PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3).  PLEASE SEE THE FOLLOWING ATTACHMENT FOR RUBRIC DETAILS.

4). Please carefully read the assignment very well, and review the grading rubric and focus on the “Excellent” column, and please include each component in the assignment as required. Also, please follow APA writing rules and style. 

5). Please Include the Title page, Introduction, purpose statement, Literature Review, conclusion, and reference page. 

Thank you very much.  

 Please carefully read and follow-through:

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 ones. 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

• Reflect on 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.
• Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
• Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick-relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

Topic: Evidence Based Practices to Guide Clinical Practices

·       Explain the interrelationship between the theory, research, and EBP.

·       Identify and discuss the research questions, sampling and sampling size, research designs, hypothesis, data collection methods, and research findings from each study. 

·       Identify the goals, health outcomes, and implementation strategies in the healthcare setting (EBP) based on the articles.

·       Discuss the credibility of the sources and the research/researchers findings.

·       Minimum 5/maximum 7 page paper (the body of the paper), without the references, in APA format.

·       Minimum of 1 reference per page of the body of the paper, articles must be peer reviewed and must have been published within last 3-5 years.

APA STYLE 

 

Please view the you-tube videos on Week 2 moodle page-they cover various topics about nursing and can be included in this discussion board.  Some include some television show clips that have nurses and also interviews with people on the street about what nursing is.  Hopefully this will give you all a better picture of how the public views nursing. There is also a video about the struggles of minority students and nursing.   My hope, is that by the end of this course you will be a strong voice for nursing, with the goal of sharing who nurses are, and why we do what we do!

The questions below are discussion starters and you do not have to answer all of them-choose what interests you to discuss!  Remember, your initial post can be 300-500 words, basically about 1-2 paragraphs.

What do you think nursing is?  What has most influenced how you see nursing?  How do you react to shows that have nurses on them?  How do you think this can affect the view of nursing that the general public will have?  Have you had family or friends question why you would want to become a nurse?  Have you had someone tell you to become a doctor instead?  What can we as nurses and nursing students do to positively or negatively affect the image of nursing? This is more of a “personal” discussion and I do not expect you to bring in resources, unless you want to.  If you have not already done so, please review the rubric for discussion posts-they need to be “substantial”- have depth and your answers need to be substantial and carry forward the conversation.  

 

Week 11 Discussion: Anemias

M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.

Past medical history 

Chronic renal insufficiency

Hypertension

Congestive heart failure

Diabetes mellitus type 2, poor control

Deep vein thrombosis

Alcohol abuse

Chronic obstructive pulmonary disease with respiratory failure

Family history

Noncontributory

Physical examination

Height 69 inches, weight 205 lb

Blood pressure: 138/88

Pulse 86 beats/min, regular

Lungs clear, neck supple negative for jugular venous distention

Lower extremities +1 edema

Laboratory findings

Scr = 2.8 K+ = 5.1

BUN = 56

Na+ = 147

WBC = 5.0

Hb = 8.2

Hct = 24.6

Serum ferritin 189 mg/dL

Social history

Tobacco: 52 pack-years

Alcohol: distant past

Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations. 

1. List specific goals of treatment for M.W.

2. What drug therapy would you prescribed? Why?

3. What are the parameters for monitoring success of therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What over-the-counter and/or alternative medications would be appropriate for M.W.?

7. What dietary and lifestyle changes would you recommended for M.W.?

Provide  Based on APA Guidelines). Work must be supported by peer-reviewed article published within 5 years.