Ngarla Kngwarreye is a 60 year old

Ngarla Kngwarreye is a 60 year old Anmatyerre woman from Urapuntja in Central Australia. Some years ago, after a long history of cigarette smoking, she developed chronic obstructive pulmonary disease. Despite her best efforts at quitting, she has not been able to completely stop smoking. Her disease progressed, and she also has cor pulmonale. Management of her condition now includes the following: Last week Ms Kngwarreye visited the local school and met with the children to talk about her art. A day or so later, she developed “a bit of a head cold”. Two days ago, Ms Kngwarreye’s normal cough increased, and she began producing tenacious green-coloured sputum. The nurses from the community health clinic came to visit her at home and based on her presentation organised transport to Alice Springs Hospital. At the hospital, a chest x-ray showed that her lungs were hyper-expanded, her diaphragm flattened and a large area of consolidation in her left lung was identified as pneumonia. Based on her assessment data the following management oxygen via high flow nasal prongs delivered in heated, humidified air – 21% FiO2 / 30 L/min – titrated to maintain SpO2 88 – 92% and a respiratory rate < 24 bpm QUESTION ;identify the AIM of this intervention by discussing the intended physiological effects or benefits specific to Ms Kngwarreye. You need to refer to any GUIDELINES which support this intervention. As appropriate, you need to identify what evidence will demonstrate the EFFECTIVENESS of this therapy. oxygen via high flow nasal prongs delivered in heated, humidified air

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