Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice 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 depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

· 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 and Peterson 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.

What to do:

· Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.

· Explain the stepwise approach to asthma treatment and management.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Please pay attention to drug-drug interactions. 

 

The NLH guidelines for asthma are a good reference. 

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter      18, “Otitis Media and Otitis Externa” (pp. 243-252)
       This chapter compares the causes and pathophysiology of two common ear      infections—otitis media and otitis externa. It also identifies types of      drugs used to treat these ear infections.
• Chapter      24, “Upper Respiratory Infections” (pp. 259-374)
       This chapter explores the causes, pathophysiology, and diagnostic criteria      of two upper respiratory infections—the common cold and sinusitis—as well      as drug therapy for both infections. It also covers monitoring patient      response and patient education of drug therapy for these infections.
• Chapter      25, “Asthma” (pp. 377-392)
       This chapter examines the causes, pathophysiology, pharmacogenomics, and      diagnostic criteria of asthma. It also outlines suggested drug therapy      plans for asthmatic patients.
• Chapter      26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406)
       This chapter explains the causes and pathophysiology of chronic      obstructive pulmonary disease (COPD). It also examines the process of      selecting, administering, and managing drug therapy for COPD patients.
• Chapter 27, “Bronchitis and      Pneumonia” (pp. 407-424)
       This chapter begins by examining the causes, pathophysiology, and      diagnostic criteria of acute bronchitis, chronic bronchitis, and      community-acquired pneumonia. It then explores the process of selecting,      administering, and managing drug therapy for patients with bronchitis and      pneumonia.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

Click on the link and read the Health People 2020 topic (goal and objective) regarding substance abuse. 

https://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse

2.  Identify current events a the local or national level related to substance use/abuse laws, policies lawsuits or other legal issues.  Discuss the application of such laws/policies to the individual freedom of people. 

3.  In your own words define the term violence and the role of the nurse in responding to acts of violence outrages. 

4.  Do you think is there any relationship between substance abuse and violence.  Give at least one example. 

700 WORDS 3 REFERENCES

 Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples. 

 Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article. 

 

In this course, we consider vulnerable populations and Health Promotion and Disease Prevention standards. We look at content through the lens of pediatrics, women’s health, adults, mental health, and the elderly. Having just completed exercises related to the five levels of prevention in Week 1, consider what you have learned and how to apply Quaternary Prevention. Watch the following video and write a one-page journal submission regarding your thoughts about the use of palliative and hospice care as an option for health promotion. In what scenario(s) might this be applicable? Have you ever thought about palliative and hospice care promoting health? Why or why not?  

• End Of Life | Aging Matters | NPT Reports
  • End of Life Aging Matters Video Transcript.

You may journal in first person, and this assignment does not require references as it is your thoughts; however, be sure to review the rubric, as a minimum of one reference is required to be considered exemplary work. If you choose to use quotes or citable material, you are expected to follow APA formatting.

Grading Rubric:

 

Journal Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Journal Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsFocus and ContentIn addition to self-reflection, the journal components are provided along with clear examples supported by course content and references that speak to how the journal content relates to the questions posed within the assignment.

Cites one or more references.

All instruction requirements noted.

45 pointsComponents of the journal are topic focused and accurately and thoroughly presented via self-reflective explanations and application of knowledge to personal and/or professional life.

All instruction requirements noted.

40 pointsComponents of the journal are summarized with minimal self-reflection or application to personal or professional life.

Synthesis of course content is present but missing depth and/or development.

Missing some instruction requirements.

35 pointsCourse content is present but there is no self-reflection noted within the journal.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Missing several instruction requirements.

Submits assignment late.

31 points45Application of Knowledge through Critical ThinkingCritical analysis is supported with information from scholarly resource(s), offering new insight into the context of the assignment.

Student indicates how the experience will have an impact on their professional practice.

All instruction requirements noted.

45 pointsThe journal submission presents findings and knowledge gained from the assignment. An obvious link between the assignment and nursing is noted.

Submission provides clarification of the assignment by answering all posed questions.

All instruction requirements noted.

40 pointsJournal content may be confusing, unclear, or incomplete–lacking clarification or new information.

The student alluded to a practice application, but the information provided was not clear.

Not all questions posed are addressed.

Missing some instruction requirements.

35 pointsSubmission is primarily a summation of the assignment without further synthesis or analysis of course content.

Application of knowledge is limited, with no direct application to clinical practice discussed.

Demonstrates incomplete understanding of content and/or inadequate preparation.

More than one question posed is not addressed.

Missing several instruction requirements.

Submits assignment late.

31 points45OrganizationWell-organized content with a clear and complex purpose statement and argument content. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA Referencing, Grammar, and SpellingCorrect applicable APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

There are no spelling, punctuation, or word-usage errors.

5 pointsThe writer demonstrates correct usage of formal English language in sentence construction.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThe writer occasionally uses awkward sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar.

Multiple grammar, punctuation, or word usage errors.

3 pointsThe writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points