...Pulmonary Function Testing Chronic obstructive pulmonary disease (COPD) is a "preventable, treatable disease" with "airflow limitation" that is "progressive" and "not fully reversible" (Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook, 2013, p. 445). The paper will review COPD diagnosis, management, and prevention strategies that can be implemented into a clinical setting. A case scenario will be utilized as an example of this application. COPD: Diagnosis, Management, and Preventions Strategies According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) (2017), consideration for the diagnosis of COPD is based on clinical findings that include "dyspnea, chronic cough or sputum production" and a "history of exposure to the risk factors" (p. 1). According to Buttaro et al. (2013), some of the risk factors include "age, smoking history, a family member with COPD, occupational exposures, and poor nutrition" (p. 445). When all of these factors are present, further exploration into the progressive nature and associated characteristics of these symptoms must be considered. Spirometry can confirm the diagnosis of "persistent airflow limitation" and is defined as "FEV1/FVC < .70" (GOLD, 2017, p. 1). Once confirmed, the degree of limitation can be categorized and an individualized treatment plan developed. Management...
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...Importance of Theory Paper Laura A. Novascone Chamberlain College of Nursing Instructor Jodi Protokowicz 7/16/15 A nursing theory provides a view or window into the reality of nursing (CCN, 2015). Nursing theories are basic concepts that define nursing practice and provide the explanation to why nurses do what they do. I have given no thought to the use of nursing theory until taking this nursing class and this assignment is proving very difficult to follow. I have utilized nursing theory in my everyday work of nursing. A nurse will use multiple nursing theories during the scope of their day. These theories guide how nurses treat their patients, how tasks are performed and assessments or interventions are carried out. Critical thinking skills start by studying nursing theory. Nursing theory is theoretical practices to gain insight and knowledge on a particular concept. The theory I have selected to use is the Roy adaptation model which is a grand theory. The purpose of this assignment is to identify a nursing theory which is the Roy adaptation theory, analyze the importance of the selected theory to the nursing profession and summarize key concepts and relationships among the concepts of the selected nursing theory. I will analyze how the Roy Adaptation Theory relates to nursing education. Importance of Nursing Theory Nursing theories were developed to help define the unique practice of nursing as its own separate profession. If it wasn’t for early theorists like...
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...Current diagnosis COPD/Emphysema. Patient XX was diagnosed with COPD in 2009. COPD is a progressive disease with presence of airflow obstruction, which may be cause by chronic bronchitis or emphysema. Emphysema is a pathological condition caused by the destruction of alveolar walls and a consequent permanent enlargement of the alveolar sacs. According to the National Institute of Health (NIH), a diagnosis of COPD is made based on the patient’s signs and symptoms, medical and family history, and results of diagnostic tests. Common signs and symptoms of COPD include cough, dyspnea, wheezing, and chest tightness. Most patients are older than 50 years. They present with major complaints of severe dyspnea and require the use of accessory muscles...
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...the second case study that is required for the class. Please submit a paper (doesn’t have to be long; you could even give me bullet-point answers to the questions listed below) that answers all of the questions posed after Case Study 1. I have included an easy second case study which, if you complete it, will be worth extra credit. Answers to the first Case Study are worth 25 points and responding to Case Study 1 is required work for the course. The extra credit, which is not required, will be worth a total of 10 points. Both are due at the beginning of class on Tuesday, March 10, 2015. Case 1 R.S. has smoked for many years and has developed chronic bronchitis, a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32, PaCO2 = 60 mm Hg, PaO2 = 50 mm Hg, HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease. At this clinic visit, it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia. Discussion Questions 1. What clinical findings are likely in R.S. as a consequence of his COPD? How would these differ from those of emphysematous COPD? Chronic Obstructive Pulmonary Disease (COPD) is comprised primarily of two related diseases: Chronic Bronchitis and...
