Darlene Fernandez Case Summary

Asthma is a serious problem nationwide. It is also a significant problem in the state of Massachusetts, especially in communities in Boston. However, according to Harvard School of Public Health and NIEHS Center for Environmental Health, Roxbury and North Dorchester are highly noticeable hotspots (Backus, Terrell, Wool, & Straubel, 2012, p. 23). For the purpose of this paper, the main focus will be on asthma cases in

A hispanic female named Anna Garcia who was 38 years of age, was found dead on the date of August 14, 2015 in Anytown, U.S.A. She was 64 inches in height and 165 pounds. The case of Anna Garcia first began on a hot, 92°F summer morning. A next door neighbor, Doug Greene, had decided to call police at 9:45 am to place his concern about Garcia because of her dog that had been barking all morning, which was highly unusual. Being that he had not seen or heard from her since the previous morning, he called her, then went over to her house to make sure nothing was wrong. Both the police and EMT arrived at 9:56 am. When questioned by police, Greene informed them that he had seen her the previous morning around 6:30 am walking her dog. He also stated that he saw her wearing a sweater, which was found odd because of the current heat wave. The front door had to be broken down in order to enter the house. Upon entering the house, they found Garcia lying face down in the entry hallway. Inside, the house was a temperature of 73°F. Immediately after Anna Garcia was

An emergency call came in at 9:45 am made by Doug Greene who is a neighbor of the victim Anna Garcia claiming that he had not seen Anna Garcia since her normal morning walk at 6:30 am the previous morning and that the dog had been barking for 2 hours, he had also mentioned that Anna Garcia was wearing a sweater when he had seen her the previous morning while experiencing a 92 degree heat wave. Mr.Greene had called Anna’s telephone with no answer, and had also rang the doorbell with no answer. The EMT and local police had arrived to the scene at 9:56 am, needing to break the door down. EMS discovered Anna Garcia laying face down, dead.

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I met the community outreach programmer Ms. Lisa and I discussed with her about an appropriate evidence-based practice. Ms. Lisa said that there is not education program in Taney County Health Department for asthmatic people. Thus, she asked me to find a successful evidence-based practice, which has been applied in the other Counties or States

This results in Hispanics Americans living in very tightly-knit segregated urban communities, in older housing, and lack access to healthcare that can contribute to asthma exacerbation (Bhan et al., 2015). In the State of Connecticut there is a program called, Putting on AIRS or Asthma Indoor Risk Strategies. This program designed to assess environmental risk in the homes for asthmatic children and families. The hope is to reduce the frequency of asthma-related events by identifying environmental triggers. A public health nurse experienced in asthma management, conducts asthma education in the home. There is also an assessment for environmental asthma triggers in the home such as roach infestation or mold. The program follows participants over a six-month time frame, and has been shown to significantly improve outcomes for asthmatics (Nepaul et al.,

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.

Spoke with Jade Bray, CHR therapist with regarding to Valerie treatment. This writer questioned Ms. Bray about her concerns and the mental health provider intervention for the patient due to the 3 suicidal ideation as a result of stresses in the patient's life. According to Ms. Bray, she expressed her concerns of the patient not following through with recommendations, mainly referring to Chrysalis for assistance with housing, the patient misuse of funds, and discontinuing her use of her addiction. Next week, according to the therapist, there will be a meeting-Multidimensional Therapy (MDT) meeting to address further intervention(s) for the patient. This writer questioned Ms. Bray about CHR Respite. Ms. Bray reports that respite is a temporary

Mom is very open to the asthma education. However she had specific requests regarding her availability. She visits the Hospital for Special Care (see attached) everyday where her son is currently staying. In addition, she needs to be available to care for her other three children after summer camp, and she wanted the education completed before her son returns home from the hospital. Lastly, we do not need an environmental conducted as Chris has already completed one.

A screening template can be developed that can assist the nurse in performing a thorough assessment of an asthmatic patient. This questionnaire should be at an appropriate education level and question should be simple and direct. The questions should focus on the presence or absence of symptoms, activity limitations, exacerbations, missed workdays, and frequency of use of prescribed medications.

In activist Irene Fernandez opinion, she believe that the prosecution rely heavily on the evidence of police and government officers, even there are 42 detainees had died under police custody, but they still never produce the post mortem reports. At the end the Prosecution case offered 145 witnesses to the defense, the defense requests all the detainees in the witness list and the police officer in Kajang who was conduct the inquiry into the deaths of the detainees in the camp, to be made available for them to be interviewed. But until today the Persecution failed to provide any information about how the actual condition that the detainees in the camp. She think that she should never have been charged because of the Memorandum. (Asian Human

3. What components of the patient’s asthma management plan should be monitored during a home visit?

Asthma is a chronic non-contagious disease that according to the World Health Organization, affects nearly 235 million people throughout the world and is responsible for causing 250,000 deaths per year. In the United Sates, it affects more than 18 million adults and 7 million children. Asthma is characterized by hyperresponsiveness of the lungs to allergens, episodic bronchoconstriction, chronic inflammation of the airways, excessive mucous production, airway remodeling and reduced lung function. Together, these signs produce symptoms of breathlessness, coughing, chest tightness and wheezing attacks (Kudo et al. 2013). Some common risk factors include premature birth (Jaakkola 2006), low birth weight (Liu 2014), maternal cigarette smoking (Burke

1. Jessica Gallinelli should hold position in Honeywell and take short position in General Electric Company (GE) simultaneously

Asthma is a chronic airway disease that can be difficult to manage, resulting in poor outcomes and high costs (Kuhn et al., 2015). It is characterized by episodes of expiratory airflow obstruction, which occurs in response to multiple stimuli or triggers. Asthma is a lifelong disease, and symptoms include wheezing, breathlessness, chest tightness, and coughing. Attacks can be mild, moderate, severe, or even life threatening and limit a person’s way of life (Centers for Disease Control and Prevention (CDC), 2011). There is no known cure for asthma, but symptoms can be controlled by avoiding the triggers and taking prescribed medicines that prevent or minimize symptoms.