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Shadow Health Asthma Exacerbation Gabriel Martinez Care Plan
PTCntrdCare:Chldbearing family (NURS 438)
Shepherd University
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Focused Exam: Asthma Exacerbation Results | Turned In
Patient Centered Care Child and Families - Fall 2022, NURS 430
Return to Assignment (/assignments/659600/)
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Care Plan : 7 of 8 (87%)
International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. (2019). International Council of Nurses ( icn/what-we-do/projects/ehealth-icnptm/icnp-download
Diagnosis
Student Response Model Answer Explanation Points Earn
non adherence to medication regime non adherence to medication regime Gabriel's asthma exacerbation indicates he and his mother are not effectively managing his medication regime.
0 out of 0
Signs & Symptoms
Student Response Model Answer Explanation Points Earn
impaired breathing impaired breathing Gabriel's non adherence to medication regime is evidenced by his impaired breathing, limited knowledge of prescribed medication, and perceived inability to participate in sports.
0 out of 0
limited knowledge of prescribed medication
limited knowledge of prescribed medication
Gabriel's non adherence to medication regime is evidenced by his impaired breathing, limited knowledge of prescribed medication, and perceived inability to participate in sports.
0 out of 0
hypoxia perceived inability to participate in sports
Gabriel's non adherence to medication regime is evidenced by his impaired breathing, limited knowledge of prescribed medication, and perceived inability to participate in sports.
0 out of 0.
Your Results Lab Pass (/assignment_attempts/13286927/lab_pass.
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Student Survey
Nursing Diagnosis 1 out o
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
Why would a nursing diagnosis of overweight be incorrect, compared to non adherence to medication regime?
The patient's obesity is a symptom of his decreased ability to participate in social activities and his guardian's belief that exercise will induce an asthma attack. The most effective tool for Gabriel will be to focus on a medication regimend that meets therapeutic goals, including using his inhaler before exercise. This will help the patient to increase his exercise level and reduce his obesity, as his obesity can't be managed with effective asthma treatment.
Gabriel being overweight is a symptom of his decreased ability to participate in social activities, and his guardian’s belief that exercise will induce an asthma attack. The most effective goal for Gabriel will be to focus on a medication schedule that meets therapeutic goals, including using his albuterol inhaler before exercise. This will help Gabriel increase his physical activity. Gabriel's weight can't be managed without effective asthma management, but effective asthma management will have a positive impact on Gabriel's weight.
Your nursing diagnosis should always take into account wha condition is most serious, receiving the greatest benefit from your help. This diagnosi may not be the most obvious physical symptom to you or y patient, so always consider w is jeopardizing a patient's hea the most.
Short-Term Goal
Student Response Model Answer Explanation Points Earn
The patient and his guardian will verbalize their understanding of the instructions on how to manage the patient's medication by end of ED visit
The patient and his guardian will verbalize their understanding of the instructions on how to manage the patient's medication by end of ED visit
Having Yvonne and Gabriel verbalize and agree to their instructions on how to more effectively manage the patient's asthma medication by the end of their visit is the most effective short- term goal.
0 out of 0
Interventions
Student Response Model Answer Explanation Points Earn
Instruct patient and guardian on a medication schedule that incorporates his rescue inhaler and meets therapeutic goals
Instruct patient and guardian on a medication schedule that incorporates his rescue inhaler and meets therapeutic goals
These interventions focus on education around better medication management, including utilizing the patient’s albuterol rescue inhaler, explaining the common side effects of the patient's rescue inhaler, ensuring that the patient and guardian create an asthma action plan at school, ensuring the patient always has a rescue inhaler with him, and instructing the patient and guardian that Gabriel can engage in exercise safely if he uses his rescue inhaler beforehand.
0 out of 0
Self Assessment
Planning 3 out of 3
Data Collections
Student Response Model Answer Explanation Points Earn
Ask patient and guardian to state back and agree to their instructions on effective medication management
Ask patient and guardian to state back and agree to their instructions on effective medication management
It is important that your patient and his guardian state back and agree to their instructions, as changing lifestyle habits can be intimidating but necessary for the patient's health. Having Gabriel and his mother verbalize back their instructions also assures they remember and understand the details.
0 out of 0
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
Explain the rationale behind your nursing diagnosis.