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...Asthma Paper on Asthma September 10, 2010 Abstract Chronic bronchitis is a preventable disease highly linked to smoking. Once a patient is diagnosed with chronic bronchitis through pulmonary function tests and other exams, it is not curable but there are medications that may help in alleviating symptoms. Chronic bronchitis patients are often referred to as “Blue bloater.” In chronic bronchitis, there is a marked increased in the proliferation of the goblet cells that results in excess mucous production. There is marked inflammation of bronchial mucosa due to infection or chemical inhalation. There is excessive mucus production occurring on most days for at least three consecutive months for two consecutive years. Some medications that are use in the treatment of chronic bronchitis are: adrenergic agents, anticholinergic agents, corticosteroids agents and antibiotics. Since there is no cure for chronic bronchitis at the present time, the prognosis is fair in regards to when the diagnosis is made. If detected early enough steps can be taken to prevent further damages to the lungs. Smoking cessation is a key factor in stopping the progression of the disease. Pulmonary rehabilitation including exercise training and education about the disease and the harmful effect of smoking is an essential component of chronic bronchitis therapy. Paper on Chronic Bronchitis Introduction Chronic Bronchitis belongs to a part of a larger group of diseases called COPD (Chronic...
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...Process II How meat is processed Processed meats are too dangerous for human consumption. Consumers should stop buying and eating all processed meat products for the rest of their lives. Processed meats include bacon, sausage, hot dogs, sandwich meat, packaged ham, pepperoni, salami and virtually all red meat used in frozen prepared meals. They are usually manufactured with a carcinogenic ingredient known as sodium nitrite. This is used as a color fixer by meat companies to turn packaged meats a bright red color so they look fresh. Unfortunately, sodium nitrite also results in the formation of cancer-causing nitrosamines in the human body. And this leads to a sharp increase in cancer risk for those who eat them. meat processing, preparation of meat for human consumption. Meat is the common term used to describe the edible portion of animal tissues and any processed or manufactured products prepared from these tissues. Meats are often classified by the type of animal from which they are taken. Red meat refers to the meat taken from mammals; white meat refers to the meat taken from fowl; seafood refers to the meat taken from fish and shellfish; and game refers to meat taken from animals that are not commonly domesticated. Meat that has been processed gets plenty of bad press linking it to cancer, heart disease and obesity. Y! Lifestyle investigates what meats fall into this category and why they’re so bad for you Process II How Advertising is conducted ...
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...Critical Thinking Paper Aubrey Lewis Grand Canyon University 11/11/11 SYSTEMATIC ASSESSMENT Biographical Data Patient, C.L, is a 52-year-old Caucasian female that was admitted to Banner Thunderbird on 09/29/11 for difficulty breathing and shortness of breath (SOB). The patient has no known drug or food allergies and is registered as a “do not resuscitate” and “do not intubate” (DNR/DNI). History of Present Illness Patient stated that she had woken up through out the night drenched in sweat and the inability to catch her breath. This is what brought her to the emergency department where she presented with difficulty breathing (dyspnea), and shortness of breath. Based upon how the patient presented and the results of the diagnostic tests that were conducted the patient was admitted to the progressive care unit of Banner Thunderbird. Diagnostic tests that were conducted was a chest X-ray, magnetic resonance imaging (MRI), and ultra sound to determine if there is a build up or either fluid and/or air in the pleural spaces of the lungs or a tumor that is causing the patient to have difficulty breathing. Non-imaging tests that are conducted would be a blood studies and arterial blood gas test. The blood studies would be able to dictate if the patient has a bacterial or viral infection, pneumonia, rheumatic fever, a pulmonary embolus, or lupus, and the arterial blood gas test will be able to show how well the lungs are taking in oxygen...
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...NUR 641E Complete Class Click Link Below To Buy: http://hwcampus.com/shop/nur-641e-complete-class/ Advanced Pathophysiology and Pharmacology for Nurse Educators Discussion Questions week 1-8 Week 1: Question 1= Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists? Question 2= Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson's disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening? Week 2: Question 1= Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient's age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation. Question 2= Active acquired immunity can be achieved through the...
