Nursing Care Plan for Asthma Management

Nursing Care Plan for Asthma Management Implement and monitor using nursing care for clients with chronic health problems PART A Asthma is a chronic disease of the airways. Asthma causes the muscles in the airways to tighten and the lining of the airway becomes swollen and inflamed, producing sticky mucous. These changes cause the airways to become narrow, making it difficult to breathe. This may lead to wheezing, shortness of breath and coughing. Most people with asthma only have symptoms when they inhale a ‘trigger’ such as pollen, exercise without the right preparation, or if they catch a cold or flu. The triggers and causes for asthma symptoms vary for different people. Some common triggers are: Allergy triggers such as house dust mites, pollens, pets and moulds, wood dust, chemicals Family history of asthma Upper respiratory tract infections Hay fever or eczema Cigarette smoke Viral infections – for example, colds and flu Cold air or changes in the weather Some medicines Exercise Foods to which the child is allergic Typical asthma symptoms include: Coughing Tight feeling in the chest Wheezing – whistling noise when breathing Shortness of breath Struggling to breathe During an asthma attack, people often experience difficulty breathing. This occurs because persons’ airways get swollen and narrower and it becomes a lot harder for air to get in and out of the lungs. Sometimes the swollen airways produce extra mucus, which may clog up the airways of your lungs which makes it even more difficult to breath. It can feel like the person is breathing through a straw. A person with asthma may also wheeze (a whistling sound when he or she Asthma can take a psychological as well as a physical toll on a persons life. Factors that contribute to the psychological effects of asthma include the severity of the illness and the extent to which activities are limited by the disease, the quality of social and family support available, the age at which the disease began the persons knowledge about the illness and the sufferers coping style, skills and overall personality. For most people, it is uncomfortable to have feelings of being different from other family members, friends or classmates. In social situations, people with asthma may feel self-conscious about using an inhaler or having to be careful to avoid triggers that can set off an asthma attack. The desire to fit in can lead people with asthma to ignore their disease or fail to take care of it properly. This is the case with Jason as he prefers not to take his ventolin in front of his classmates as it makes him feel â€Å"different†. This is an issue as he suffers from frequent severe episodes of asthma which requires him to take his medicine appropriately otherwise his health will be jeopardize. Chronic asthma doesn’t just affect the person with the condition, it also affects their family. Major changes in schedules and priorities must be made to manage the family, work and the life of child which can cause great stress. Parents may struggle with taking time off to care for Jason when he is unwell or needs to attend one of his frequent medical appointments. His activities may be limited, and, in many cases, their families must change how they live to accommodate the child. As for Jason, his school and social inclusion may be restricted. He may feel excluded from their school friends if they cannot take part in games, sports and social activities. Because of his chronic illness, Jason will feel different than other children which have caused him to not take his ventolin. If the chronic asthma is not managed properly, Jason’s quality of life will be impacted. The condition can lead to fatigue, underperformance or absence from school due to medical appointments or hospitalisation, psychological problems, including stress, anxiety and depression. PART B Nursing Care Plan (Diagnosis, Planning, Intervention) Diagnoses Goals/Expected Outcomes Intervention Ineffective airway clearance related to airway spasm, secretion retention, amount of mucus. The patient is able to demonstrate deep coughing to assist in clearing the airway. The patient’s airway is patent and free of secretions, as evidenced by clear lung sounds, and ability to effectively cough up secretions after treatments and deep breaths teachings. Patient will verbalize understanding that allergens like dust, fumes, animal fur, pollen, and extremes oftemperature and humidity are irritants or factors that can contribute to ineffective airway clearance and should be avoided 1. Airway management by freeing the airway through suction, monitoring the chest wall retraction and respiratory rate. 2. Listen to lung sounds monitor oxygen delivery. 3. Assess colour, consistency and amount of sputum. 4. Encourage deep coughing/breathing 5. Educate client on the different factors that can trigger that can cause asthma attacks Ineffective breathing pattern related to chest wall distention, and fatigue due to increased work of breathing. Demonstrates effective coughing and clear breath sounds; is free of cyanosis and dyspnoea. Patients breathing pattern is maintained as evidenced by: eupnoea, normal skin colour, and regular respiratory rate/pattern. Patient will be able to verbalize the understanding of appropriate measures to maintain a patent airway at all times by discharge. 1. Monitor the frequency, rhythm and depth of breathing. 2. Encourage deep coughing/breathing 3. Position the clients chest semi-Fowler position. 4. Distract people from thinking about the state of anxiety and teach how to breathe effectively. 