...Evidence Based Nursing in Pediatric Asthma When embarking on an evidence based practice (EBP) it is important to start with a PICO question, which helps in organizing the clinical care and consequently, choosing the appropriate study design. The most common study methods include qualitative research, meta-analysis, cross-sectional studies, randomized controlled trials, case-control studies, animal research studies, and editorials and opinions. Introduction Asthma is the most common chronic disease in childhood and accounts for substantial morbidity and health care costs. While we don't know why asthma rates are rising, we do know that most children with asthma can control their symptoms and prevent asthma attacks by avoiding asthma triggers,...
Words: 296 - Pages: 2
...Throughout this paper, the pathophysiology of Asthma and the clinical manifestations of this respiratory illness will be explored and discussed, while looking specifically at the case study Zachy, a seven-year-old boy suffering from asthma. These findings, once explored will be linked to this unique case, ensuring an in-depth understanding of the effects asthma has on a pediatric patient can be determined. Asthma is a non-curable respiratory disease that disrupts the lung functionality of an individual due to chronic airway inflammation. Although this disease is unable to be cured, medication has a been adapted to ensure that this respiratory illness is controlled (Fehrenbach, Wagher & Wegmann, 2017). When investigating the incidence of Asthma...
Words: 1370 - Pages: 6
...had at Cotabato Regional and Medical Center opened the door of opportunity to experience things that broadened our knowledge and enhanced our skills. We were exposed to different cases of various clients. We became accustomed with the routines in the hospital and interacting with our patients, even with their watchers. We encountered some difficulties and struggles, yet that didn’t hinder us in giving our best to do our job. That exposure gave us an opportunity to handle different cases. With all those we’ve encountered, we chose one to be the subject of our case study. We are presenting to you Bronchial Asthma which is the case of our patient at Medicine Ward Room C whom we will call Mr. Theodore for the purpose of confidentiality. Bronchial asthma is a disease caused by increased responsiveness of the tracheobronchial tree to various stimuli. The result is paroxysmal constriction of the bronchial airways. Bronchial asthma is the more correct name for the common form of asthma. The term 'bronchial' is used to differentiate it from 'cardiac' asthma, which is a separate condition that is caused by heart failure. Although the two types of asthma have similar symptoms, including wheezing (a whistling sound in the chest) and shortness of breath, they have quite different causes. Bronchial asthma is a disease of the lungs in which an obstructive ventilation disturbance of the respiratory passages evokes a feeling of shortness of breath. The cause is a sharply elevated resistance...
Words: 3907 - Pages: 16
...OrientationWARD 17Pediatric WardBSN Clinical Practice VI AN 3320 * Clinical Learning Objective: 1. Provide individualized quality care to all assigned clients following the nursing process 2. Perform management and organizational ability during the provision of nursing care 3. Apply critical appraisal skills to evaluate the available evidence which underpins practice 4. Plan health promotion activities for clients and family to maintain appropriate behaviors to attain or maintain health 5. Integrate significance of research in clinical practice to achieve best patient outcomesSpecific Objectives: * Plan timely execution of nursing task in the ward * Perform independent learning through self-study and reflective practice * Effectively use up to date information through electronic access of literature and searching database * Critically evaluate an aspect of service delivery that can influence the quality of healthcare system * Utilize assessment, benchmarking audit and quality assurance tools effectively * Incorporate evidence based interventions in healthcare delivery and meeting health inequalities...
Words: 760 - Pages: 4
...Prevalence of Asthma in a Primary Care Setting Asthma is a major health problem in the United States as stated by the National Institute of Health, twenty- two million Americans have asthma, and nearly 1.8 million emergency room visits a year is the result of an asthma flare-up. Tem million of people missed work days a year because of asthma and the estimated cost are the healthcare is of $19 billion a year. Asthma is a major cause of missed school days for children and parents to missed work because of their children. Many adults and older children have several respiratory infection each year that may them visit the primary care centers; those who suffers from asthma have exacerbation of his or her medical condition because of this reason (Akinbani, 2010). The purpose of this paper is to analyze the prevalence of asthma in the Hispanic population and the importance of the recognition of risk factors for asthma symptoms, proper assessment, and treatment in the primary care setting. In order to treat this population is crucial to know their culture, believes, and practices to received their cooperation in the prevention and care of their medical condition. Hispanic population traces their ancestry to countries that were previously under Spanish rule, including Mexico, large part of Central and South American, and some Caribbean islands. Many of the Hispanic have variable proportion of European, Amerindian,...