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...Respiratory Disease Paper Shonay Williams HCS/245 September 9, 2014 Susan Fahrney Respiratory Disease Paper Pneumonia is an infection of the lungs that can be caused by either a bacteria, a virus, or fungus. The alveoli or (air sacs) fill up with fluid and pus and then become solid. This disease would be considered a tertiary disease. It is classified as a tertiary disease because it is an end result of some other types of infections or illnesses. The flu is one of the main illnesses that causes Pneumonia. This virus replicates itself quickly and thick mucus is produced during the illness that causes the virus to spread in the upper respiratory region. With this disease symptoms can vary depending upon whether the Pneumonia is bacterial, viral, or fungal. There are many variables to consider with the treatment of this disease, like some people developing Pneumonia in both lungs and some in one lung and the disease itself is not a single disease it can have more than thirty causes. Some indicators that the Pneumonia is bacterial would be, extremely high fevers, and chills. For a viral Pneumonia infection, many don’t know they are sick at first because they don’t get fevers however, an indicator would be shortness of breath and tightening of the chest (ALA 2014). Treatment of this disease again depends on what type of Pneumonia you have and how severe it is. Common treatment starts with antibiotics, oxygen therapy, breathing treatments, chest physical therapy, and IV...
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...sticky pleural membrane. The pleural membrane produces a liquid called surfactant that allows the lung to stick to the ribs. On occasion, air gets caught in the space between the lungs and the thoracic cavity and can cause the lungs to collapse. This may be caused by trauma, infection, or can occur spontaneously. The amount of oxygen needed by the body, and carbon dioxide produced by the body, can vary greatly depending on an individual’s activity level. Exercise can increase the need for energy produced by cellular respiration, and therefore the oxygen demanded by the body, by 25 times. An increase in the rate of respiration can meet this demand. https://www.lung.ca/children/images/grades7_12/the_r espitatory_system.gif Process of Respiration Step Process The intercostal muscles contract, pulling the ribs up, and the diaphragm contracts and 1 2 3 4 5 6 7 8 9 10 moves down, pulling air into the body through the mouth or nostrils. Air passes through the nasopharynx or oral pharynx through the epiglottis, which prevents food from entering the trachea. The trachea contains tiny hair-like cilia and mucus that catch any particles in the air that could be harmful to the lungs, and moves them back up the trachea to be spit out. Air moves down the trachea,...
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...Clinical Case Study Assignment 2014 Jennifer Ahonen Cambrian College a00050951 BSN 2144: Nursing Practice Frances Carvalho & Jillian Smythe March 21, 2014 Clinical Case Study Assignment 2014 The purpose of this paper is to utilize the data collected in the Gordon’s Functional Health Patterns Assessment Tool (Appendix A). After data collection, it will be analyzed and a priority nursing diagnosis will be used to make a care plan (Appendix B). Patient X is an 82 year old male, who presented to the emergency department from his home at Extendicare York with a fever of 38.9 degrees Celsius, a blood pressure of 75/40 mm Hg, blood glucose level of 3.7, diaphoretic and a three day history of diarrhea, nausea and generalized weakness. The admitting diagnosis for this 82 year old male was Pneumonia. Pneumonia is an acute inflammation of the lower respiratory tract due to an infectious agent that impairs gas exchange due to alveolar edema and congestion (Thiem, Heppner, & Pientka, 2011). There are many factors that predispose individuals to pneumonia; however, in the case of this patient the predisposing factors are age and the presence of chronic diseases. The patient’s complete history and demographics can be found in Appendix A. The classic clinical manifestations of pneumonia consist of a temperature above 38 degrees Celsius, diaphoresis, cough, and shortness of breath, chest pain, tachycardia, purulent sputum, fatigue, nausea, vomiting, and diarrhea (Thiem, Heppner...
