Reply to my peers - Nursing
Reply to my peers Please see attachments Peer 1 What are the appropriate pharmacological therapies to be prescribed for Johnathan? Corticosteroids are appropriate for the patient (Ramsahai & Wark, 2018). He is reported to be using albuterol, which has not been effective in relieve of the symptoms. Albuterol is usually used as a quick reliever especially when the patient is experiencing asthma attacks. A long acting medication is required to help relieve the symptoms. Dexamethasone 10mg is recommended as the appropriate corticosteroid which will help relieve the symptoms, improve his breathing, and reduce the asthma severity (Ramsahai & Wark, 2018). Albuterol will still be continued to be used as a quick reliever in case of future asthma attacks. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation? Jonathan and his mother would be educated o detection of worsening symptoms of asthma. Once asthma symptoms are observed to be worsening, they should seek immediate medical attention (Ramsahai et al., 2019). They would also be educated on importance of having the quick relieve inhaler at all times for emergency response in case of asthma attacks. They are also educated on asthma triggers that lead to exacerbation (Gautier & Charpin, 2017). Common asthma triggers include smoke, pollen, dust, chemical irritants, and breathing cold air. Therefore, the patient should avoid these triggers whenever possible to avid exacerbations. What is an appropriate clinical assessment tool to be use with Johnathan? The Childhood Asthma Control Test is appropriate in asthma assessment for children below 11 years. The tool contains 7 questions of which 4 are completed by the child and 3 are completed by the parent of responsible caregiver (Somashekar & Ramakrishnan, 2017). The results help to determine asthma severity as well as provide the healthcare provider with information regarding how well the patient is able to control asthma. What are the classification of asthma? Asthma is classified into four categories which are mild intermittent, mild persistent, moderate persistent, and severe persistent asthma. Mild intermittent asthma is characterized by asthma symptoms occurring less than 2 times in a week (Ramsahai et al., 2019). Mild persistent asthma is characterized by symptoms occurring 3-6 times in a one week. Moderate persistent asthma symptoms occur every day while severe persistent asthma is characterized by symptoms occurring continuously and persistent. How would you as the NP address his mother's concern regarding providing an inhaler at school? It is normal for the mother to be worried about her son’s condition while at school. She is assured that use of inhalers in school is allowed. She should however inform the school nurse of her son’s condition so that constant monitoring is done while at school. She should discuss the son’s condition with the administration and the school nurse, including the use of inhaler and other prescribed medication while at school (Isik & Isik, 2019). The communication is important as it will help the patient be assured of safety at school. What is an appropriate plan of care for Johnathan? The plan of care for Jonathan include prescription of asthma medication. Dexamethasone is prescribed for the patient to help relieve his persistent asthma symptoms (Ramsahai & Wark, 2018). The medication is taken 10mg orally BID. Albuterol inhaler is also continued to be used as a quick reliever when experiencing asthma attacks. The patient is advised to take the medication as prescribed for improved health outcomes. Patient education is also provided on prevention of asthma exacerbation including avoidance of asthma triggers such as pollen, dust, smoke, and cold air (Gautier & Charpin, 2017). Physical exercise and healthy diet is also recommended to help in effective asthma management. References Gautier, C., & Charpin, D. (2017). Environmental triggers and avoidance in the management of asthma. Journal of Asthma and Allergy, Volume10, 47-56. https://doi.org/10.2147/jaa.s121276 Isik, E., & Isik, I. S. (2019). Asthma care coordination in schools by school nurses: An integrative literature review. Public Health Nursing. https://doi.org/10.1111/phn.12610 Ramsahai, J. M., & Wark, P. A. (2018). Appropriate use of oral corticosteroids for severe asthma. Medical Journal of Australia, 209(S2). https://doi.org/10.5694/mja18.00134 Ramsahai, J. M., Hansbro, P. M., & Wark, P. A. (2019). Mechanisms and management of asthma exacerbations. American Journal of Respiratory and Critical Care Medicine, 199(4), 423-432. https://doi.org/10.1164/rccm.201810-1931ci Somashekar, A. R., & Ramakrishnan, K. G. (2017). Evaluation of asthma control in children using childhood—asthma control test (C-ACT) and asthma therapy assessment questionnaire (ATAQ). Indian Pediatrics, 54(9), 