MRS HOGAN ASTHMA ATTACK CASE STUDY
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
The Respiratory System
GENDER Female
AGE 38
SETTING Walk-in health care center
ETHNICITY White American
CULTURAL CONSIDERATIONS
PREEXISTING CONDITION Mild persistent asthma
COEXISTING CONDITION
COMMUNICATION
DISABILITY
Mrs. Hogan
SOCIOECONOMIC Husband employed in asbestos removal
SPIRITUAL/RELIGIOUS
PHARMACOLOGIC
Albuterol (Proventil, Ventolin); beclomethasone dipropionate (Beconase)
LEGAL
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION Ensuring a patent airway; monitoring for status asthmaticus
DELEGATION
Overview: This case requires that the nurse recognize appropriate interventions for an asthma attack and understand the actions of respiratory medications. The nurse must assess the triggers specific to this patient and provide teaching to reduce the patient’s risk of another exacerbation. Priority nursing diagnoses and outcome goals are identified.
Client Profile
Mrs. Hogan is a 38-year-old woman brought to a walk-in health care center by her neighbor. Mrs. Hogan is in obvious respiratory distress. She is having difficulty breathing with audible high-pitched wheezing and is having difficulty speaking. Pausing after every few words to catch her breath, she tells the nurse, “I am having a really bad asthma attack. My chest feels very tight and I cannot catch my breath. I took my albuterol and Vanceril, but they are not helping.” Mrs. Hogan hands her neighbor her cell phone and asks the neighbor to dial a telephone number. “That number is my husband’s boss. My husband just started working for an asbestos removal company about a month ago. He is usually on the road somewhere. Can you ask his boss to get a message to him that I am here?”
Case Study
While auscultating Mrs. Hogan’s lung sounds, the nurse hears expiratory wheezes and scattered rhonchi throughout. Mrs. Hogan is afebrile. Her vital signs are blood pressure 142/96, pulse 88, and respiratory rate 34. Her oxygen saturation on room air is 86%. Arterial blood gases (ABGs) are drawn. Mrs. Hogan is placed on 2 liters of humidified oxygen via nasal cannula. She is started on intravenous (IV) fluids and receives an albuterol nebulizer treatment.
Questions
- What other signs and symptoms might the nurse note during assessment of Mrs. Hogan?
- In what position should the nurse place
- Hogan and why?
- Identify at least five signs and symptoms that indicate that Mrs. Hogan is not responding to treatment and may be developing status asthmaticus (a life-threatening condition).
- Hogan states that she took her albuterol and beclomethasone prior to coming to the walk-in health care center. How do these medications work?
- Briefly discuss the common adverse effects
- Hogan may experience with the albuterol nebulizer treatment.
- Physiologically, what is happening in Mrs. Hogan’s lungs during an asthma attack?
- In order of priority, identify three nursing diagnoses that are appropriate during Mrs. Hogan’s asthma exacerbation.
- Write three outcome goals for Mrs. Hogan’s diagnosis of Ineffective Breathing Pattern.
- Hogan has responded well to the albuterol nebulizer treatment. Her breathing is less labored and she appears less anxious. The nurse asks Mrs. Hogan what she was doing when the asthma attack began. Mrs. Hogan says, “Nothing special. I was doing the laundry.” What other questions might the nurse ask (and why) to assess the cause of Mrs. Hogan’s asthma exacerbation?
- What are some other questions the nurse might ask to get a better sense of Mrs. Hogan’s asthma?
- The nurse asks Mrs. Hogan to describe step-by-step how she uses her inhalers. Mrs. Hogan describes the following steps: “First I shake the inhaler well. Then I breathe out normally and place the mouth-piece in my mouth. I take a few breaths and then while breathing in slowly and deeply with my lips tight around the mouthpiece, I give myself a puff.
- I hold my breath for a count of five and breathe out slowly as if I am blowing out a candle. I wait a minute or two and then I repeat those steps all over again for my second puff.” Which step(s) is/are of concern to the nurse and why?
- Briefly discuss three nursing interventions to help decrease Mrs. Hogan’s risk of another asthma exacerbation.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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