S.C. is a 21-year-old college student. She presents with intermittent wheezing. She has a history of asthma as a child but had been free of symptoms until this year. She has symptoms 1 to 2 days per week but denies nocturnal wheezing. Her symptoms do not interfere with her normal activities. She has never taken systemic corticosteroids and has never been hospitalized for asthma. On physical exam, you observe soft end-expiratory wheezing at the bases bilaterally. Pulmonary function tests today show an FEV1/FVC of 80% with an FEV1 90% of predicted. She has no other medical conditions and and is not taking any nonprescription, prescription or complementary alternative medicines. She has no known environmental or drug allergies.

DX: Asthma

1. List specific goals for treatment for S.C.

2. What drug therapy would you prescribe? Why?

3. Write prescription for drug therapy prescribed.

4. What are the parameters for monitoring success of the therapy?

5. Discuss specific patient education based on the prescribed therapy.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for second-line therapy?

8. What over the counter and/or alternative medications would be appropriate for S.C.?

9. What lifestyle changes would you recommend for S.C.?

10. Describe one or two drug-drug or drug-food interactions for the selected agent.

MUST USE REFERENCE IN TEXT CITATIONS, NURSING JOURNALS ONLY WITHIN 5 YEARS

 MUST FOLLOW ALL THE GIVEN INSTRUCTIONS BELOW ……

 

Instructions:

 This 2000 word written assignment has two distinct parts that you should address separately. Please use headings for each part.

 

You do not need to provide an introduction or a conclusion for the written assignment or any of the parts.

There are two family scenarios for you to choose from; select ONE scenario and use this for your entire assignment.

 

Part 1 – Nursing Care of the Family: Assessment (500 words)

 Create a genogram to visually depict the family’s structure. You must use the PowerPoint slide which will be supplied to you within the Assessment Folder on [email protected] course site to create your genogram. Save the slide as a picture file (*.jpeg), and insert the picture into your document.

   Below the genogram, summarise the structure of the family to demonstrate your understanding of the family assessment findings.    Use the Australian Family Strengths Nursing Assessment Guide ( AFSNAG) to identify and briefly describe two (2) strengths of the family you are assessing.

 

 

Part 2 – Nursing Care of the Family: Planning, Implementing and Evaluating (1,500 words)

   Select two (2) issues/challenges for the family or a member of the family you have selected. These issues may be identified by the nurse, family or both. These can be health, social, or developmental family issues/challeng es e.g., breastfeeding, social isolation, transition to parenting; they should not be ‘medical’ issues e.g., diabetes, high blood pressure.

   For each issue/challenge identified in the family assessment ( allow approximately 750 words per issue ):  a) Describetheissue

b) Plannursingcare

c) Implement nursing care

d) Evaluate nursing care

o Use appropriate evidence from scholarly literature to describe the issue and discuss what is known about the issue/challenge.

o Provide a relevant nursing goal and justify the goal ( explain why it is relevant to the issue) using appropriate evidence or policies.

o Outline one nursing intervention that supports the family to achieve the goal. Each nursing intervention should be supplemented by the recommendation of an existing online resource for the family and an appropriate referral. 

 

 

Max Points:  60

Details:

In 500-750 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise: Describe the rationale for the methods used in collecting the outcome data. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability. Describe strategies to take if outcomes do not provide positive results. Describe implications for practice and future research.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

 

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link:

Part I: Pamphlet 

Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.

Use the “Pamphlet Template” document to help you create your pamphlet. Include the following:

Select an environmental factor that poses a threat to the health or safety of infants.

Explain how the environmental factor you selected can potentially affect the health or safety of infants.

Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.

Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.

Provide a written summary of the teaching / learning interaction. Include in your summary:

Demographical information of the parent and child (age, gender, ethnicity, educational level).

Description of parent response to teaching.

Assessment of parent understanding.

Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 If you read the “Health” page (either paper or web-based) of any major news source (e.g., The New York Times, CNN),  reports of the occurrence of health outcomes are common headlines. For  example, you may see the following or similar headlines:

“Breast Cancer Increasing in Asian-American Women” 
“Teenage Smoking at an All-Time Low”

Have you ever wondered where this information comes from and what it really means?

Governmental agencies and other organizations routinely  collect descriptive epidemiological statistics on many health outcomes.  For example, statistics on the occurrence of cancer in the United  States have been continuously collected since the early 1970s through  the Surveillance, Epidemiology, and End Results (SEER) Program of the  National Cancer Institute.

For this Case Study Assignment, you will analyze and  interpret descriptive epidemiologic statistics. To prepare for this  Assignment, review the material presented in the textbook.

A case study worksheet will be provided by your  instructor for this Assignment in the form of a Microsoft Word document.  Download the worksheet and type your answers directly into the document  to complete the Assignment. Be sure that your completed worksheet  contains your responses to all questions.

Prior to submitting your Descriptive Epidemiology Case Study, review the Module 2 Case Study Assignment Rubric.