Complete the Respiratory Assignment for Tina Jones, including the Sounds Lab, before completing this assignment. Base your discussion/findings for this assignment upon the findings in the Shadow Health assessments.
· After your respiratory assessment of Tina, differentiate the expected (normal) findings to the findings of Tina Jones’ breathing pattern-discuss this in your assignment.
· Reminder – You must submit the assessment to receive credit for the activity.
· Discuss a care plan for Tina based on your assessment findings to include a NANDA nursing diagnosis with three NIC’s and three NOC’s
· Read Chapters 4, 19 & 32 In Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders.
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
thing to include
Finding:
Asked about history of asthma exacerbations
Finding:
Reports last asthma attack was in high school
(Available)
Pro Tip: Discovering the patient’s most recent asthma attack can provide a timeline of exacerbations and help you better understand the patient’s condition and effectiveness of any treatments.
Example Question:
When was your last asthma attack?
Finding:
Reports last exacerbation was three days ago
(Available)
Pro Tip: Discovering the patient’s most recent exacerbation can provide a timeline of asthma symptoms and help you better understand the patient’s condition and effectiveness of any treatments.
Example Question:
When did you last have issues with asthma?
Finding:
Asked about asthma symptoms
Finding:
Reports chest tightness during exacerbation
(Available)
Pro Tip: Asthma can have a profound impact on health, and it is important to discover the severity of her condition by asking about symptoms during an exacerbation, such as chest tightness.
Example Question:
What do your asthma symptoms feel like?
Finding:
Reports difficulty breathing during exacerbation
(Available)
Pro Tip: Asthma can have a profound impact on health, and it is important to discover the severity of her condition by asking about symptoms during an exacerbation, such as chest tightness.
Example Question:
Do you have trouble breathing?
Finding:
Reports wheezing during exacerbation
(Available)
Pro Tip: Asthma can have a profound impact on health, and it is important to discover the severity of her condition by asking about symptoms during an exacerbation, such as chest tightness.
Example Question:
Do you ever wheeze?
Finding:
Asked about prior hospitalizations
Finding:
Reports past hospitalizations
(Available)
Pro Tip: Finding out if the patient has any past hospitalizations is the first step in understanding any past serious medical issues. In Tina’s case, it will help you better understand her asthma and create a timeline.
Example Question:
Have you been hospitalized in the past?
Finding:
Reports last hospitalization was for asthma
(Available)
Pro Tip: Finding out if Tina has any past hospitalizations is the first step in understanding any past serious medical issues. In Tina’s case, it will help you better understand her asthma and create a timeline.
Example Question:
Why were you hospitalized last time?
Finding:
Reports last hospitalization was age 16
(Available)
Pro Tip: Finding out the date of Tina’s last hospitalization is important for understanding the timeline of her medical issues, asthma in particular.
Example Question:
When was your last hospitalization?
Finding:
Reports about 5 total hospitalizations for asthma as a child and teen
(Available)
Pro Tip: Finding out the number of Tina’s previous hospitalizations is important for understanding the history of her asthma.
Example Question:
How many times have you been hospitalized?
Finding:
Reports past nebulizer use
(Available)
Pro Tip: Finding out what treatments Tina received during her hospitalizations will give you a fuller picture of the history of her condition.
Example Question:
Have you ever used a nebulizer?
Finding:
Asked about asthma diagnosis
Finding:
Reports specific age of diagnosis is 2.5 years old
(Available)
Pro Tip: Asthma can have a profound impact on health, and it is important to learn about the patient’s history of the condition, including the age of diagnosis.
Example Question:
At what age were you diagnosed with asthma?
Finding:
Asked about asthma management
Finding:
Reports using an inhaler
(Found)
Pro Tip: Asking how your patient treats her asthma can provide important information about her medical history and health literacy.
Example Question:
How do you manage your asthma?
Finding:
Reports inhaler is albuterol (Proventil)
(Available)
Pro Tip: Finding out the specific medication type or brand is essential in understanding whether it’s a maintenance or rescue medication.
Example Question:
What is the name of the inhaler prescription?
Finding:
Reports last use of inhaler was 3 days ago
(Available)
Pro Tip: Determining the patient’s last use of an inhaler clues you in to any recent breathing problems.
Example Question:
When did you last use your inhaler?
Finding:
Reports using inhaler no more than 2 times per week
(Available)
Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition.
Example Question:
How often do you use your inhaler?
Finding:
Asked about number of puffs when using asthma inhaler
Finding:
Reports recommended dose is 1-3 puffs as needed
(Available)
Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication.
Example Question:
How many puffs of your inhaler are you prescribed?
Finding:
Reports typically taking 2 puffs
(Available)
Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication.
Example Question:
How many puffs do you typically take?
Finding:
Reports sometimes needing 3 puffs to control symptoms
(Available)
Pro Tip: Discovering how much your patient uses her inhaler at any given time is a good indicator of the efficacy of her medication.
Example Question:
What’s the most puffs you ever take?
Finding:
Asked about asthma triggers
Finding:
Reports asthma triggered by cats
(Available)
Pro Tip: Discovering occasional environmental triggers, such as animal allergies, gives you insight into exacerbating factors of your patient’s condition.
Example Question:
What triggers your asthma problems?
Finding:
Reports asthma triggered by dust
(Available)
Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly important.
Example Question:
Does dust trigger your asthma?
Finding:
Denies seasonal triggers
(Available)
Pro Tip: Asking about seasonal triggers can help you understand a patient’s complete set of asthma triggers over the course of a year.
Example Question:
Do you have seasonal asthma triggers?
Finding:
Asked about general allergies
Finding:
Reports allergy to cats
Finding:
Asked about review of systems for respiratory
Finding:
Denies current breathing problems
(Available)
Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tina’s current condition and previous breathing concerns.
Example Question:
Have you had breathing problems?
Finding:
Denies current wheezing
(Available)
Pro Tip: Patients who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.
Example Question:
Have you been wheezing?
Finding:
Denies current chest tightness
(Available)
Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem.
Example Question:
Have you had chest tightness?
Finding:
Denies pain while breathing
(Available)
Pro Tip: Asking about pain during breathing is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem.
Example Question:
Does it hurt when you breathe?
Finding:
Denies frequent coughing
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