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...Introduction The first nursing school was opened in 1909 offering a three-year program in the University of Minnesota School on Nursing. Later on a four-year program with a baccalaureate degree was started in 1919.Since the program started they made changes. In the fall of 1919 the program was changed from quarter system to the semester system. During World War II there was nursing shortage, so the Associate degree levels of nurses were placed in the hospital settings to help more patients that were wounded in the war. However BSN programs help students to pioneer in both theoretical and clinical areas of nursing which differentiate them from ADN program. In this paper the difference in competencies between nurses prepared at the associate versus baccalaureate level in nursing will be discussed. Disparities There is a significant difference between BSN and ADN not only in the professional and educational preparation but also competencies. The measure of nurse performance does vary. These measures include communication skills, knowledge, problem solving and professional role. ADN programs are relatively short. This program was started during World War II to provide more nurses to meet the demand during the war. It was based on a small curriculum that would make the nurse competent in the clinical set up. Main focus is on hand on skills. ADN program does not provide the theoretical and scientific...
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...Abstract This is my professional development plan that reviews the standards in which I practice along with my areas of strength and weaknesses. The American Nurses Association (ANA) has developed standards of professional nursing practice for the nursing community to follow. Through the scope and standards of professional nursing practice, I have produced five year and ten year goals including an evaluation of those goals. Professional Development Plan Nurses must possess an understanding of the ethics of the nursing profession and the responsibilities imposed on the nurse’s professional practice. Nurses may, over time and because of a variety of reasons, lose sight of the professional conduct expected. There is a criteria of standards that the nursing professional is expected to follow. In the following context of my professional development plan, you will find the experiences I have had with such standards and what I feel are my strengths and weaknesses. I have created goals that I wish to seek for my nursing profession including my five and ten year time frames for such goals. Standards of Professional Practice Standard 7: Ethics The registered nurse practices ethically. This code is designed so that the nurse delivers care in a manner that preserves and protects healthcare consumer autonomy, dignity, rights, values, and beliefs. It is especially important that the nurse to takes appropriate action regarding instances of illegal...
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...HEPA filters in vacuum cleaners tend to use two quite different mechanisms to clean the airstream. First, there are one or more outer filters that work like sieves to stop the larger particles of dirt, dust, and hair. Inside those filters, there is a concertina of what looks like folded paper designed to trap the smaller particles. The paper is actually a mat of very dense glass fibers and, unlike the gauze, it doesn't simply filter out small dust particles like a sieve. Instead, it uses three different mechanisms to catch dust particles as they pass through in the moving airstream. At high air speeds, some particles are caught and trapped as they smash directly into the fibers, while others snag on the fibers as they try to brush by. At lower air speeds, dust particles tend to wander about more randomly through the filter (a process known as Brownian motion after its discoverer, Scottish botanist Robert Brown) and may stick to its fibers as they do so. Together, these three mechanisms allow HEPA filters to catch particles that are both larger and smaller than a certain target size. The fibers in the HEPA filters trap dust and dirt particles in three ways. Some particles crash into filter fibers and are absorbed by impact. Some are caught as they flow along in the moving airstream, move too close to a fiber and are trapped by interception. At lower air speeds, some are trapped by diffusion (when randomly moving dust and air particles crash into one another and some are...
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...Competencies of Associate and Baccalaureate Nursing Education Jessica Key Grand Canyon University: NRS-430V August 16, 2014 Competencies of Associate and Baccalaureate Nursing Education The differences in competencies between associate-degree nurses and baccalaureate-degree nurses can be looked at many different ways. These can include statistics, patient experiences and correlating hospital scores or by evidence based articles researching the differences in how the diverse education levels handle certain situations (for example, cardiac arrests, a difficult patient situation, death, etc). To understand each degree level, we must first understand exactly what they do to prepare nurses to enter this profession. This paper will look deeply into where the associate and baccalaureate degrees came from and exactly what they concentrate on while a student is in the program. What is Nursing? According to the American Nurses Association, nursing can be defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” ("American Nurses Association," 2014, section 3). To acquire the label of “Registered Nurse”, one must go through one or more nursing programs to attain the knowledge to take the standardized licensure exam. The two most common programs are associate-level...
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