The senior students are participating in an outreach program to enhance the pulmonary health of the…
The senior students are participating in an outreach program to enhance the pulmonary health of the community. They are involved in two aspects of the program, prevention/teaching, and symptom surveillance and diagnostic testing for infectious pulmonary diseases with referral as indicated. In preparation for their work the instructor asks them to study the following entities in pulmonary disease: upper respiratory infection, influenza, pneumonia, and tuberculosis. The common pathological processes in these diseases include inflammation, infection, production of secretions, and compromised oxygenation. Every person visiting the program has the following assessments done: • Health history: assessment of risk factors inclusive of any smoking history • Vital signs and pulse oximetry • Pulmonary assessment: breathing pattern/effort, lung sounds, and presence/absence of cough
Discuss the teaching that is needed for this patient to enhance the mobilization of his secretions that he can do at home……What aspects of smoking cessation can be addressed at this visit and which ones need to be referred?….What simple modality can you teach the parent and children to help prevent the spread of infection? How would you approach the teaching for each of the children based on age? Take into consideration the place and time constraints of the program……Using the NOC outcome of Respiratory Management with the NIC intervention of Promoting Optimal Respiratory Functioning, what key points should the students address with this parent in regard to preventative strategies for influenza?….This test screens for what respiratory infection….Develop three questions to ask patients to determine possible exposure risk to this disease…..The nurse laughingly says to the students, “The best nurse for this job is a blind nurse.” Why is this comment applicable to the reading of the PPDs?