Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

To Prepare

• Review “Asthma” in chapter 27 of  Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
• Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
• Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
• 3 to 4 references within 5 years

Comment 1

One example that comes to mind is the population including young mothers. There are many statistics that depict the outcome and or the progression of young aged mothers. I feel this is a good representation of the proper use of mean, median, and mode because it relates to a particular group that can be simplified. It also can be grouped closely enough where the information can be accurately represented for the particular population. Mean is incorporated by utilizing the average probability of teenage pregnancy based on the previous amounts of teen mothers. Median is utilized because according to the Arizona Department of Health services, the medial teen age group, ages 15-17 years, has the highest rate of teen pregnancies compared to the younger (ages 13-15 years) and older (ages 17-19 years). Mode is the most occurring, in the example of teen pregnancies the mode is illustrated by the more pregnancies occurring in present years. For this particular population, a characteristic that is inappropriate to use these means of statistics is when utilizing non-modifiable factors are incorporated into these teenage pregnancies. For example the teens that birth children that were products of sexual abuse such as rape or trafficking should not be incorporated into the lifestyles of teen pregnancy rates. This is inappropriate because it cannot truly depict the lifestyle and chosen aspects of teenage pregnancies.

Comment 2

The average is the most basic concept of statistics. An average is the single number that represents the ideal of a typical value. The mean, median, and mode are the numbers that represent the ideal of an average value. The mean is the adding up of all values and dividing that sum by the number of values. The mean is a very useful number. It represents an entire population or group and does not represent an individual. The median is considered a typical value. The median is the value that represents some members of the population or group depending on the distribution of the value. The mode is considered the most common member of a group.

An example of an appropriate population; 8 executives makes over $100,000 thousand dollars a year versus 4 executives making less than $100,000 a year. The mode would be 8, as there is a greater frequency of score in the data set (Lund, 2013).  It would be inappropriate to use the mode when there is not a repeating score in a data
set (Lund, 2013).

Assignment Content

1. Imagine you’ve been selected to present at a local event about health care services provided to your community.

   Create a 10- to 15-slide presentation that discusses health care providers, services, and usage. 

   Part 1: Health Care Services
   Select 3 health care services from the list below:  

   • Preventive care or public health
   • Ambulatory or primary care
   • Subacute or long-term care
   • Acute care
   • Auxiliary services
   • Rehabilitative services
   • End-of-life care
   • Mental health services
   • Emergency management or disaster preparedness
   • Dental services
   • Military and veteran services
   • Indian health services
   • Complete the following in your presentation: 
   • Identify the selected health care service providers.
   • Describe the health care needs of the populations served by these providers.
   • Identify 3 services or products they provide to help with the quality of care.
   • Part 2: Consumer Access
     Many factors can influence the access to and usage of health care services, such as: 
   • Location
   • Services offered
   • Income
   • Knowledge
   • Motivation
   • Describe how these factors can affect the usage of the health care services you covered in Part 1. 

     Include detailed speaker notes of at least 50 words per slide.

     Cite any references to support your assignment.

     Format your presentation according to APA guidelines.

     Submit your assignment.

     Power Point Slides – Suggested approach (however – all Power Point presentations require – Title slide, introduction slide, conclusion slide, and References slide).
     1) Title slide per APA guidelines
     Health Care Providers, Products, and Usage (always ONLY include the official assignment title)
     your full name
     University of Phoenix
     HCS/235
     July 26, 2021 (date spelled out, not abbreviated)
     Peggy C. Frank, MBA (Instructor’s full name)
     2) Introduction slide -Part #1
     3) name your provider (1 of 3)
     4) discuss services offered by the provider
     5) name provider (2 of 3)
     6) discuss services offered by the provider
     7) name your provider (3 of 3)
     8) discuss services offered by the provider
     9) Introduction slide – Part #2
     10) Name provider – discuss factors that impact use of the provider
     11) Name provider – discuss factors that impact use of provider
     12) Name provider– discuss factors that impact use of provider
     (Important — don’t just list the factors by name – but explain/demonstrate that you understand these factors as related to your provider. The 5 factors: motivation, income, services offered, knowledge, and location.)
     13) Conclusion slide – summarize key points you already made in your presentation – not new information.
     14) References slide – all references cited per APA requirements

     Speakers notes are required. When you are ready to submit your work – do be sure to review your presentation to be sure YOU can see your Notes. If you can’t likely I can’t either. Save your presentation as a Power Point – do not save as a PDF – I will be unable to see your speakers notes if you save as a PDF. See more details below, please.