5. Reassure the client and give support when dyspnoea. Activity intolerance Patient will demonstrate skill in conserving energy while carrying out activities of daily living (ADLs). Patient will have no shortness of breath, weakness and fatigue on exertion. Report/demonstrate a measurable increase in tolerance to activity 1. Energy management by determining the causes of fatigue, monitoring respiratory (respiration, dyspnoea, pallor) 2. Monitor response of breathing during activity; assess abnormal response in respiration, blood pressure, pulse. 3. Evaluate patient’s response to activity. 4.Help clients choose the activities that can be done 5. Explain importance of rest in treatment plan and necessity for balancing activities with rest. d) Evaluation Ineffective airway clearance related to airway spasm, secretion retention, amount of mucus Once all nursing intervention actions have taken place, the nurse completes an evaluation to determine of the goals for patient wellness have been met. Goals/Expected Outcomes Evaluation The patient’s airway is patent and free of secretions, as evidenced by clear lung sounds, and ability to effectively cough up secretions after treatments and deep breaths teachings. You will need to access the airway manually and note any obstructions. If patient requires suction, re-access the airway and listen to lung sounds to see whether it is clear or not. Note any breathing sounds such as wheezing as this could indicate an obstruction. You will also need to monitor the chest wall retraction and respiratory rate. Assess and evaluate changes in vital signs and temperature routinely as per require. Tachycardia and hypertension may be related to increased work of breathing. Fever may develop in response to retained secretions/atelectasis. Note presence of sputum; assess quality, colour, amount, odour, and consistency. May be a result of infection, bronchitis, chronic smoking, and others. A sign of infection is discoloured sputum (no longer clear or white); an odour may be present. The patient is able to demonstrate deep coughing to assist in clearing the airway. Assess cough for effectiveness and productivity note the technique and the position of the patient. Patient should be sitting up right to promote full expansion of the thorax. Consider possible causes for ineffective cough: respiratory muscle fatigue, severe bronchospasm, thick secretions, and others. Patient will verbalize understanding that allergens like dust, fumes, animal fur, pollen, and extremes oftemperature and humidity are irritants or factors that can contribute to ineffective airway clearance and should be avoided Ask the patient to provide examples of allergens that can irritate the airways and factors that can contribute to ineffective airway clearance. If the patient is unable to state the factors, the nurse will need to educate and provide appropriate information. Patient education will vary depending on the information stated as well as the patients cognitive level. Client Education Asthma self-management education is essential to the control of asthma and should be encouraged to all patients to take responsibility for his or her own care. If asthma symptoms are controlled, the patient should have fewer exacerbations, a higher quality of life, lower costs, slower progression of airway from inflammation, less morbidity, and lower risk of death from asthma. Patient asthma education can also improve beyond symptom control, such as patient knowledge about asthma and patient satisfaction and feeling of self-control. Other benefits include reduced school absences or work days, fewer exacerbations, restrictions on activities, and emergency-department visits. The burden of living with asthma can also result in depression and anxiety for the patient and/or family, and these psychological changes can compromise asthma control. Children will asthma are likely to feel embarrassed of their condition and may suffer low self-esteem. If the parent’s stress, social isolation, or anxiety increases, the likelihood of poor asthma control in the child increases. However with proper education, psychological factors such as low self-esteem, isolation and anxiety can also be managed. Parents can help an asthmatic child avoid embarrassment by asking the school teacher and/or counsellor to support and encourage the child. Having a school nurse, teacher or outside educator talk to the students in the class about asthma can also be quite helpful. The more informed the children are about the illness, the less likely they will be to tease a child with asthma. One other way for people with asthma to feel less anxious is to educate others about it. They can empower themselves by becoming an expert in the illness. When they share information with family members, friends, fellow students and co-workers, everyone benefits and becomes more understanding about what its like to live with asthma. Community Resources available Asthma Australia Asthma Australia and member Foundations deliver high quality support to people with asthma and their careers. They offer support, training and resources to the primary health care sector and when treatment is required they ensure patients and their careers have the skills, information and power to be actively engaged in the decision making process. http://www.asthmaaustralia.org.au/Children_and_asthma.aspx National Asthma Council Australia To improve the quality of life and health outcomes of people with asthma and their careers, reduce the social and economic impact of asthma on the community and reduce the prevalence of asthma in the Australian community http://www.nationalasthma.org.au/ The Asthma Foundation of Victoria (Support Group) Provide services to help people manage their Asthma and provide the whole Victorian community with an excellent service based on asthma advice, information and programs http://www.asthma.org.au/ The Australian Lung Foundation (Victorian Support Groups) To provide caring, support and information for those with lung disease/s and for their careers and families. http://www.lungnet.com.au/

