sit in up right position
o Equipment:
Gloves
Gown and Drape
Stethoscope
Light Source
Mask
Skin Marker
Metric Ruler
o INSPECTION*
Position of scapula and the shape and configuration of the chest
wall
Scoliosis
Spinal Configurations – respiratory implications
Inspection of Accessory Muscles:
Trapezius, or shoulder muscles; facilitate inspiration in
acute and chronic airway obstruction or atelectasis
Inspection of Position*:
Tripod position seen in COPD
o Leans forward
o Arms to support weight
o Lifts chest to increase breathing capacity
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