By managing your medication regimen better, you will be able to work back into exercising and play sports, which will help you lose weight
Yvonne, Gabriel's diagnosis is non adherence to medication regime. We want to make sure that you and Gabriel both know how to effectively manage his asthma. You're doing a great job, but we're going to try and get Gabriel on board with using his rescue inhaler, too. His symptoms have been his perceived inability to participate in sports, his impaired breathing, and his misunderstandings about what his rescue inhaler does and the importance of keeping it with him. We're going to talk about some ways that he can incorporate his rescue inhaler into his asthma maintenance regimen.
A guardian should understand the patient's nursing diagnosi and the rationale behind it in order to increase their sense involvement and to identify ar for future improvement.
Explain your goal for Gabriel and the interventions and data collections through which you will achieve it.
I want you to understand what I am going to talk to you aboutb
Yvonne, I'd like to talk to you and Gabriel about how we can better manage his asthma medication. I'm going to have a conversation with both of you about managing his medication. We'll work together in this discussion, and then you and Gabriel will agree to his goals. Then I'm going to have you and Gabriel repeat what you've learned so we can make sure he understands fully.
You should communicate the Care Plan to the guardian, allowing them to exercise involvement and agency in th patient's healthcare.
Explicitly ask for Yvonne's consent to the Care Plan.
Do I have you consent to begin this care plan?
Does this plan for Gabriel sound good to you?
A guardian must consent to a interventions in the patient's C Plan. Disagreements are opportunities to provide furthe patient education and to cons alternative options.
Inform Yvonne you will now begin educating them.
ALright Gabriel, i will begin to teach you on what you can do to be healthier
Yvonne, if you don't have any other questions, we can start our discussion now.
It's time to begin your educati interventions, so let your patie guardian know.
Discussion Of Care
Explain the rationale behind your nursing diagnosis.
By managing his medication regimen, he will be able to exercise which will be very helpful in promoting his overall health and lowering his weight
Gabriel, we want to make sure that you and your mom know how to effectively manage your asthma. I understand that lately you haven't been able to participate in social activities like kickball or playing with your friends because of your asthma. Some of your symptoms are your impaired breathing and your misunderstandings about your albuterol inhaler. We're going to talk about some ways that you can use your albuterol inhaler to make sure that you can breathe really well so that you can run around and play with your friends. I know that sounds like a lot, but if you, your mother, and I work together, you'll be able to better manage your asthma.
A patient should understand t nursing diagnosis and the rationale behind it to increase their sense of involvement an identify areas for future improvement.
Explain your goal for Gabriel and the interventions and data collections through which you will achieve it.
We would like gabriel to use his inhaler before exercising as this will help prevent asthma exacerbations and will improve his weight
Ok, Gabriel, let’s talk about how we can better manage your asthma medication. I'm going to have a conversation with you about things you can do to ensure that you know how to utilize your rescue inhaler. We'll work together to discuss them, and then you can agree to your goals. Then I'm going to have you and your mom repeat what you've learned, so we can make sure you understand fully.
You should communicate the Care Plan to the patient, allow them to exercise involvement agency in their own healthcar
Explicitly ask for Gabriel's consent to the Care Plan.
Do I have your consent to begin this care plan
Does this plan I just talked about sound good to you?
A patient must consent to all interventions in their Care Pla Disagreements are opportuni to provide further patient education and to consider alternative options.
Inform Gabriel and Yvonne you will now begin educating them.
I will now begin educating you Gabriel, if you don't have any other questions, we can start our discussion now.
It's time to begin your educati interventions, so let your patie know.
Student Response Model Answer Explanation Points Earn
Fully Fully Yvonne and Gabriel correctly verbalize their understanding of the instructions on how to manage the patient's medications by the end of this ED visit. Your goal has been fully achieved.
2 out of 2
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
Intervention & Evaluation 2 out of
Intervention & Evaluation Rationale
Shadow Health Asthma Exacerbation Gabriel Martinez Care Plan
Course: PTCntrdCare:Chldbearing family (NURS 438)
University: Shepherd University
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- Shadow Health Asthma Exacerbation Gabriel Martinez Subjective Data
- Shadow Health Asthma Exacerbation Gabriel Martinez Documentation
- Shadow Health Postpartum Care Objective Data
- Shadow Health Postpartum Care Education and Empathy