Application: Asthma Management

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Chronic asthma and acute asthma exacerbation are respiratory disorders that affect children and adults. Advanced practice nurses often assist physicians in providing treatment to patients with these disorders. Sometimes, patients require immediate treatment, making it is essential to recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients. Some approaches work better than others, depending on individual patient factors. One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the step-wise approach, which you explore in this Assignment.
To prepare:

  • Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
  • Consider drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients.
  • Think about the impact these drugs might have on patients, including adults and children.
  • Review Chapter 25 of the Arcangelo text. Reflect on using the stepwise approach to asthma treatment and management. Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
  • Think about how to educate patients to develop a plan for medication adherence. Consider how the plan might differ based on the patient’s age.
By Day 7

Write a 2- to 3-page paper that addresses the following:

  • Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Then, explain the changes in the arterial blood-gas patterns during an exacerbation.
  • Describe long-term control and quick-relief drugs used to treat asthma in patients.
  • Explain the impact these drugs might have on adults and children.
  • Explain the stepwise approach to asthma treatment and management and how this approach assists health care providers and patients in gaining and maintaining control of the disease.
  • Explain how you would help patients develop a plan for medication adherence, including how the plan might differ based on the patient’s age.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.

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Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

Briefly describe the main characteristics of each of the four generations working in nursing today (Veterans, Baby Boomers, Gen Xers, and Millenials). Focus primarily on attitudes toward work and family, communication styles, and comfort with technology.

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Briefly describe the main characteristics of each of the four generations working in nursing today (Veterans, Baby Boomers, Gen Xers, and Millenials). Focus primarily on attitudes toward work and family, communication styles, and comfort with technology.

Explain the benefits of a multigenerational nursing team for the organization, the team members, and patients.

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Nursing Practice and School Health Privacy Scoring Guide
You are the parent of two teenagers and an active PTA member at their school. The principal approached you about an upcoming professional gathering for middle- and high-school nurses in your district. She asked you to make a short presentation on school health privacy and how it can affect nurse-student care within the teen population, where personal health issues and privacy concerns often collide.
Preparation
Research and gather information about the issues facing school nurses in your state of licensure, as well as state and federal privacy laws that govern your school health privacy information. You will also need to learn about the legal limitations and responsibilities of the school nurse.
Directions
Create a 6–8-slide PowerPoint presentation that examines the privacy issues unique to nurses serving the high-school age population. Address the following:
• Describe the types of health and wellness issues that can affect adolescents in their high-school years. Be sure you think beyond the usual things and really research the types of issues that are affecting young people today.
• Explain how privacy laws can impact the school nurse in regard to patient safety and health outcomes for adolescents.
• Explain how privacy laws benefit the student, the school, and the school nurse.
• Recommend two specific evidence-based ethical strategies regarding health and wellness privacy communications in a school environment.
Use the notes section of each slide to expand your points and cite your supporting evidence. Also, include a title slide and a reference slide that lists the resources you used in this assessment.
Be creative. Consider your intended audience.
Additional Requirements
Your presentation should meet the following requirements:
• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Include a reference slide with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 6–8 slides.
• Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
• What is FERPA?
• What is HIPAA?
• How do FERPA and HIPAA affect school health privacy?
• What unique health concerns might young people have that differentiate them from adults?
• Context
School nurses confront numerous legal issues in their daily work. It is important to know the standards of nursing practice specific to the state of licensure, as well as legal limitations and responsibilities of the school nurse.
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Role of the School Nurse
It is the position of the National Association of School Nurses that the professional registered school nurse is the leader in the school community to oversee school health policies and programs. The school nurse serves in a pivotal role to provide expertise and oversight for the provision of school health services and promotion of health education. Using clinical knowledge and judgment, the school nurse provides health care to students and staff, performs health screenings, and coordinates referrals to the medical home or private health care provider. The school nurse serves as a liaison between school personnel, family, community and healthcare providers to advocate for health care and a healthy school environment (American Nurses Association & National Association of School Nurses, 2011).
• Overview
Create a 6–8-slide PowerPoint presentation for a group of school nurses, which addresses the role of the school nurse in managing the unique health concerns of teenagers while adhering to privacy laws.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
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• Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
o Explain the laws that relate to adolescent safety and health privacy in a school setting.
o Explain how the privacy laws affect schools, students, and school nurses.
• Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
o Describe health and wellness issues specific to the adolescent population.
o Recommend evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse.
• Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
o Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
o Correctly format citations and references using APA style.
• Print
• Nursing Practice and School Health Privacy Scoring Guide
Nursing Practice and School Health Privacy Scoring Guide Grading Rubric
Criteria Non-performance Basic Proficient Distinguished
Describe health and wellness issues specific to the adolescent population. Does not describe health and wellness issues specific to the adolescent population. Identifies but does not describe health and wellness issues specific to the adolescent population. Describes health and wellness issues specific to the adolescent population. Describes health and wellness issues specific to the adolescent population, including issues related to sexual activity and mental health.
Explain the laws that relate to adolescent safety and health privacy in a school setting. Does not explain the laws that relate to adolescent safety and health privacy in a school setting. Identifies laws that relate to adolescent safety and health privacy in a school setting. Explains the laws that relate to adolescent safety and health privacy in a school setting. Explains the laws that relate to adolescent safety and health privacy in a school setting and provides historical background of the laws.
Explain how privacy laws affect the school, student, and school nurse. Does not explain how privacy laws affect the school, student, and school nurse. Explains how privacy laws affect the school, student, and school nurse but the explanation is inaccurate or missing key elements. Explains how privacy laws affect the school, student, and school nurse. Explains how privacy laws affect the school, student, and school nurse, and provides a rationale of the benefits of the law.
Recommend evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse. Does not recommend evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse. Identifies evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse, but does not clearly recommend strategies. Recommends evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse. Recommends evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse, and examines the consequences of failing to use the strategies.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.
Correctly format citations and references using APA style. Does not format citations and references using APA style. Formats citations and references with errors. Correctly formats citations and references using APA style. Citations contain a few errors. Correctly formats citations and references using APA style. Citations are free from all errors.