     Resources

   • Center for Writing Excellence
   • Reference and Citation Generator
   • Grammar Assistance
   • How to do speakers notes

     Your speaker notes – are for you – pretend you are giving this presentation to an 1,100 person audience. They need to be able to See to Read what is on your slides – so only include a few bullet points of info on each slide and the information that supports the slides — your “cheat notes” to help you delivery your presentation – all of the content in full sentences, written in your own words – belongs in the speakers notes section.
     In our class for Wk3 and Wk5 speakers notes for each Power Point Presentation is a requirement!
     Speaker notes help you remember what to say when you present.
     Add speaker notes
     Slides work best when you don’t cram too much information (especially too much text) onto them.
     Keep the text to a minimum and put the extra stuff in the speaker notes section, out of your audience’s sight. Then, refer to your notes while you give the presentation.

   1. Open the notes pane by clicking NOTES at the bottom of the window.
   2. Click in the notes pane below the slide, and enter your notes.
   3.  

The following requirements correspond to the criteria in the assignment scoring guide, so be sure to address each point:

1. Analyze organizational or system strengths, weaknesses, opportunities, and threats (SWOT) in relation to the selected project aim.      
   • Support the SWOT analysis with contextual information specific to the organization or health care system.
   • Identify and rate major known risks (low, medium, high risk) that could be barriers to the project.
   • Explain major assumptions for the project, including a description of logistical constraints that may affect the fidelity of the project.
2. Summarize pertinent ethical considerations that may be encountered during the project.      
   • Address protected health information, HIPAA, human subject considerations, equitable care, and appropriate use of data.
3. Describe the communication strategies that will be used during the project.      
   • Specify how the project manager will communicate to the executive sponsor, project team members, and stakeholders, including frequency of status updates, project team meetings, and so on.
   • Include descriptions of any visual tools or processes that will be used in communication such as Gemba walks, Gantt charts, dashboards, or safety cross.
4. List proposed outcomes and corresponding metrics to measure the outcomes.      
   • Operationally define outcome measures.
   • Operationally define process measures.
5. Describe the purpose and use of the data collection plan.             
   • Include a description of primary or secondary data, source, data integrity, and data security plan.
   • Attach a data collection tool in Excel appropriate for the data source and time frame for the project; include this as an appendix.  

John is a doctor in Hope Geral hospital. The doctor has been working for five years. He started working in this hospital when he acquired his degree though this is the hospital in which he did his internship. Doctor John is the doctor in judge in Hope General Hospital. The doctor’s leadership style is transformational leadership. The doctor is focused on bringing change to the organization. Dr. John leads his team, and also he is a mentor to most nurses who are doing their intern in the organization, Dr. John takes at least three hours to monitor what the nurses in practice are doing and also he uses this time to guide them. The Dr is also friendly to the patient, and most patients have hi number, and they can call the doctor any time within the working hours for assistance. For emergency cases, the doctor has another number that patients use to call for help. The doctor works both within the organization and outside when the need arises.

Dr. John is a transformational leader; he communicates a lot with his team (Gray et al., 2017). He conducts a lot of open meetings; this is to allow his team members to express their views regarding the change the doctor he what to make. Since Dr. John was assigned as the doctor in judge, he has made a lot of changes within the organization. At first, the rate of readmission was 40%, but in the past five years, the rate has dropped by half.

The doctor has a vital role he is playing within the organization; the Dr ensures that every department is running effectively, and also he has a communication chain that helps him to gather information which can help the organization become more productive. Dr. John encourages a lot of teamwork. An example, in every ward, Dr. John ensures that there are three professionals from different departments who are delivering care to the patients.

