Controlling Bad Breathe

Oral care aims to supply an adequate hygiene level, which leads to reduce colonisation of dental plaque and oropharynx and to reduce the aspiration of contaminated secretions into the lower airway (Feider et al. 2010). Research has demonstrated that colonisation of the airway and aspiration of colonised saliva are the two main pathogenic causes of VAP (Adib-Hajbaghery et al. 2011). Other cause is the production of a biofilm along the endotracheal tube (ETT) which contains large quantities of microbes that could be spread into the lungs by ventilator-induced breaths (Keyt et al. 2014; Palomar et al. 2010). Additionally, instilling saline into the ETT, suctioning secretions, repositioning the ETT or coughing, could dislodge the biofilm into the airway and increase the risk of VAP (Moore. 2003; Morehead and Pinto. 2002).

In an article entitled Interpersonal Influences on the Asthma Self-Management Skills of the Rural Adolescent, Quaranta, Wool, Logvis, Brown and Joshy (2014) sought to “understand how self-management behaviors of the adolescent with asthma are influenced by the perceived expectations (normative beliefs/subjective norms) for self-management behaviors from healthcare providers, school nurses, teachers, family and friends” (Quaranta, Wool, Logvis, Brown & Joshy, 2014, p. 97). Self-management behaviors were defined as “(a) knowledge and avoidance of triggers; (b) knowledge and proper use of medications; (c) ability to identify asthma warning signs; and (d) the ability to take appropriate actions” (Quaranta et al., 2014, p. 98). Quaranta et al. (2014) proposed that asthma management activities were more likely to occur if adequate asthma management expectations were clearly defined.

It is suggested by Henderson (1998) that breathlessness in the UK today is a common and complex subjective set of symptoms. A vast range of medical and lifestyle choices cause and exacerbate breathlessness, which can be a frightening and sometimes a painful experience for the patient. A nurses interaction with a patient can help alleviate and reduce these episodes and make a substantial difference to patients both in the community and hospital setting.

Many people have a difficult time talking in front of an audience and, some don’t even enjoy interacting with new people at social events. My colleagues and I have conducted a study that describes the effects of a medication for SAD (Social Anxiety Disorder) that can be administered as a nasal spray. We randomly selected a group of 40 men and women with SAD under two different situations: (A) a situation where the applicant was asked to interact with people that they didn’t know and (B) a situation in which an applicant was asked to quickly prepare a speech to present for a small group of strangers. Ten applicants of each

According to the text, Breathe Right Strips were invented by Bruce Johnson, a chronic nasal congestion sufferer. Mr. Johnson Brought his creation to CNS Inc. CNS took the product and primarily marketed it to sports teams, nasal sufferers and night-time snorers. The product really became prominent when Jerry Rice of the San Francisco 49ers wore the product in the Super Bowl. According to cns.com, Breathe Right Strips is also available in vapor strips, clear and tan strips, and nasal strips for kids. Some of the other products include nasal spray, throat spray, fiberchoice and a portable vaporizer. Armed with these few, but strong products in 1995 CNS, decided to go global.

(Harrington, ME) The Worcester Wreath Company and Wreaths Across America announces, on December 12, 2015, 901.000 christmas wreaths were placed on graves across American to remember those who lived and served. The wreaths help to keep their memory alive and provide individuals with a moment to pause and remember them and their service. This is a time when individuals come together without denominational divide or political agenda to lift up the men and women who have protected America's freedom. The Christmas Wreaths add beauty to the cemeteries they grace and provide a reminder to all that Americans have a great deal to be thankful for during the holiday season.

Wrigly Eclispe Chewing gum ran an advertising campaign stating their gum killed germs that caused bad breath, while their closest competitors only masked the smell of bad breath. The claim that Wrigley Gum kills bad breath germs is untrue. The gum had and has no ‘mechanism or chemical’ to kill germs that cause bad breath in the human mouth. The validity of this claim can be tested by (1) reviewing the active ingredients or chemicals in the gum and determining if those ingratiates neutralize germs that cause bad breath or (2) doing a before and after mouth germ test.

- Assess the frequency and depth of breathing. Tachypnea and shallow breathing often occurs because of the movement of the chest wall and the lung fluid.

According to Health Canada (2008), “Untreated gum disease can lead to the loss of teeth and an increased risk of more serious diseases, such as respiratory disease.” So it is important to take care of our teeth, gums and tongue to prevent other serious infections and diseases from developing. A person’s self-esteem will be affected if he or she doesn’t have healthy teeth because it will cause confident level to drop and the person becomes more self-conscious about it in front of others. A person with poor oral hygiene will have bad breath due to not scrapping his or her tongue, it will decrease social interaction with others because other people will walk away or they will stop talking.

Asthma is one of the most prevalent respiratory diseases. It is a chronic condition with recurring, exacerbations characterized by bronchial hyper-responsiveness and inflammation leading to airflow obstruction (Cabana, et al., 2014). Over time, the chronic inflammation may cause permanent damage to the airway (Wenzel, 2012). Asthma affects people of all ages but typically begins in childhood (Wenzel, 2012). This paper will explore the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Additionally, it will cover how age and behavior can impact the pathophysiology and influence the diagnosis and treatment of the disease. Finally, mind maps will illustrate, visually, the epidemiology, pathophysiology, clinical presentation, diagnosis and treatment of both the chronic and acute phase of asthma.

America’s cities have been built upon population growth and economic development — essentially meeting the economic needs of investors. The problem is that public leaders don’t always think about public health. Thinking about what to build, and taking into consideration the health of the people in the community. According to Dr. Jackson, co-author of Designing healthy communities, states ‘what really impacts people’s health is where they live, how they live, and the other people they are with’ — i.e. their surrounding community. (Designing, 2013.)

The pathophysiology of Asthma includes inflammation of the airway. The way in which this works is from an irritant which can include dust, pollen, cedar, or cat hair. When a reaction occurs, the airways become inflamed and narrow. The narrowing occurs because once the inflammatory response is triggered by an irritant, histamines, immunoglobulin E antibodies, and leukotrienes are released. Because of this, mucous production occurs. Since the bronchioles are inflamed and narrow, breathing becomes difficult. Wheezing sounds can be heard due to the lack of air being able to easily move in and out of the narrowed bronchioles.

This person may also have a come and go attitude which is what we discussed in class as someone who is social and quickly becomes anti social because they do not know what they truly want or they simply do not know how to interact with certain individuals or how to react in situations.

For instance, most people have felt shy or insecure on occasion, however, it does not interfere with their daily routines. On the other hand, people suffering from social anxiety disorder experience severe emotional, physical and behavioral symptoms. These symptoms hinder the person from functioning normally on a daily basis (Smith/Jaffe-Gill, 2014). Emotionally, the person fears being criticized and judged by others in everyday social situations. He or she is scared that they might embarrass or humiliate themselves. Frequently, when speaking in public, a person with social anxiety disorder might think, “Was that a yawn? She thinks I’m boring!” (Stein, 2007). These negative thoughts lead to serious physical symptoms, such as shortness of breath,

The avoidant behavior an individual uses creates a lack of a human relationship. The less a person develops a relationship with someone, the more alone they will be. Avoidant behaviors include most of the social anxiety characteristics such as, lack of eye contact, preferred aloneness, and inability to hold a conversation. Claire uses avoidant behaviors such as lack of eye contact and lack of ability to create a relationship with an individual, specifically her roommates. As demonstrated with Claire, she gets invited to social gathering but continues to decline. The more she declines the less her roommates are going to ask her to participate with them, thus the cycle of social