Words: 745 - Pages: 3
...Nursing has always been a profession that embraces diversity towards rendering holistic patient care. However, with the constant changes in nursing practice; patient safety has been at risk due to nurse’s competence towards detecting impending patient deterioration that may lead to further complications or even death. It is said that the most important practical lesson that can be given to nurses, is to teach them what to observe (Nightingale 1969). Having the ability to observe and interpret critical situations are the essential key features applied in clinical practice. Effective observation of ward patients is the first step in identifying the deteriorating patient and effectively managing their care (Odell, Victor & Oliver 2009, p. 1993). Studies have shown that poor vital sign recording, lack of knowledge, failure to respond to abnormal signs, lack of knowledge, lack of supervision and failure to report deterioration or seek advice, have all contributed to the suboptimal care of ward patients (Odell, Victor & Oliver, cited in McGloin et al. 1999; McQuilla et al. 1998; Smith & Wood 1998; Hodgetts et al. 2002, p. 1993). With constant observation established, patient safety is implemented and surveillance is then incorporated to be able to identify and prevent possible medical errors and adverse events that may be encountered. The purpose of surveillance is the early identification of risk and the need for intervention and to alert nurses to both anticipated and unanticipated changes...
Words: 3602 - Pages: 15
...The impact of health and health behaviours on educational outcomes in high-income countries: a review of the evidence Marc Suhrcke, School of Medicine, Health Policy and Practice, University of East Anglia, United Kingdom Carmen de Paz Nieves, Fundación Ideas, Madrid, Spain ISBN 978 92 890 0220 2 Keywords HEALTH BEHAVIOR - HEALTH STATUS - EDUCATIONAL STATUS - RISK FACTORS - SOCIOECONOMIC FACTORS - REVIEW LITERATURE Suggested citation Suhrcke M, de Paz Nieves C (2011). The impact of health and health behaviours on educational outcomes in highincome countries: a review of the evidence. Copenhagen, WHO Regional Office for Europe. Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). © World Health Organization 2011 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning...
Words: 18944 - Pages: 76
...Danielle Wilkinson Alternate Clinical Assignment 01/27/2014 Case Study #1 Episode I 1. List five common environmental triggers for asthma and give at least one specific example for each. Five common environmental triggers for asthma are exercise, allergens, odors, weather, and food. Exercise induced asthma is common in young children and adolescents. The airways in the lungs become narrowed during strenuous exercise. There are many different types of allergens that induce asthma like dust mites, pollen from tress, mold, and pet dander. Odors that can trigger asthma are cigarette smoke, some kinds of perfume, cleaning products, and smoke from burning wood. Weather can trigger asthma by a sudden change in temperature, extreme hot or cold temperatures, and humidity. Foods may also trigger asthma in some by eggs, milk, peanuts, wheat, and soy. 2. Describe the impact of asthma (e.g., morbidity, mortality, economic impact, groups disproportionately affected) on the U.S. population. Asthma affects approximately 16 million Americans, with 2million emergency department visits, and 4,000 deaths a year. Low socioeconomic status impacts Americans with asthma because they may not be able to afford the medication that is prescribed. The more persistent asthma is to an individual, the more damaging occurs in the lungs. The airways begin to undergo remodeling which includes persistent changes in airway structure. The airways begin to become narrower because the epithelial...
