Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

 To Prepare:

• Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
• Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
• Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

 

This week, you are going to participate in a discussion on a novel or movie.  Please choose one of the stories below and read the novel or watch the movie.  You’ll participate in the discussion thread below related to the story you choose. 

1. Fault in Our Stars novel by Green (2012) or Fault in Our Stars movie (2014)
2. Still Alice novel by Genova (2009) or Still Alice movie (2014)

This family story discussion has two parts:

Part 1:Construct Grid (ALL)

Using the blank construct grid, choose 8 constructs relevant to the family in the novel/movie and complete those rows of the grid.  Share your completed constructs with your discussion group and explain why you chose them. 

Part 2:  Family Story Discussion Fault in Our Stars

The rest of the focus for this week is the Fault in Our Stars book or movie discussion. I am providing the following list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have been different if he had told the story from a different voice? How does voice relate to family nursing practice?
2. What does the title, Fault in Our Stars, mean?
3. How would you describe the two main characters, Hazel and Gus?
4. How do Hazel and Gus relate to their cancer?
5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
6. How do Hazel and Gus change, in spirit, over the course of the novel?
7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
9. What do you think about the author Peter Van Houten?
10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

Part 2:  Family Story Discussion Still Alice

The rest of the focus for this week is the Still Alice book or movie discussion. Below, you’ll find a list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

Participate in a book discussion by choosing and answering one of the questions below. 

1. Why do you think the author named the book “Still Alice?”
2. How is Alzheimer’s not only Alice’s diagnosis but also her family’s?
3. How does Alzheimer’s affect roles in a household? 
4. Why do you think the author wrote the book from third person narrative, taking away from the personal connection? 
5. Or, write your own question related to the novel and answer it.

Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition while implementing evidence-based standards of care.

Sections of the assignment must include:

• Introduction
• Focus points covered in the discussion posts 
• Any arguments and rationales for your stance
• Conclusion or Summary

The components of your APA  Assignment includes the following:

• Your APA Assignment must include a title pg (Refer to Purdue OWL). 
• All in-text citations must be used when paraphrasing or quoting a previous author.
• All references must reflect the in-text citations used. 
• All reference sources must be within the past 5 years unless it is the works of a nurse theorist or a significant reference material. 
• The length of the assignment must be 750-1000 words. Please pay attention to spelling and grammar. Points will be deducted for repeat offenders. 
• Upon completion of the assignment, you must submit it via Turnitin.com, and please note that your plagiarism score should be no more than 20%.  If you score higher, please make adjustments. 

After reading Chapter 13, respond to the following:

• What workforce advocacy strategies can Elena use to promote quality patient care and a safe work environment?
• What is the value of shared governance to Elena’s individual nursing practice?
• If Elena becomes concerned about floating assignments, what questions can help guide her decision about accepting such assignments?
• What online resources are available to help Elena learn more about important workplace issues and workforce advocacy?
• How can Elena improve the marketability of her nursing expertise?

I HAVE UPLOADED CHAPTER 13 PAGES THAT NEED TO BE READ TO COMPLETE THIS ASSIGNMENT

 You will submit a detailed outline using the template that has been uploaded below. Your submission must include sections corresponding to the following subheadings:

* Technical Aspects
Provides necessary medical and scientific information to understand the issue.

* Public Policy
Describes current and proposed changes in public policy/law.

* Arguments For and Against
Include a summary of the arguments in favor of and opposed to specific interventions, techniques, or products and a discussion of underlying ethical principles. Discuss the public policy with two additional argumentative paragraphs- one discussing the in favor of and one paragraph discussing the opposing argument

* Conclusion
Expresses your personal opinion regarding the importance of the topic and the strength of the pro and con arguments.

 Additionally, you must include: 

* Topic sentences and Paragraph Transitions
Each section of your outline should include topic sentences and paragraph transitions that tie your significant points together.

# Use the template below to create the outline.