PICO Case Study Essay

Human-papillomavirus (HPV) DNA testing has been proposed as an alternative to primary cervical cancer screening using cytological testing. Review of the evidence shows that available data are conflicting for

Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia

Finding a question to research seems like such an easy task however, in order to be able to do research one must find a topic with enough clinical research available in order to be able to compare and study. When preparing to do research it is imperative to have some type of format or structure to use as a guide while preforming your search. The PICOT format is a format that is very helpful in guiding efficient clinical searches (Melnyk & Fineout-Overholt, 2015).

B.T. has a nursing diagnosis of ineffective airway clearance that requires nurse management with prescribed beta 2 adrenergic agonists, and teaching effective coughing and breathing techniques. The respiratory therapist will assist by performing nebulizer treatment and teaching the patient about home nebulizer. The nurse will emphasize on the importance of adhering to medication regimen and taking the right medication at the right time.

Breathing is a vital process for every human. Normal breathing is practically effortless for most people, but those with asthma face a great challenge. During an asthma attack, breathing is hampered, making it difficult or even impossible for air to flow through the lungs. Asthma is an increasingly common problem, and has become the most common chronic childhood disease. At least 17 million Americans suffer from it(1), and although it can be fatal, it is usually not that severe(4). There is no cure for asthma, but with proper care, it can usually be controlled.

As the second intervention we are going to offer an educational program for the patients. The program will go on for four months with two meetings per month, a total of eight group meetings. It will also include four home visits by a community health worker. Following GINAs’ guidelines the class will include inhaler skill training, support regular consultations and creating a relationship to their health care provider and encourage adherence with controlled medication and training in asthma self-management. Self-management includes self-monitoring of symptoms and PEF, regular medical review and a written asthma action

This paper will discuss and explore five-year-old Jessica White, who presented to the emergency department suffering from asthma (School of Nursing & Midwifery 2014). Firstly, this paper will scope the normal pathophysiology of the respiratory system and then discuss the abnormalities in relation to Jessica’s respiratory system and the reasoning behind her asthma due to being exposed to a certain trigger. In addition, it will discuss the pharmacology in relation to two medications in which Jessica has been prescribed, and how these medications will provide relief for Jessica and improve her asthma. Lastly, this paper will explore the signs and symptoms of asthma that Jessica presented with at the hospital and how they are associated with asthma.

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.

SES met with Matthew Moore at CM offices in Silver Spring, MD to coordinate CM vocational programs and services. SES asked Matthew had he returned to his job with the United Parcel Service since his recent hospitalization. Matthew replied that he would return to work with a physician’s note this coming Sunday. SES asked Matthew if he still wished to disclose to his employer his disability status to allow SES to facilitate a discussion on the need to decrease the amount of days on his current work schedule. Matthew stated he wanted to return to work and make an assessment of his workload first before asking SES to step in and speak with his management. SES asked Matthew his thoughts on his current position of employment. Matthew stated

If triggers can be identified and eliminated or exposure can be reduced, the child’s symptoms will arise less often and their overall quality of life will improve. Another huge teaching point for parents and patients is recognizing the signs and symptoms of an asthma attack. There are specific signs and symptoms associated with asthma, if patients and family can recognize and effectively respond to these, there is a better chance of controlling the asthma and reducing the risk for complications. A third priority patient education topic is how to use spirometers and inhalers. Asthma requires devices to measure the airflow and the medications must be properly administered to facilitate the effectiveness of

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.

As the disease progresses, remodeling of the airways occurs leading to chronic disease if left untreated (NAEPP, 2007). Symptoms of asthma often include wheezing, chest tightness, coughing, and shortness of breath or difficulty breathing (CDC 2011). The diagnosis of asthma is not only clinical but also can be supported by Pulmonary Function Test, allergy tests, and chest X-Ray. Asthma’s severity can be classified as mild, moderate or severe depending on the intensity of the presenting symptoms. Based on the severity, treatment can range from short acting beta agonist like albuterol to corticosteroids to an Emergency Room (ER) visit for uncontrolled asthma not responding to treatment. Complications related to asthma can be life threatening leading to death if left untreated. According to the CDC, asthma kills on average 9 people each day (CDC

Although many Organization such as national and international guidelines from the Global Initiative for Asthma (GINA) and the National Asthma Education and Prevention Program (NAEPP) highlighted the importance of evaluating asthma severity in children before the beginning of therapy. Severe asthma is known when lungs are not function normally and develop tenacious symptoms despite appropriate therapy. Asthma in children is a chronic, continuous disorder and categorized by airway inflammation. It also has different phases. While some children with asthma have symptoms that are improved with short-acting bronchodilators, many other children have continuous symptoms requiring daily treatment with inhaled corticosteroids (ICS). Children with

Asthma is chronic lung disease that inflames and narrows patient’s airways which causes wheezing, shortness of breath, and coughing. Asthma can affect people of all ages but mainly diagnosed in childhood. Asthma does not have a cure but people affected can manage the disease with few symptoms by taking an active role in their care. According to the NIH more than 25 million in the United States have asthma, so it is very common. However, In Richmond and Hanover there is a higher prevalence of people diagnosed with asthma. Local news NBC12 reported “the city exceeded national averages for the use of asthma medications, emergency room visits, and annual death rate from asthma. A larger minority, low income, and uninsured population

As a young doctor on call in one of the leading hospital in Nigeria, I had a patient, an 8 year old girl that presented with breathing difficulty accompanied with wheeze. The picture fitted so well into an acute asthmatic attack and we began management along that line. There was an initial improvement but this improvement wasn 't as expected and this made us probe further. The patient’s mother attested to the fact