746-748. https://doi.org/10.1007/s13312-017-1167-2 Peer 2 What are the appropriate pharmacological therapies to be prescribed for Johnathan? · Initial treatment for Johnathan in this situation would include an inhaled short-acting beta2-agonist (SABA) of MDI as needed for his symptoms (Miller, 2020). This is usually adequate treatment for symptoms that result from triggers such as allergens, or in his case, a viral respiratory illness. If this alone does not reduce his symptoms, a temporary increase in anti-inflammatory therapy may be needed to treat the exacerbation (Miller, 2020). Oral prednisone 40 to 60mg/d as a single or divided dose for 3 to 10 days is the recommendation for Johnathan (Miller, 2020). If this is successful, no other treatment is indicated. If it is not, a higher step of therapy is needed. · What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation? · Home management and recognition of asthma exacerbation is crucial. Patients and parents dealing with asthma should be able to recognize early symptoms of decreasing lung function and adjust medications accordingly (Miller, 2020). First, always begin with two treatments of 2 to 6 MDI puffs of SABA twenty minutes a part. If symptoms do not improve, education on when to call their provider or 911 should be provided. Common asthma education includes triggers, early symptoms and symptom log, medications, and correct inhaler technique. · What is an appropriate clinical assessment tool to be use with Johnathan? · The most commonly used, appropriate tool for Johnathan’s care would be the Childhood Asthma Control Test (C-ACT). This tool is used to assess children ages 4 to 11 years. It consists of 4 picture items and 3 verbal items, that are answered by both parents and children (Dinakar & Chipps, 2017). According to this, children tend to assess their asthma control much lower than their parents. · What are the classification of asthma? · According to the GINA, asthma severity is determined by the level of treatment needed to control symptoms (Miller, 2020). There are three classifications in defining the severity of asthma. Mild asthma is defined as symptoms that can be controlled with step one or two medications. Those medications would include short-acting reliever medications alone or with low-dosed inhaled corticosteroids (Miller, 2020). Moderate asthma requires step three medications such as inhaled corticosteroids with long-acting bronchodilators (Miller, 2020). Lastly, severe asthma occurs when symptoms require step four or five treatment including high-dose inhaled corticosteroids. In some severe cases, even these medications do not improve symptoms (Miller, 2020). · How would you as the NP address his mother's concern regarding providing an inhaler at school? · As the NP caring for Johnathan, I would inform the mother of the importance of an inhaler at school. GINA recommends sharing a written asthma action plan with the child’s school (Miller, 2020). Johnathan should be instructed on the correct use of his inhaler and be involved in his asthma treatment plan. Many schools do not allow student to self-administer medications; however, some type of agreement should be reached among the provider, school, and parent (Miller, 2020). This could mean storing the inhaler with the school nurse until needed. · What is an appropriate plan of care for Johnathan? · Based on the severity of Johnathan’s exacerbation, he should be seen again in 2 to 6 weeks to evaluate his level of control achieved. Low- dose inhaled corticosteroids will be prescribed as the controller medication (Miller, 2020). If he begins to need his inhaler more than 2 times a week, he will need to be moved up a step. After the initial follow up, Johnathan will require regular follow up appointments every 2-3 months to monitor his response to the medications (Miller, 2020). The goals for his care include preventing exacerbations and reduced lung growth, while providing optimal pharmacologic methods for management.       References Dinakar, C. & Chipps, B. (Jan. 2017). Clinical tools to assess asthma control in children. Official Journal of the American Academy of Pediatrics.  DOI: 10.1542/peds.2016-3438 Miller, B. (2020). Asthma and chronic obstructive pulmonary disease. In T. M. Woo, & M. V. Robinson (Eds.), Pharmacotherapeutics for advanced practice nurse practitioners (5th ed., pp. 937- 966). F. A. Davis.  
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Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. 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Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte I think knowing more about you will allow you to be able to choose the right resources Be 4 pages in length soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test g One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti 3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident