A little surprised, Brooke acknowledged the meeting and went about her business. “Thanks Jan, I will meet with him as soon as I am finished with the narcotic count”. Brooke felt extremely uncomfortable with this drug-sharing situation. She dispensed the medications to the staff and inconspicuously pocketed a few large vials of narcotics.…
1. What clinical findings are likely in R.S. as a consequence of his COPD? R.S., the patient, has many diagnoses, findings like his history of coronary artery disease, peripheral arterial vascular disease, irregular ABG, chronic bronchitis- COPD, and of course that leads to the possible diagnosis of pneumonia. Therefore, this leads to a very long list of signs and symptoms. The signs and symptoms of COPD type B, which is classified as a “blue bloater” (Copstead, & Banasik, 2010, pg. 483), is very expansive.…
• Do you have any pain? (If so, I would use the O.L.D C.A.R.T. to determine his pain assessment). What was the amount medicine given to your son last night and today? Did he take other drugs such as acetaminophen products (Tylenol)?…
This case study will explore the management of a complicated case of acute respiratory failure. The key aspects that will be discussed within this essay will be addressed ethically with emphasis placed on maintaining patient confidentiality. Firstly, this essay will include an overview of Mr Jones condition, relevant history and a brief discussion of his symptoms and assessment findings. Secondly, the anatomical and pathophysiology of the respiratory system will be analysed and the interrelationship between the clinical characteristics and pathophysiological mechanisms of respiratory failure will be identified. Lastly, the pathophysiological processes of respiratory failure will be critically analysed and with the use of evidence based literature, linked to the clinical presentation of Mr Jones.…
As I put my placard down, I couldn’t help but smile. At that moment, I was more proud of myself than I had ever been before. As I sat back down in my seat, I knew that this moment would leave a colossal impact on my character in the future. Looking back on this moment as a senior in high school, I know that this experience was a turning point in my life. I have participated in this program for the last three years and each year I have seen greater self-confidence than I saw in the last.…
Journal Critique Asthma Interventions in a School Through Policy and Practices Change The article Sustaining School-Based Asthma Interventions through Policy and Practice Change by Carpenter, Lachance, Wilkin, and Clark, (2013), studied the importance of the policy and practice change in the intervention of asthma in schools in order to implement a standardized asthma action plan with parental consent. Changes in school policies and practices to sustain school-based programs were observed through the Childhood Asthma Linkages in Missouri (CALM). However, according to Lachance et al (2013), sustaining school-based programs can be challenging. The article explains the toll that asthma takes on children,…
Since leukotrienes have a major impact on asthma, researchers then began questioning where they were derived from. Leukotrienes are formed from omega 6 vegetable oil, which is also known as linoliec acid. Researchers have discovered that the way we eat is one of the major causes of asthma and allergic reactions. Eicasonoids generated from PUFA, particularly omega 6 are some of the early substances released in the lungs during an asthma attack. Omega 6, however, is not the only substance that can exacerbate asthma.…
Many children with asthma are too scared to play in case they suffer from a severe asthma attack. Feelings, such as fear, can affect the way we breathe, for example Jonah may breathe at a faster rate when he is scared about participating in PE, and he may take shallower breaths through his mouth. This means that the air has not been warmed in his nose which will then go into his lungs as cold air; this type of breathing could be an asthmatic trigger for Jonah. (Asthma UK, 2015). During an asthma attack, children rely heavily on people around them, to give them their medication and assess how they are; this may leave them feeling helpless and embarrassed.…
The final step in strategic management is to analyze the outcomes of strategic planning and implementation of four areas: S: Strengths, W: Weakness, O: Opportunities and T: Threats (SWOT) as stated by Huber (2014). In addition, Huber reported that health care organizations utilized this strategy to analyze the internal and external features of the organization, and also accomplishments and areas in need of improvement. Coral Springs Medical Center (CSMC) where this writer conducted the asthma SWOT analysis. The preceptor assigned is Perla Bueno a pediatric clinical specialist. Perla Bueno RN-BSN, MSN has been a nurse for the past 24 years, six as which as a pediatric clinical specialist (P. Bueno, personal communication, November 16, 2016).…
Asthma and the Long Term Affects La Porcha Stell Lone Star College Kingwood Asthma and Long Term Effects What is Asthma? Asthma is when the airway becomes obstructed and block due to inflammation and swelling. When this event occurs, it becomes very difficult for a person to breathe and very dangerous because asthma can be very life threatening if the proper care and medication is not administered in time.…
Asthma Asthma is a respiratory tract disease characterized by spasms of the airway tube that can affect individuals. According to Huether and McCance (2012) well over 34 million adult and children were diagnosed with asthma by health care providers. Although, it is more prevalent during childhood. The purpose of this paper is to discuss the pathophysiology of chronic and acute asthma disorders, implications of genetics on Asthma, as well as diagnosis and treatment. Pathophysiology of Chronic Asthma Asthma is a chronic inflammatory disorder of the airways that is characterized by intermittent period of acute airflow obstruction (Kennedy 2006).…
As a child many people go through dramatic experiences and changes,I just happened to survive mine. I was born on the 16th of September 2003, a healthy miracle baby. At the age of two I was diagnosed with asthma and I lost my sister. Asthma played an important role in my life I sometimes had asthma attacks at the middle of the day and night. One thing I remember as I got older is when I first went to a specialist, I remember getting my blood taken with a needle I called a butterfly shot.…
Immediately after the introduction, a few students came to her office for their medications. I assisted the school nurse administering medications to those students. Some of them came to her office for their inhalers for their asthma. We had to do a brief check on those students with asthma, such as asking them a question like “how do you feel today?” and used our stethoscopes to listen to their lungs.…
In 2004, over fourteen million adults and six million children in the United States had asthma. A disproportionally large number of these asthmatics were African-American. According to ALA calculations of data from the National Health Interview Survey (NHIS), in 2004, African-Americans had an 11.5% higher prevalence of asthma than whites (American Lung Association 2007). While African-Americans represent only 12.1% of the population of the United States, they represent 25% of the asthmatic deaths. In 2007, African-American children were nearly four times more likely to be hospitalized for asthma than white children (US Department of Health and Human Services, 2007).…
1. Discuss the pathophysiology of asthma. Asthma occurs when a patient’s airway becomes narrow, swells and produces excess mucus. The patients’ breathing becomes labored and causes shortness of breath, wheezing, and coughing.…