I chose Doctor John as my preceptor because some time ago, I accompanied my father to the hospital, and his case required this particular doctor to attend to him. As the doctor as examining him, he sounded friendly and ready to explain to us every procedure my father will require, and also, he made us understand the health issue that was affecting my father. From this incident, I saw the doctor be the best mentor to me. Most people from my community also trust the doctor due to his good work. The doctor is in charge of the organization he has ensured that professions are comfortable within the organization and will the recruitment team members to focus on other things instead of recruiting professionals regularly. Due to the change today, patients are safe in HGH, and the patient outcome has improved significantly.

Different health care leaders have different strategies that can help an organization, but also patients can be of great help in giving views that will govern the organization (Nelson et al., 2015). The purpose of a health care organization is to achieve the patient outcome; therefore, to get to know what the patients can be of great help. When conducting health care, this can be the best time to understand what the patients need. Different patients have different needs, but the primary need is quality services; thus, from the many options the patient will give, the leader should choose the best views.

The leader can protect health issues; this is because the primary role of a health care leader is to ensure the organization can deliver quality services that help to achieve the patient outcome (Hannum et al., 2017). An example, falling has been an issue in most health care organizations. Looking at the problem, some organizations have overcome the issue while others have not. The difference is causes be the difference in governance. In HGH, the leader aims to make a change; thus, this leader has made proper strategies that will help him achieve this change, and results have been observed even though not to its maximum. Dr. John has been able to protect his team, which is to ensure that their jobs are secured. 

Ethics can be an issue if a leader does not take a good look at the problem. Today HGH has all the principles of ethics; this has helped the organization to receive the patient had lost to the competitors. Dr. John, together with his team, when an issue arises, they discuss, and Dr. John makes the final decision. For many years the organization had problems with high recruitment, which affected a lot the organization’s productivity, but since Dr. John was chosen as a leader, this has reduced significantly.

The issue Dr. John has encountered regarding organization data is the lack of useful data. Dr. John, when he reported first at the office, a lot of data, especially the finance files, were missing at that time the organization was falling due to lack of funds. Dr. John is not sure what he was to do to help the organization because even the drugs were not available at the organization. Dr. John made strategies and got some money, which enabled him to manage the organization until it was stable. The finance issue affected the organization for about two years. Today the organization is trusted with the community, and also they receive a patient from other communities this shows that the organization is now stable 

1. Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.

Topic: In Hispanic patients living in South Florida with diabetes type 

II, does lifestyle modification such as diet and physical activity

help lower HBA1C compared to those who do not make life style changes.

Stakeholder: Sanitas medical center- primary care and

Florida Blue health insurance

Part A: 1 page

Develop your project aims, values, and desired outcomes portion of your paper using a clinical microsystem approach.

• 1. Describe the project aim: The project aim should include examples of features and functions that will occur as a result of implementing your change project.
• 2. Describe the project value: The value should describe the benefits of the change project implementation to the stakeholders, the organization, and the nursing profession.
• 3.Describe the desired outcomes: Specifically, state the purpose, quality focus, and viewpoint of the project as well as its expected accomplishments. A project goal should reference the project’s business benefits in terms of cost, time, and/or quality that address individual and family healthcare needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions. Goals and objectives should be measurable, shared, and agreed on by all key stakeholders. They are directly linked to the concept of project success factors.

The project, aims, values, and desired outcomes are well-developed. They are clear and thorough, and there is evidence that a clinical microsystems approach is used. Aims include examples of projected features and functions. Values include implementation benefits for specific stakeholders. Desired outcomes state the purpose, have a quality focus, and describe the benefits that will occur as a result of implementation.

Part B: Theoretical framework- 4 pages

 For this section of your paper, you must specifically identify and address two independent theories or conceptual models that relate directly to your change project in addition to the Plan-Do-Study-Act (PDSA) cycle. Keep in mind that your theoretical framework provides the structure for your change project. Think of it as a frame for a new home that is being built. The framework is what guides and directs your change project. Basically, it will help make sense of your change project. Make sure to describe how you will apply these theories and models to your change project.

This paper should be at least four pages in length, not including the cover or reference pages.