nr 509 Week 2 Assignment/null
nr 509 Week 2 Assignment/null
tina’s Second Cousin Was Diagnosed With Asthma At Age 5. What Would Be Included In Your Treatment Plan? What Factors Might Concern You Related To Compliance?
the Treatment Plan For This Child Would Be To Treat The Airways Of Inflammation Using Medication To Prevent Asthma Attacks. Further, Short-acting Drugs Will Be Used To Treat The Asthma Attacks. Also, The Child Will Have To Avoid Triggers Of Asthma. Lastly, The Child Will Be Advised To Maintain Normal Activity Levels.
consider That Tina’s Uncle Is Now 68 Years Old And Has Smoked Heavily Every Day Since He Was Fifteen. What Would You Expect To Find In His Respiratory Assessment? How Would This Affect Your Oxygenation Goals For This Patient?
common Significant Deviations Of The Chest For Older Adults Include Marked Dorsal Curvature, Kyphosis, Increased Ap Diameter Of The Chest (barrel Chest), And Diminished Chest Expansion (hogstel & Curry, 2005). Bones Become Thinner, More Rigid, And Change Shape, And Muscles May Become Weakened. This Results In A Lower Oxygen Level With Less Carbon Dioxide Removed From The Body, And Decreased Ability To Cough. Osteoporosis Causes Decreased Thoracic Vertebrae Height. Aging Also Causes The Alveoli To Lose Their Shape Causing Shortness Of Breath. Due To Diminished Cough Reflex With Decreased Sensitivity, Large Amounts Of Particles That Are More Difficult To Expectorate Can Collect In The Lungs. In Addition, The Brain Is Less Sensitive To Hypoxia (low Oxygen) And Hypercapnea (higher Than Normal Carbon Dioxide) And Higher Residual Volume. As A Result Of These Changes, Older Persons Are At Increased Risk For Pneumonia And Bronchitis (minaker, 2011; Sharma & Goodwin, 2006).
in The Respiratory Assessment Of This Patient, I Expect To Find Marked Dorsal Curvature, Increased Ap Diameter Of The Chest, Diminished Chest Expansion, And Kyphosis. The Weakened Muscles Will Result In Lower Oxygen Levels And Lower Elimination Of Carbon Dioxide Leading To Decreased Coughing Capacity. Alveoli Will Also Will Also Lose Their Shape Leading To Dypnea. Therefore, Oxygenation Goals Will Have To Take In Cognizance These Realities And Advise The Patient Accordingly. Consequently, Efforts To Increase Exercise Tolerance, Treat Complication, And Relieve Symptoms Will Be Initiated.
if Tina Had Mentioned That She Was Just Diagnosed With Pneumonia, What Would You Have Expected To Find During Percussion?
hyopperesonance
if The Results Of Tina’s Pulse Oximetry Had Been 97%, Which Of The Following Would Have Been True?
arterial Hemoglobin Saturation 97%
suppose That, During Your Lung Exam On Tina, You Had Heard Bronchial Breath Sounds In The Left Lower Lung Posteriorly. What Would You Have Suspected Based On This Finding?
atelectasis
suppose That While Auscultating, You Assessed A Few Scattered Expiratory Wheezes. Why Would This Be An Expected Finding For A Patient With Tina’s History
tina Would Be Expected To Have A Milder Obstruction Of The Airway.
when You Observe A Patient Like Tina Throughout An Exam, There Are Many Ways To Determine Whether A Patient Is Experiencing Respiratory Distress. Identify One Indicator Of Respiratory Distress That Can Be Assessed Through Observation Alone.
a Bluish Color Seen Around The Mouth, On The Inside Of The Lips, As Well As On The Fingernails Occur When An Individual’s Gets Less Than Sufficient Oxygen.
describe How You Would Assess Tina For Dyspnea
dyspnea Can Be Assessed Both Subjectively And Objectively By Looking At A Patient. A Clinical Assessment Of The Condition Includes Acquiring A Complete History From The Patient Including Its Onset, Effect Of Positioning, Qualities, Associated Symptoms, Allergy History Among Others. Further A Physical Assessment Wherein Attention Is Directed At Specific Signs Of The Condition Such As Dullness To Percussion, Decreased Tactile Femitus, Elevated Venous Jugular Pressure Etc. Follows History Acquisition.
explicitly Describe The Tasks You Undertook To Complete This Exam.
the Examination Was Completed By Undertaking Task In Three Sections Of The Assignment. The First Section Entailed Acquiring A Complete History From The Patient By Asking Subjective Questions. After The Subjective Data That Included General Information, Review Of Systems And Hpi, A Physical Assessment Of The Patient Occurred. The Physical Assessment Principally Entailed Examination Of The Respiratory System Of The Patient Through Various Strategies.
explain The Clinical Reasoning Behind Your Decisions And Tasks.
the Various Tasks And Decisions Undertaken Here Were To Inform A Differential Diagnosis Of The Patient’s Condition. The Diagnosis Specifically Enabled Me To Eliminate Some Of The Conditions That Were Suspected To Have Caused The Asthma Attacks On The Patient. Therefore, The Various Tasks Were Necessary For Reaching A Proper Decision On The Type Of Asthma.
identify How Your Performance Could Be Improved And How You Can Apply “lessons Learned” Within The Assignment To Your Professional Practice.
my Performance Could Be Improved By Seeking More History From The Patient. In Terms Of Lessons Learned, The Present Analysis Will Allow Me To Become Even More Aware Of The Nitty-gritties Of Respiratory Assessment For Future Practice.
