Your patient is a 23-year-old feminine. She presents with coughing and wheezing which she said began about three weeks in the past. She is at the moment 25 weeks pregnant. Her final prenatal go to was one month in the past in one other state. She has an appointment with the prenatal care supplier subsequent week, nonetheless her respiratory signs introduced her to your workplace as we speak.
Historical past – Chickenpox as a little one. Bronchial asthma as a little one, identified at age eight for which she used a SABA when wanted. She has not had the necessity to use an inhaler since she was 19. She takes solely her prenatal vitamin. No different acute or persistent issues. She advises you that she is updated on all immunizations besides she has not had a flu shot (it is October). Social – Non-smoker, no drug use. She relocated to your state two weeks in the past to get away from an abusive home scenario. She has no help community on this space and has not but discovered employment. She has no medical insurance coverage.
HPA – Non-productive cough x three weeks. Wheezing audible from throughout the room. She states it is like this all day and wakes her from sleep each evening. She studies that she is fatigued even within the morning. No different complaints.
PE/ROS – Pt seems matted however clear. Wheezing in all lung fields. T 98, P 82 common, R 28 no stridor. FH 130 common. The rest of the examination is WNL.
02 98% and FEV 70%
Instructions:
1. Assemble a narrative doc of Four-5 pages (not together with cowl web page or reference web page)
2. Diagnose the patient primarily based on the above findings and present your rationale for the way you arrived on the prognosis.
three. Develop a remedy plan particularly for this patient, pharmacologic and non-pharmacologic.
Four. Describe group assets (utilizing your individual group) at the moment accessible in your state/metropolis to help this patient.
5. Present a communication plan that you’ll use to make sure the patient is an lively participant within the remedy plan. Consult with therapeutic communication ideas.
6. Make the most of nationwide requirements, your pharm and/or patho ebook, and medical or superior apply skilled sources. Don’t use patient-facing sources or common nursing texts.
7. Use references to help your ideas. Make the most of right APA formatting (seventh version) and mechanics communication.
Earlier than finalizing your work, you must:
• Learn the Project description fastidiously (as displayed above);
• Seek the advice of the Grading Rubric (underneath Course Sources) to be sure to have included the whole lot obligatory.
Your writing task ought to:
• Comply with the conventions of Customary American English (right grammar, punctuation, mechanics, and many others.);
• Be properly organized, logical, and unified, in addition to authentic and insightful;
• Make the most of right APA formatting, seventh version.
• Undergo, and assessment outcomes of Turnitin. Purdue College World Pupil Conduct coverage because it pertains to plagiarism will likely be adhered to on this course.
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Your patient is a lady of 23 years previous. She has been coughing and wheezing for almost three weeks, in response to her. She is 25 weeks pregnant proper now. Her earlier prenatal go to passed off in one other state a month in the past. Her prenatal care supplier appointment is subsequent week, however her respiratory points led her to your clinic as we speak.
As a little one, I had chickenpox. She had bronchial asthma as a teen, which she was identified with on the age of eight, and for which she used a SABA when obligatory. She hasn’t wanted an inhaler since she was 19 years previous. She takes solely her prenatal vitamin. No different acute or persistent issues. She advises you that she is updated on all immunizations besides she has not had a flu shot