Hps326 Assignment Questionnaire

HPS326 Assignment Questionnaire Questions 1-5 (8% per question) 1. William Whewell coined the term â€Å"scientist† in the year 1833. 2. The conflict myth was proposed by John Draper and Andrew Dickson on the relationship between science and religion. They termed the relationship as a mutual antagonism whose history was a conflict between the rationality of science opposed by the ignorance of religion. Two versions of this myth exist; the strong and the weak.The strong version states that the inherent differences of science and religion have eclipsed through history as science is represented with a need to rival against religion, making conflict unavoidable. The weak version claims this conflict is haphazard and is purely based on historical fact. 3. The historiographical distinction between ‘modern science' and ‘natural philosophy' is that natural philosophy can be seen as a precursor of natural sciences (i. e physics etc. ). Natural philosophy is an entity that c an explain properties that can not necessarily be verified, classified or quantified.On the other hand, modern science is a development, divisional field of natural philosophy. It relies on the scientific experimentation for the growth of knowledge and advances in society and technology. 4. The ‘Merton Thesis', proposed by Robert Merton, states that the rise of science is linked to the values of Puritanism. It verifies the idea's of Francis Bacon as being inspired by the puritan ‘work ethic' which is accounted for by the volume of Puritans in the Royal Society. 5.According to Margaret Osler, in the 20th century, the conflict myth's support was attributable to; the positivism of Auguste Compte, and secularization of North American universities. In Compte's positivist philosophy, he founded numerous principles in which he claimed direct observation is the only way assertions can be established. This influenced numerous historians when they looked upon the history of scienc e and religion as they rejected all metaphysical thinking because it can not be proven empirically.This asserted that all sciences could be minimized to mathematics and physics driving a larger conflict between science and religion. The secularization of North American universities played a large role in the support of the conflict myth. This is due to the fact that the schools pushed an anti-religious approach and completely expunged any supernatural reasoning from the realm of science. This reinforced the rejection of metaphysics and furthered the perception of a conflict. Question 1-3 (20% per question) 1.The period form 1500 to 1700 was known as the ‘Scientific Revolution'. This period is considered the ‘revolution' as historians believed science began progressively separating from religion. Thinkers like Copernicus and Newton began to change the way people thought about the concept of nature. However, this view of a ‘Scientific Revolution' is still highly prob lematic. Shapin contested that no such revolution occurred. He asserted this as no single definition of science emerged and no specific method was employed.He also eluded to the point that this period was only coined ‘revolutionary' as the people of that time were interested in pursuing science and wanted to propel it as a professional field. Margaret Osler also termed this problematic as numerous individuals began challenging the fundamental principles of positivism. She also suggests that there was still an importance of theology in Newton's projects and a requirement of biblical interpretation to development of scientific methods. This suggests that religion and science did not separate in the ‘Scientific Revolution' as religion was still needed to discuss science. . The 19th century ‘Whigs' – an english liberal political party- are amalgamated with ‘Whig' history as people who perceived science as progressive. Science was the key to move humans alo ng the road to a better life. However, ‘whiggish' history is not acceptable today as it is too goal-centric. It claims that history has progressed along a predesignated path towards the goal of complete understanding. This was not welcome in ‘modern science' as it suggested that science was purely cumulative.However, scientific findings do not always continue building upon previous results. As well, Whiggish history focused too much on the ‘great men' of science – the male geniuses like Darwin, and Einstein – even though modern science has been practiced and perfected by normal (even female) individuals. This is supported with Peter Harrison's view on science and religion as he states a need of Protestant approaches in the development of modern empirical science. Harrison claims that biblical interpretations of Protestant texts is liked to the rise of modern science.This favours ‘Whig' history as they campaigned the Protestant values and behavio urs which aligns with their view of science. 3. Early analytic philosophy avoided the study of philosophy of religion and opposed metaphysics. However, the emergence of an analytic philosophy of religion in the 1960s, was crucial for the emergence of science and religion as it's own field. It brought about the collapse of logical positivism as it began to self-refute. Analytic philosophy then tried to get rid of traditional philosophy- claiming that it was too unscientific- and progressed to a more scientific way of thinking.Yet, even with it's new scientific way of thinking it was taken over by Christian theology allowing for a renewed interest in metaphysical thinking and the philosophy of religion. This then began to combine science and religion under one roof in terms of a relationship. Analytic philosophers, who were trained in science, then began bringing up religious problems in terms of using science as the best model for rationality. This allowed the rise of the field of sc ience and religion because of the influence of scientific christian thinkers.

