Personal Narrative Essay

On 08/04/16 at 8:42pm, I was dispatched to 2087 S. Hamilton Rd, on a injury dangerous or vicious dog/injured dog, serious injury, involving a Columbus Police Officer (CPD) being bit by a dog and shooting dog. I arrived at the location. I was advised my CPD personnel that the CPD Officer that was bite was transported to the hospital and that the dog was still breathing. I was escorted to the area where the dog was. The dog was on the ground, next to the dog was dog owner Jackie Fate. I was unable to see any visible injuries to the dog, the dog had shallow breathing. I asked Ms. Fate to wrap the leash around the dog’s mouth to prevent the dog from biting her or me while I placed the dog on the stretcher. Ms. Fate complied, I slowly guided the dog on the

Acute bronchitis is one of the most common diagnoses encountered in a primary care setting. It affects millions of individuals resulting in significant impact on health of patients and health care industry. Studies have shown that 90% of times acute bronchitis is caused by a virus, yet health care providers are failing to treat or manage these patients with appropriate therapies (Knutson & Braun, 2002). The focus of this paper is to review the guidelines for treatment of acute bronchitis after differentiating acute bronchitis from other common respiratory disease in terms of epidemiology, pathophysiology, clinical features, diagnosis, differential diagnosis, complications and patient education. Understanding the evaluation and treatment guidelines, nurse practitioners can provide evidence-based practice for patients with acute bronchitis.

I’m ideally pessimistic, therefore I’m not easily influenced. Receiving a large amount of honor, uniquely I come off as formidable. I’m only 17 moreover, I’m just now starting to find myself. I feel as if without comfort I would perform surpassingly, accordingly I’m precisely individualistic. Throughout my childhood I’ve had various coaches not only in sports, likewise for life. Being adolescents, we imagine our parent to become our role model, opposingly I’m just now finding mine.

The darkness consumed my cousin, but not completely. A part of me did not want to believe that she committed a mass murder and maybe, just maybe it was someone else. But the proof that the police needed was all there. We weren’t that close but it pained me to know that someone who i thought to be as a kind and caring person could kill people.

Last january, I caught a disease called strep throat. I felt terrible and just wanted to sleep. I went to the doctor. She gave me some medicine. The doctor gave me a strep test and it was positive. At first, my throat felt sore and itchy. Strep throat is very contajus, so I got to stay home for a few days. After a week, my throat cleared up and I felt much better. It was great to feel healthy again.

Chronic Bronchitis has serious affects on the body especially if Chronic Bronchitis goes untreated early on. The disorder results in an ongoing decline of the lungs functioning properly. Patients are at a higher risk of cardiac disease and pulmonary disease related deaths (American Lung Association, 2015). Fortunately there are treatment options for patients. If the patient is a smoker the first step for treatment would be smoking cessation. Smoking cessation means to quit smoking. There are many positive results from this treatment. This can help reduce coughing, lower the level of mucus production which will decrease injury to the bronchiole tubes. Other

Bronchiolitis is one of those illnesses. The virus most often occurs in children two to twenty-four months of age (Davidson, 2013). It is an illness that spares few, afflicting approximately 95% of children before their second birthday (Davidson, 2013). The virus peaks during the winter months from December through March and accounts for 10% of visits to the primary care provider during the first two years of life (Burns et. al., 2017). It is the leading cause of hospital admissions for infants (Burns et. al., 2017). Bronchiolitis is one of those illnesses every practitioner should confidently know how to manage due to the vast amount of children it afflicts. The AAP released a clinical practice guideline in October 2014.Familiarity with this guideline is essential to effective

Every fall season, more than 1 billion Americans contract colds which lead to the overcrowding emergency rooms, doctor offices and urgent care visits. Most of them present similar symptoms of upper respiratory tract (URT) infections which affects the air passage in the nose, ears and throat. Among them, 5 to 20 percents of these symptoms are contracted by influenza, commonly called “the flu” (11). According to the Center of Disease Control and Prevention (CDC), flu diseases are episodic and can be acute which has claimed 3000 to 49000 lives from 1976 to 2006 although there have been no findings on a mortality report due to the common cold (11). Although the common cold and flu share a lot of common characteristics, but their complications

Infants with acute bronchiolitis may present with a wide range of clinical symptoms and severity, from mild upper respiratory infections to impending respiratory failure. Typically, these symptoms include tachypnea, wheezing, cough, crackles, use of accessory muscles, and/or nasal flaring. An infant with bronchiolitis will often present as having a “seasonal viral illness characterized by fever, nasal discharge and a dry, wheezy cough” (Conquest, Cremonesini, & Neill, 2013). During the first seventy-two hours of illness, the infant typically becomes worse before the symptoms begin to improve. An infant with bronchiolitis will present with 2-3 days of symptoms similar to that of the

Influenza, also known as ‘the flu’, is a viral infection that tends to extent through societies between November and April every year, with a highest number of cases occurring in January and February. It is a respiratory illness that causes chills, high fever, body aches, and cough, but sometimes, its complications can be deadly. “About 5% of the population will contract the flu each year” (Influenza and your Health, 2017). Considering this, the “flu” is a very significant infection to study, characterized by specific symptoms, affects diverse age groups, and needs a vaccine protocol of which we must have knowledge to be prepared

Bronchitis is the inflammation of the bronchioles secondary to possible infection. The inflammation produces mucus production and shortness of breath. As the victim coughs the body not only attempts to clear the airways, but can cause irritation to the already inflamed bronchioles causing a blood tinged sputum production and chest discomfort in which the patient is positive for. Patient is negative however for associated symptoms such as fever and chills. Bronchitis comes on quickly over the course of 2-3 weeks and can be ruled out with further testing. (Dunphy & Winland-Brown,

This approach treats the inflammatory component, but for the purely fibrotic lesion associated with constrictive bronchiolitis, the corticosteroid should be stopped shortly after stabilization. After using this treatment, patients are sent home with at-home exercises to do daily in hopes that it will reduce the blockage in the lungs (Epler).

The goals of treatment are to cure the infection and prevent complications. Most people can be treated at home by following these simple steps. You must drink plenty of fluids. This will help loosen up the phlegm and you will be able to cough it up. You must get plenty of rest. Take the lowest dose of cough medicines that you can. You must control your fever. It is always important to take your antibiotics when you are suppose to.

Yes I would order a chest x ray due to the duration of her cough, the fact that it is post infectious, her age, and to evaluate for pneumonia and masses. Due to the duration of the cough and the fact that her cough is becoming productive with yellow sputum, I would tell the patient she probably started out with a viral bronchitis that now could be transitioning into a bacterial bronchitis and/or Pertussis and I would prescribe an antibiotic that will cover both: Azithromycin 500mg PO day 1, then 250mg PO Daily X 4 days. I would instruct her to buy over the counter mucinex take as directed on box, and drink plenty of fluids. If the cough does not improve in 3 weeks have her follow up.

Then the 134 arrived. I got on, showed my pass to the bus driver and