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A bit more about Jim: Medical history: COPD, FEV1 six weeks ago was 38% of normal predicted, recent CXR shows flattened diaphragm with increased AP diameter, appendectomy age 34, broken nose and … COPD Case Study Adapted from Lewis VCE Lesson 11, Emphysema & Pneumonia Patricia Newman, 61 admitted with dyspnea at rest, cough, and fever Smoker x 45 years; 2ppd Multiple hospitalizations for pneumonia in past 2 years Osteoporosis x 8 years HTN x 15 years Divorced x 15 years; 2 adult children live out of state Mother d at 63 of MI; father d at 59 of stroke … Communication studies essay example. HESI CASE STUDY – COPD with Pneumonia. you should be able to identify the cause of your patient's weight loss after going through this information (assuming you questioned the patient thoroughly about his diet and eating) and come up with 4 good strategies (interventions) for him. 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