Words: 1730 - Pages: 7
...College of Health and Life Sciences Department of Life Sciences Division of Sport, Health and Exercise Sciences SP 1804 Introduction of Physical Activity Health and Wellbeing ASSESSED COURSEWORK Part 1 Essay Part 2 Conference Reviews STUDENT ID 1541706 WORD COUNT ESSAY 2000 WORD COUNT CONFERENCE REVIEW 1 1000 WORD COUNT CONFERENCE REVIEW 2 1000 Study Block Leader Dr Louise Mansfield Within this essay I have demonstrated a clear understanding of the ways that physical activity can contribute to physical, psychological and social improvements in health and wellbeing. According to World Health Organisation, WHO, Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure, (WHO, 2015). There are various concepts on health and wellbeing and remains a complex subject but according to Claude Bouchard, Health is a human condition with physical, psychological, social dimensions, each characterized on a continuum with positive and negative poles. Positive health is associated with capacity to enjoy life and withstand challenges; it is not merely the absence of disease. (Bouchard, 1990). Wellbeing is often described as a sense of good feeling and functioning well, this includes having a fair share of material recourses, influence and control, sense of meaning, belonging and connection with people and the capability to manage problems and change. (Wellbeingenterprises.org.uk, 2015) The human body has...
Words: 2454 - Pages: 10
...Historical Perspectives of the Diagnosis of Asthma in Children 1. Introduction: The causes of Asthma: Looking at some recent reports of asthma disease, most of the acute exacerbation because cold and phlegm caused by dysfunction of the lungs which occurred in sputum of asthma. Chronic repeatedly patients mostly offset organs function. Its complex etiology occurs due to some reasons of genetic, physical fitness, diet, environment, age, and other factors related to work and rest, and emphasize internal and external consistency due to infestation. Asthma patients in the onset of the disease is often accompanied by an abnormal increase in serum IgE, IgE is the primary antibody of Ι type hypersensitivity, when its binding to the antigen, mast cells and basophils release of large amounts of biologically active substances, causing a series Asthma disease symptoms, but also by the synthesis of IgE Ts cell regulation (Huang Zhiying 2011). The physiological basis of Asthma: There are many different causes of bronchial obstruction, which is the synonymous of asthma, such as bronchospasm, abnormalities, new growths, swelling of the bronchial mucosa and so on. Some causes may result in mechanical obstruction by new growth, foreign bodies and congenital abnormalities. There are also some secondary obstructions such as mucous secretions, bronchial mucosa swelling and bronchospasm. The reaction of bronchi to irritation with a kind of inside defense mechanism by human body. To antagonize...
Words: 1803 - Pages: 8
...self-assessment tells me about my level of stress that I will have a high risk of becoming ill in the near future. I’m not surprised about my stress level but is surprised about becoming ill in the near future. Not sure if this is something I would want to know what’s in my near future. This kind of information can be stressful itself in knowing what you may be facing due to my stress level. However, it is useful to know about this so that I can take action now to prevent any illness pertaining to my health. Seeing friends and old classmates losing their life to unaware illness is a wake-up call for me. Stress can cause sever health problems and some cases, can cause death. I have no choice but to take this advice regarding my concerns over stress-related illnesses that may occur. Currently, my stress has been causing me significant unhappiness. After reviewing the article discovered by the American Psychological Association how stress affects the body. This article emphasize the musculoskeletal system and how the muscles tense up due to your stress level. Explaining how chronic stress can cause the muscles in your body to be a constant state of guardedness. And dealing with chronic stress seems to also cause many types of headaches including tension in your shoulders and the neck. I never knew millions of people suffers from this type of stress-related pain that affects the body. Not knowingly how it can also affect your breathing especially for those who has asthma and lung...
Words: 917 - Pages: 4
...ASTHMA BRIEF BACKGROUND OF THE STUDY Asthma is a chronic disease of the respiratory system in which the airway occasionally constricts, becomes inflamed, and is lined with excessive amounts of mucus, often in response to one or more triggers. These episodes may be triggered by such things as exposure to an environmental stimulant (or allergen), cold air, warm air, moist air, exercise or exertion, or emotional stress. In children, the most common triggers are viral illnesses such as those that cause the common cold. This airway narrowing causes symptoms such as wheezing, shortness of breath, chest tightness, and coughing. The airway constriction responds to bronchodilators. Between episodes, most patients feel well but can have mild symptoms and they may remain short of breath after exercise for longer periods of time than the unaffected individual. Signs and symptoms In some individuals asthma is characterized by chronic respiratory impairment. In others it is an intermittent illness marked by episodic symptoms that may result from a number of triggering events, including upper respiratory infection, stress, airborne allergens, air pollutants (such as smoke or traffic fumes), or exercise. An acute exacerbation of asthma is referred to as an asthma attack. The clinical hallmarks of an attack are shortness of breath (dyspnea) and either wheezing or stridor. Although the former is "often regarded as the sine qua non of asthma," some patients present primarily with coughing...
