Charlene is a 55-year-old female who has had emphysema problems for many years. She has a 20-year history of tobacco use. Today, Charlene was seen in the clinic due today increased shortness of breath and non-productive cough over the past three days. She has an SaO2 of 90% with most recent pulmonary function test findings indicating the following: FVC- 70% FEV1-69% FEV1/FVC ratio-69%.

Discussion Questions:

1. What physical findings might be indicative of a patient with emphysema?

2. What is the purpose and interpretations of the pulmonary function test?

3. What are the pathophysiological findings specifying emphysema?

4. What are the three functions of the respiratory center located in the brain stem?

5. Please provide a description of the oxyhemoglobin dissociation curve?

6. What are the pathophysiological findings specifying bronchitis?

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Applying Theory to a Practice Problem: Part 2: Application of Middle-Range Theory to Problem

PURPOSE:

It is important to understand how middle-range theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice. In this assignment, you will explore and apply middle-range theory to solve the specific problem that you identified in the previous assignment.

DIRECTIONS:

Consider the problem that you described in the previous assignment and the instructor feedback about that assignment.

Write a paper (1,000 to 1,500 words) that describes how middle-range theory can be applied to the identified problem. The paper should include the following:

1. A brief summary of the problem.

2. A description of a middle-range theory that could be applied to the problem. Is this middle-range theory appropriate to your identified problem?

3. A brief discussion of the middle-range theory’s origins.

4. A discussion of how the middle-range theory has been previously applied.

5. A discussion of the application of the middle-range theory to the identified problem. How would your practice change by incorporating this theory?

Prepare this assignment according to guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Plagiarism is Unacceptable

Maladaptive responses to disorders are compensatory mechanisms that ultimately have adverse health effects for patients. For instance, a patient’s allergic reaction to peanuts might lead to anaphylactic shock, or a patient struggling with depression might develop a substance abuse problem. To properly diagnose and treat patients, advanced practice nurses must understand both the pathophysiology of disorders and potential maladaptive responses that some disorders cause.

Consider immune disorders such as HIV, psoriasis, inflammatory bowel disease, and systemic lupus E. What are resulting maladaptive responses for patients with these disorders?

To Prepare

· Review Chapter 6 and Chapter 8 in the Huether and McCance text. Reflect on the concept of maladaptive responses to disorders.

· Select two of the following immune disorders: HIV, psoriasis, inflammatory bowel disease, or systemic lupus E (SLE).

· Identify the pathophysiology of each disorder you selected. Consider the compensatory mechanisms that the disorders trigger. Then compare the resulting maladaptive and physiological responses of the two disorders.

· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor might impact your selected immune disorders.

Post a brief description of the pathophysiology of your selected immune disorders. Explain how the maladaptive and physiological responses of the two disorders differ. Finally, explain how the factor you selected might impact the pathophysiology of each disorder.

Pick whichever one is easiest for you

Janet Moriasi  
1 posts
Re: Topic 9 DQ 2
Insufficient Active Change Leadership:My EBP project include creation of space for a new unit thus financially involving. Sponsorship is the single most important factor in implementation success! But remember, project Sponsors must do more than sign a check authorizing funding for an initiative and show up at the project launch meeting. They must authorize, legitimize and demonstrate ownership throughout the lifecycle of the project. This is the only way the project can be sustainable. It is critical for Sponsors to be consistently expressing, modeling, and reinforcing their personal and collective commitment to the change. This includes Executive leaders down through the middle layers of your organization. It is the cascade of commitment that we are seeking as Change Agents.Poor Communications: There is a common belief that just getting a message out to an audience is enough to get buy-in, eliminate resistance and even drive behavior change. As a result, too many organizations singularly invest in top-down, one-way communications that don’t motivate people to move from the status quo to the desired state.
A change management communication plan is not at all the same thing as a change implementation plan. Centering efforts on communicating the right message, to the right audience, using the right vehicles, and always includes a feedback loop to gather reactions to both content and process. Sending the same message to everyone will not be sufficient. Keeping communication open throughout the project is also very important.ReferenceImplementing an Evidence-Based Practice Change by Gallagher-Ford, Fineout-Overholt, Melnyk, and Stillwell, from American Journal of Nursing (2011).https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201103000-00031&LSLINK=80&D=ovft

  Substantive Post  Yes  |   No