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Bj week 4

Goal: Develop a PowerPoint presentation on ASTHMA discussed in the McCance text.

Textbook: McCance, C. K., Huether, E. S., Brashers, L. V., & Rote, S. N. (2019). Pathophysiology: The
biologic basis for disease in adult and children (8th ed). Elsevier.
Print: 9780323413176
eText: 9780323583473

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Format Requirements: 

· Presentation is original work and logically organized.

· Followed APA format including citation of references.

· Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.

· Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Content Requirements:

· ASTHMA

· Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level.

· Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder.

· Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.

· Must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly

Surgical site infection (SSI) rates have increased significantly at your hospital. As the unit manager, you have been tasked with reviewing the literature and making subsequent recommendations to determine if a chlorhexidine/alcohol combination skin scrub prior to surgery will decrease your SSI rates as compared to your current practice of betadine skin scrub. 

For this assignment:

• Create a PICOT question based on the information above. Possible question guides can be found here. 
• Research your PICOT question using at least 4 peer-reviewed journals. Sources should be less than 5 years old.
• Create an APA-formatted annotated bibliography of the references you used to research your PICOT question. Use this template.
• Create your PICOT question on a Word document and an annotated bibliography on the provided template. Submit both documents in a single upload.
• The Writing Center. or Purdue OWL have resources to help with APA formatting and the annotated bibliography.

Community Assessment 

The purpose of this  is for to work as a group

to provide a comprehensive 

report reflecting theoretical study and practical analysis of the health of a designated 

community population. 

Conduct a windshield survey and observe a variety of community members in various locations.

. Gather data 

by conducting informant interviews of at least ten (10) key individuals in the community (health

care providers, religious leaders, educators/teachers, and principals, elected officials such as 

the mayor and city council members, fire fighters, EMT/Paramedics, police, and business 

owners) and at least ten (10) local residents who are not considered key individuals. 

Identify 

the top three (3) health concerns using epidemiological data (TDSHS, CDC, etc.) and create a 

plan to address these health concerns. Create an infographic for one of the identified health 

topics. 

(Note – We already have a videos and pictures , which we will upload by ourselves . Our community is West Tahokani , Texas . ) 

Pulmonary Function:
D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

Case Study Questions

1. According to the case study information, how would you classify the severity of D.R. asthma attack?
2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:

• Serum glucose 412 mg/dL
• Serum sodium (Na+) 156 mEq/L
• Serum potassium (K+) 5.6 mEq/L
• Serum chloride (Cl–) 115 mEq/L
• Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L

Case Study Questions

1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
2. Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

Submission Instructions:

• You must complete both case studies
• Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

See Attachment

Need help with this worksheet

Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Evaluating Spirituality in Nursing Practice

      Spirituality is a fundamental aspect of patient-centered care, significantly impacting how individuals cope with illness and make health-related decisions. Over time, healthcare professionals have developed structured approaches to assess spiritual needs, ensuring that these concerns are addressed as part of holistic nursing practice. Several validated tools assist nurses in evaluating patients’ spiritual well-being and integrating this dimension into care planning.

     One widely used assessment method is the FICA Spiritual History Tool, developed to guide clinicians in exploring a patient’s spiritual beliefs and their role in health. This model focuses on four key areas: personal faith, the importance of spirituality in daily life, connections to a religious or spiritual community, and how these beliefs influence medical decisions (Puchalski, 2020). By incorporating this approach into patient assessments, nurses can gain valuable insight into an individual’s values and preferences related to their care.

      Another recognized framework is the HOPE Spiritual Assessment Tool, which facilitates discussions about spiritual concerns. The acronym HOPE represents sources of hope, engagement in organized religion, personal spirituality and practices, and the impact of these beliefs on healthcare choices (Anandarajah & Hight, 2021). This method is particularly beneficial for patients receiving palliative or end-of-life care, as it allows nurses to explore existential concerns and provide appropriate support tailored to the patient’s needs.

      Additionally, the Spiritual Well-Being Scale (SWBS) is a standardized questionnaire that measures an individual’s overall spiritual wellness. This tool evaluates both religious well-being—reflecting one’s connection with a higher power—and existential well-being, which pertains to finding meaning and purpose in life (Bufford et al., 2022). The SWBS is particularly useful for identifying individuals experiencing spiritual distress, especially those managing chronic illnesses or facing significant life transitions.

         Utilizing these tools allows nurses to deliver compassionate and holistic care by addressing spiritual dimensions that influence patient well-being. Acknowledging and supporting a patient’s spiritual concerns fosters emotional resilience, enhances coping mechanisms, and strengthens the nurse-patient relationship. Integrating spirituality into nursing practice ultimately contributes to a more comprehensive and meaningful approach to healthcare.

References

Anandarajah, G., & Hight, E. (2021). Spirituality and medical practice: Using the HOPE questions as a practical tool. Journal of Palliative Medicine, 24(3), 456-462. https://doi.org/10.1089/jpm.2021.0093

Bufford, R. K., Paloutzian, R. F., & Ellison, C. W. (2022). The Spiritual Well-Being Scale: A psychometric review and applications in health care. Journal of Religion and Health, 61(2), 765-779. https://doi.org/10.1007/s10943-021-01374-8

Puchalski, C. M. (2020). The FICA spiritual history tool: Clinical application in holistic nursing care. Journal of Holistic Nursing, 38(1), 12-18. https://doi.org/10.1177/0898010119895363