Case Study Of Jr's Medical Management

History of Present Illness: Ms. Dahlberg is a very pleasant 69-year-old woman who suffers from poorly controlled asthma. She has a recent exacerbation requiring hospitalization at Anna Jaques Hospital in June. Since discharge, she states that she has done well. She has stable dyspnea on exertion. She does feel that perhaps it might be slightly worse given the heat and humidity. She is not complaining of any cough. She is compliant with her bronchodilator regimen.

Childhood asthma is a growing healthcare issue in the United States. It is a common childhood medical disorder that affects approximately 7.1 million children under the age of 18. It is estimated that 4.1 million of this population suffered from an asthma episode in 2011 (American Lung Association, [ALA], 2014). Interestingly, children make up less than 20% of the United States population; however, it estimated that 29 % of hospitalization discharges were contributed to children with asthma who are under the age of 15.

R.J. is a 15-year-old boy with a history of asthma diagnosed at age 8. His asthma episodes are triggered by exposure to cats and various plant pollens. He has been using his albuterol inhaler 10 to 12 times per day over the last 3 days and is continuing to wheeze. He normally needs his inhaler only occasionally (2 or 3 times per week). He takes no other medications and has no other known medical conditions. Physical examination reveals moderate respiratory distress with a respiratory rate of 32, oximetry 90%, peak expiratory flow rate (PEFR) 60% of predicted, and expiratory wheezing.

Asthma is a respiratory disease that many people deal with every single day. “According to World Health Organization, approximately 180,000 people die from asthma each year.” (Jardins and Burton 187) Most people never think of asthma as a life threatening disease, but it can be crucial. As the number of people with asthma increases, the more likely you are to come in contact with someone who has been diagnosed with this disease. Asthma is a severe breathing problem that has many complications that is dealt with daily like shortness of breath, chronic cough, tightness of the chest and shortness of breath, my main focus is childhood asthma, allergic asthma, and medication to treat asthma.

Maggie Gill started her career with Memorial University Medical Center (MUMC) in 2004 as the VP of managed care and finance. In 2005, she became MUMC's COO, and then in 2011, she was named CEO and president by the board of directors, once they realized that the ideal candidate for the position, one who had experience in both finance and operations, was already employed by the health care facility.

CM spoke to Kiara Gelin (youth) regarding a follow-up on services. Youth reported she continues to attend the Partial Hospitalization program at the Jersey City Medical Center. CM was informed that youth stopped attending the TASC program due to time conflict and youth will resume the program in September. CM and youth disused employment; youth had a job interview at Wendy’s, Fast food restaurant. CM encouraged youth to apply at local jobs in the mall, CM verbally provided youth with a list of jobs that are hiring in the community. CM inquired about the Cook, Eat and Talk program. Youth reported the family will follow-up with the program once the family phone is working. CM agreed. CM and youth discussed mentor

Aaron is a 25-year-old Caucasian (Hispanic/white) male who is over weight, he was recently diagnosed with type 2 diabetes and has a long history of sever asthma. Aaron is a full time college student majoring in graphic design and works part time at GameStop during the week. He is a very sedentary individual and spends most of his time playing games or watching TV indoors. On occasions he spends time going to hockey games and parties with his friends but does not spend much time doing any physical activities. Aaron has had sever asthma since he was a child and has been taking a variety of medications from and early age. Up till the age of 18 Aaron too anti-inflammatories, albuterol the generic name is albuterol sulphate inhalation solution and some of the Brand names are ProAir HFA, ProAir

Then plaintiff realized that on January 03 2017, she suffered a minor stroke due to exposure to CO poisoning and as of result lack of oxygen to her brain, stroke is a disease when the brain is robbed of oxygen. It was approximately 700 over-flights from January 01, 2017 through the early morning of January 03, 2017 and at that time plaintiff’s heart and breathing condition were in a very bad shape.

During the clinical experience, I was able to care for a patient with the diagnosis of adult onset asthma. J. D. was a twenty-year-old with a one-year history of mild persistent asthma. His body mass index was 30, and he was a former 1/2 pack per day smoker for one year. Also, other lifestyle factors included social alcohol drinking (1-2 drinks per/day) over the last year since he moved out on his own. He did not regularly exercise, and he admitted to not using his daily Qvar. He lives with a roommate that does smoke in the apartment. His sister was the only family member with asthma and was diagnosed in childhood. He was being treated with a low dose inhaled daily corticosteroid (Qvar 80 mcg/daily) and a short-acting

The most common symptoms of asthma are chest tightness, recurrent episodes of wheezing, breathlessness and as stated before narrowing of the airways (National Asthma Education and Prevention Program, 1997). In an early-preschool child, it is difficult to diagnose if a child has asthma, as many illnesses such as bronchiolitis, and many upper respiratory tract infections can all manifest in similar ways or have overlapping clinical characteristics of asthma (Australian Institute of Health and Welfare [AIWH], 2009). The exact cause of asthma isn 't yet known but researchers believe some hereditary and environmental factors interact to create a foundation for asthma. These factors could be the parents of the child having

Allergic Asthma is a chronic disorder that can impact the patient quality of life. This diagnosis is made through a

As you all know that there is no cure for asthma till now and in some cases there is no identified symptom too, but under all circumstances, a proper medication is necessary to treat, control and prevent the symptoms of asthma from reoccurring. The type of medication for asthma differs among individuals which depends on their internal system, age and the factors that trigger the attack. That is why all the medications do not work on every individual. You must be surprised to know that more than one quarter of patients who are suffering from this disease are children. Therefore, it becomes quite necessary to prescribe a proper medication for the asthma patient to manage this disease.

I agree with you about JD1. The emphasis seemed to be placed on the candidates familiarity with hardware and software. There seems to more concern about the ability to manage the technology than the information itself. The ambiguity in the CIO role appears to be very common (Peppard, J., Edwards, C., Lambert, R., 2011). I feel JD1 is looking for an information systems manager.

The CDC reports that 6.8 million, or 9.3% of all children in the United States currently have asthma, making it the most common chronic childhood illness in the United States. It affects nearly 25% more boys than girls, and Non-Hispanic black children have nearly double the incidence of other ethnicities Also, 13% of children in poor families have asthma, compared to 8% of children in families that are not poor (CDC, 2012). Childhood asthma was responsible for 14 million lost school days in 2004 (Chipps, 2008). This paper discusses asthma and treatment as it pertains to a 13-year-old boy. Topics discussed include pathophysiology, growth and development concepts, patient assessment, management, interventions, patient and family teaching, and QSEN competencies.

Hockenberry and Wilson note there are two main ways to fight asthmatic problems. Pharmacological and nonpharmacological each has a special way of handling things but if parents want to truly help their children they should really do both at the same time. Nonpharmacological is watching what is happening around your child and knowing what can lead to asthmatic problems. One of the best ways to do this is to get a skin scratch test. It may put your child in pain for the one day