Medicine

Sallie Thorp, a 21-year-old patient, presents to the physicians office with an asthma action plan form she acquired from a literature search on the World Wide Web at http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_actplan.pdf (Links to an external site.). She states that she would like to develop the plan with the help of the nurse and physician and review it at each appointment to keep it current. She has had moderate persistent asthma for 5 years, and she has visited the emergency department several times in the past year with severe asthma attacks. She stated that she forgets to take her medications, because the medications are at times that the hospital provided the inhalers (12 noon and midnight), and she gets confused on which inhalers are the long-acting ones and which inhaler is the short-acting rescue inhaler she is supposed to use when she has an exacerbation. She stated that if she could, she would like to take the inhalers at 8 am and again at 8 pm. The patient stated that she has a flow meter and that a respiratory therapist at the hospital taught her how to use it in the past, and he wrote down her personal best peak flow, which is 400 L/sec. The nurse reviews the patients medical chart and discovers that she has been prescribed the following from todays visit: Use albuterol (Proventil): 2 to 4 puffs every 20 minutes for up to 1 hour as rescue inhaler. If symptoms improve, then take the inhaler every 4 hours for 1 to 2 days. If no improvement after 2 days, call the physician Salmeterol (Serevent): 50 mcg every 12 hours Fluticasone (Flovent): 88 mcg or 2 puffs every 12 hours Cromolyn sodium (Nasalcrom): one spray to each nostril once daily and before being exposed to known asthma triggers. You may use the spray up to every 4 hours Measure peak flow meter every morning before using inhalers and record. Use peak flow meter, as needed, if you develop symptoms, such as cough, shortness of breath, wheezing, chest tightness; use of neck and chest muscles to breathe; problems talking or walking because of extreme shortness of breath Follow-up in 3 months Have the nurse provide education on asthma self-management and fill out the action plan that the patient brought with her today and have the physician review it and sign it The nurse also notes that the medications have not changed from the last visit. Explain the medications to the patient and practice filling in the asthma action plan.
Weekly Clinical Guided Reflection/AnalysisAll questions must be answered. Do not rewrite the questions but just number your answers. Must be completed in proper APA format. You may answer each question with just 1-5 sentences.(Safety) How did you incorporate a standard precaution and infection control guideline? (Choose one you have not chosen ) Which National Patient Safety Goals did you use in your practice? (Choose one you have not chosen before.)(Concept Care Map) What is the highest priority problem for your patient? What is the rationale for this choice?(Concept Care Map) What is the pathophysiology for the highest priority patient problem for each of your patients as it applies to the patients situation?(Concept Care Map) Evaluate the patient goals for each of your patients (from your concept care map).(Clinical Judgment) What did you learn about the concepts of the week from your patient(s) and experiences at clinical?(Clinical Judgment) Think of one clinical decision you made which enhanced your patients care by addressing their cultural, developmental, and social characteristics.(Clinical Judgment) Share an "ah-ha" moment of insight you experienced or witnessed today in clinical.(Clinical Judgment) Share one thing you plan to do differently next week in clinical?(Patient Education) How did you assess the readiness of your patient and family member to learn? Identify any learning barriers; possible resolution to barriers. What content did you identify that you should teach your patient and/or family? What teaching strategies did you use?What teaching aides did you use?(Patient Education) How did you verify their learning? Did they learn the content? If not, why not?(Communication) Describe a therapeutic conversation you had with a patient or family member. Name the therapeutic communication technique you used? How did the person respond to your therapeutic communication technique? Upon reflection, what would you have said differently? Describe one communication barrier you observed. How did it interfere with the communication?(Professionalism) Which standard of practice from the Board of Nursing Rule did you implement? (Choose one you have not chosen ) How did you implement it?(Leadership & Management) List interventions from your Concept-Care Map that you could only legally delegate to unlicensed personnel (UAP). How did you advocate for your assigned patient(s)?(Quality Improvement or Evidence-Based Practice) Identify and explain a quality improvement project at your hospital or identify an evidence-based practice used in the care of your patients.(Concept Care Map) List all the interventions on your concept care map with cited scientific rationales. Only list 2-3 interventions!