Personal Finance Budget Plan

| Personal Financial Planning Budget| 10/11/2012| PFP-110-120A-02 Phase I Individual Project| A personal budget is a financial plan of an individual’s or household’s income and expenses over a given period, typically one month (www. careeredonline. com). The budgeting process involves estimating future results. In order to prepare this particular budget, the previous month is analyzed. This process helps to understand how and where the money is going all month. The bills that need paid out of a $4. 040. 00 income, were as follows: * Income – $4,040. 00 Taxes Taken Out Before Bring Home Income – $40. 00 * Mortgage – not discretionary * Utilities – $190. 00 – some discretion can be applied * Groceries – $400. 00 – some discretion can be applied * Auto Insurance – $120. 00 –not discretionary * Car Payment – $250. 00 – not discretionary * Entertainment – $400. 00 – 100% discretionary * Savings – $168. 00 – preferably not discretionary * ————————————————- Child Care – $360. 00 – not discretionary * Total That Is Left – $1,512. 00 Most of the bills are not discretionary except the entertainment, and this can get cut back on an extreme amount.Going places and buying things that are not necessary could save money to add to the savings. The budget had no risk after paying the bills; however the money that is left could be put into an investment that is analyzed before investing in it. A personal financial budget can provide guidance for anyone with their financial management, which is a type of a management that deals with the financial matters of the individual’s or household’s income and expenses (www. wikipedia. com). Having a personal financial budget can actually help an individual’s credit score. If all of the bills are paid on time, then it looks good to the credit bureau. When going to purchase something on credit, a business will look to find if all the accounts in a person’s name are paid on time and rate your credit to see if the score is high enough. The best point of this budget is the balance did not come out in the negative, so from here on out the savings needs to be the focus. After finding out just how much can be saved, then investing in a particular thing could benefit and contribute to the income that is coming in now.Strategic planning is also an important part of the budget process. Strategic planning can provide information regarding internal and external economic conditions, investigating potential investments that may be beneficial, and can give long-term goals for financial management (www. assets130000. pdf). Setting goals, being disciplined, and learning to budget your finances, can help to reach your financial goals. References www. careeredonl ine. com www. wikipedia. com www. assests130000. pdf www. ctuonline/courses/pfp10. pdf

How Taxol Interrupts The Cell Cycle - 977 Words

Research Report 1 James Elliott Spring 2016 Article Reported: Magidson V, He J, Ault JG, O’Connell CB, Yang N, Tikhonenko I, McEwen BF, Sui H, Khodjakov A. 2016. Unattached kinetochores rather than intrakinetochore tension arrest mitosis in taxol-treated cells. J Cell Biol. 212 (3): 307-319. Accessed 8 Feb 2016. doi: 10.1083/jcb.201412139 I. Paper Review A. Background and Key Question This article was about a study performed by scientists looking to investigate the mechanism of how Taxol interrupts the cell cycle. The interval often referred to as the spindle apparatus checkpoint is without a doubt the time frame where Taxol acts, as it is an antimicrotubule drug that is cell cycle specific. It is understood that the structure†¦show more content†¦To make the specimen compatible with both forms of advanced microscopy, they sufficiently prepared samples by coupling the specimen with a fluorescence that was also conductive. This technique was accomplished with the FlouroNanogold label, which contains gold nanoparticles covalently bonded to a fluorescence label. That way, the LM worked as well as the EM for the same set of kinetochores that were being studied. The Hec1 protein was stained in this case because this protein naturally delineates the structures to be studied. C. Describe One Specific Result The orientation between the kinetochores with respect to centromeres (kTilt) was of a larger degree in the Taxol treated cells in comparison to the cells progressing through metaphase normally. There was a 16 ° increase from 10 ° to 26 ° when cells were treated with Taxol. D. What are the major conclusions/implications of this work? This was a multifaceted study that simply is not given justice by my review that is limited to two pages. Through this study, the scientists believed that the data validated that kinetochores are significantly influenced by the Taxol treatment. This interpretation was inferred from the results in differences in Delta (distance between Hec1 and CenpT labels within kinetochores), cTilt (angle of centromeres from the spindles), and kTilt (angle of the kinetochores with respect to centromeres). One of these results was described above in