Tammy is a 33-year-old who presents for evaluation of a cough. She reports that about 3 weeks ago she developed a “really bad cold” with rhinorrhea. The cold seemed to go away but then she developed a profound, deep, mucus-producing cough. Now, there is no rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Tammy has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves. Through and extensive work-up, she is diagnosed with bronchitis.

1. What is the etiology of bronchitis?
2. Describe in detail the pathophysiological process of bronchitis.
3. Identify hallmark signs identified from the physical exam and symptoms.
4. Describe the pathophysiology of complications of bronchitis.
5. What teaching related to her diagnosis would you provide?

In addition to the textbook, utilize at least one peer-reviewed, evidence based resource to develop your post.

i need someone to write reflection for me :

“3000 word “

1- basic world and easy to read 

2- 25 reference ( mention  the reference that you use in each paragraph) 

3- no plagiarism ( do not check it in any website for plagiarism  )  no more 3% of plagiarism

4-follow  the instructions in the attachment very well 

 

Comprehensive Physical Assessment

This Comprehensive Assessment activity provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit. Students spend, on average, three hours on this activity.

Before entering the clinic room you will complete the Plan My Exam activity to organize the exam procedures you will use into a sequence that moves smoothly from head to toe by mapping them to the region of the body where you will perform them. After you have planned your exam, you will enter the clinic room and conduct a Comprehensive Assessment by interviewing and examining your Digital Standardized Patient.

These prompts help you think more deeply about your performance in the activity. Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning process. The more detail and depth you provide in your responses, the more you will benefit from this activity.

• Read Chapters 4-11 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 

• Read Chapters 12-17 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 

• Read Chapters 4, 18 & 31 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 
• Read Chapters 19-20 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 
• Optional Resource: Map the Human Heart 

Map of the Human Heart — NOVA | PBS

See exactly how your heart pumps blood throughout your body and learn astounding facts about the human heart.

• Read Chapters 21 and 24-26 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Elsevier. 
• Read Chapters 22-23 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Elsevier. 
• Read Chapters 28 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Elsevier. 

Additional Instructions:

1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Option:

Instruction

Paper

• 2 to 3-page paper. Include title and reference pages.

 

Medical records belong to the patient and the healthcare facility in which they were created. This is why patients are allowed a copy of their medical record, but not the original document.

Please read the following article from American Health Information Management Association (AHIMA) regarding the retention and destruction of health information, http://library.ahima.org/doc?oid=300217#.XXbKHzZKiM8, and then discuss:

• What are the different types of healthcare records and where are they often stored?
• What is considered an active record and an inactive record?
• What is the difference between purging records and destroying records?
• When are healthcare records allowed to be destroyed and what are some of the reason’s records would be destroyed?

 

Write a 2-pages narrative in APA format that addresses the following:

• Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
• Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
• Explain strategies to making off-label use and dosage of drugs safer for children from infancy to adolescence and descriptions and names of off-label drugs that require extra care and attention when used in pediatrics. Be specific.
• Please use the rubric to formulate your assignment.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

zero plagiarism

five references not more than 5 years