Words: 3267 - Pages: 14
...Asthma diagnosis and treatment Current perspectives Asthma diagnosis and treatment 34 ‘‘Black box’’ 101: How the Food and Drug Administration evaluates, communicates, and manages drug benefit/risk Shirley Murphy, MD, and Rosemary Roberts, MD Silver Spring, Md A prominently displayed boxed warning, the so-called ‘‘black box,’’ is added to the labeling of drugs or drug products by the Food and Drug Administration when serious adverse reactions or special problems occur, particularly those that may lead to death or serious injury. Healthcare providers are often not knowledgeable about the origin, meaning, and implications of these ‘‘black box’’ warnings. In this review, our goal is to provide insight into how the Food and Drug Administration evaluates, communicates, and manages drug benefit/risk. We discuss drug labeling, the emphasis on safety throughout the drug approval process, legislative initiatives for safe use of drugs in children, and postmarketing safety surveillance. In addition, we encourage health care providers to report drug reactions to the Food and Drug Administration’s MedWatch program. A discussion of new Food and Drug Administration initiatives to improve drug safety processes and methods to serve the public better are highlighted. (J Allergy Clin Immunol 2006;117:34-9.) Key words: Food and Drug Administration, adverse drug reactions, MedWatch, ‘‘black box’’ warning, drug labeling, drug benefit/risk, risk management, postmarketing surveillance, drug development ...
Words: 5617 - Pages: 23
...Summary Page 2: Goals of the Study Page 2: Peer Corridor Descriptions Charlotte Denver Phoenix Sacramento Salt Lake City Page 5: Economic Indicators Property Values Business Development Transportation Times and Costs Environmental Indicators Air Quality Indexes (AQI) Carbon Monoxide Concentration Trends Ozone Concentration Trends Health Indicators Asthma Rates Traffic Fatalities Results and Conclusion II. Executive Summary This paper serves as an addendum to the previously existing Transit Oriented Development in the Triangle Region report compiled by the Triangle J Council of Governments. It analyzes the impacts of light rail transit in regions that are comparable to the Triangle Region (as defined by the region surrounding Duke to NC State to UNC). This study focuses on the effects of Vehicle Miles Traveled (VMT) as a result of light rail implementation. Additionally, we examine how light rail impacts the following sub-categories: environment, economic, and health indices. These indices shape our assessment of whether or not light rail is a worthwhile investment in the Triangle Region. In order to enable politicians to make the best decisions regarding light rail, we provide a comprehensive analysis of peer corridors that are similar to the Triangle Region. Based on population growth projections for the Triangle Region, we find it necessary to offset the corresponding increases in traffic rates and the detrimental health effects that are associated...
Words: 4300 - Pages: 18
...Health promotion involves the establishment of healthy settings and a variety of these settings are utilized to encourage health and wellbeing worldwide. Health promotion settings include schools, universities, sporting clubs, cities/municipalities, hospitals, workplaces, prisons and child care centres. The following assignment mainly focuses on exploring, investigating, evaluating and summarising the benefits of hospitals as a health promotion setting. Hospitals are popular for their significant role in endorsing health, inhibiting disease and offering rehabilitation services. Additionally, hospitals influence health not only through the delivery of prevention, treatment, and recovery but also through their influence on the local environment (WHO, 2017). The key points that are going to be covered for the success of this assessment include a summary of the fundamental principles and importance of hospitals. Also, a predominant definition of hospitals will be provided, together with the target groups, main investors, and illustrations of health promoting activities in hospitals. Lastly, a Flinders Medical Centre case study will be evaluated to show the current and past activities that were done in the hospital setting. The Ottawa Charter for Health Promotion defines five key areas for health promotion: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills,...
Words: 1119 - Pages: 5
