Introduction Asthma is one of the life-threatening medical complications requiring acute emergency nursing care. Cockcroft (2018, pp. 12-18) classifies the causes of asthma into allergic and non-allergic. Irritants such as dust, smoke, airborne substances, and pollen are allergic causes while non-allergic causes include influenza; cold, dry or windy climate; stress and illness. According to Cockcroft (2018, pp.17), patients with asthma present with symptoms such as coughing, shortness of breath, wheezing, difficulty speaking, and uncontrolled anxiety or panic. Miller & Lawrence (2018, pp.24-35) assumes that asthma is not a continuous disease, but a patient suffering from asthma presents serious conditions if exposed to allergies or situations such as cold that can trigger the attack asthma. In these cases, patients require emergency healthcare or acute nursing care which, in this case, covers two concepts: healthcare for breathing management and pain management. For breathing management and pain management, nurses will assess the patient's condition and assess the extent of the asthma attack using their health history. Acute nursing care will then use laboratory tests to ascertain appropriate therapy and after care. The essay will compare the current healthcare system with best practices and provide recommendations for future improvements. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Use non-identifying data to introduce your patient (for example, 32-year-old female) Alicia Kingston (pseudonym), 27 years of age was brought to the emergency room by paramedics with a suspected asthma attack. She was wearing sports clothes, a clear indication that Alicia was out for a morning jog when she suffered the attack. Alicia had fallen a few meters from her house. She was assisted by passers-by who had called the ambulance which rushed her to hospital where she was admitted to the emergency room. Provide a brief summary of the patient, such as diagnosis, past medical history, events leading to an episode of acute care. Alicia's past records show that she was asthmatic. She was diagnosed with asthma in 2001. The cause of her asthma, stated in her electronic medical record, was an allergy. Her mother said the only unusual symptom in her daughter was the coughing that occurred whenever she dusted the couches or her father smoked in the house. Since 2011 Alicia has been using Amoxicillin, especially during the winter. Since 2014 he had also been taking Ibuprofen, 200 mg, with a long history of stomach pain and heavy breathing. On many occasions, he had sought medical attention for chest pain, with records showing a variety of pain-relieving prescriptions such as Tylenol, Aleve and Naprosyn. Briefly explain why this patient can be considered “complex”. Support your position with evidence from the literature. On the second day of hospitalization, Alicia began to complain of chest pain. After being treated and recovered from the asthma attack and breathing complications, she complained of chest pain, which was not adequately investigated to diagnose the cause. Breathing difficulties were assumed to be the cause of the chest pains, with the diagnosis turning a blind eye to probable causes of the chest pain such as blood pressure or heart attack. No ECG or cardiac enzyme tests were performed. The patient died of a heart attack shortly after being discharged from the hospital. Identify the two (2) critical nursing concepts for acute care thatyou will analyze in relation to the nursing management of the selected patient. Alicia experienced breathing complications when she was admitted to the emergency room. This required the intervention of respiratory management. The day after admission to the emergency room, he complained of chest pain. Therefore, two acute nursing concepts relevant to the patient's hospitalization are the management of his breathing and the management of his pain which fall under the airway and breathing index of the A–G algorithm patient scoreboard for l acute nursing care. Analyze the current workplace systems in place for the nursing management of patients in relation to your two concepts The patient was short of breath and wheezing. The patient was also semi-conscious. He held his arms close to his chest whenever he breathed or coughed. There were also bluish marks on his hands and feet, indicating a case of cyanosis. Paramedics placed the patient in an upright, comfortable position with a pillow on her hips to support her weak body. The nurses also loosened their clothing and scarf to facilitate blood flow. Before treatment could be administered, the patient's condition had to be diagnosed. A physical assessment was initially conducted to ascertain the cause of his critical condition. Her nose was inspected, and although she had not recently complained of a runny nose, swelling was detected on the side of her nose and in the nasal passage which was stained with mucus. Vital assessment was performed. Body temperature was 35.8, heart rate: 110 b/m (tachycardia), respiratory rate; 26 b/m (tachypnea), it was necessary to carry out a blood test which indicated an oxygen concentration of 91% and blood pressure: 135/85 mmHg. The patient's respiratory rate was 13 breaths per minute. the patient was given 4 liters of oxygen to raise her oxygen saturation from 91%. We gave her the Ventolin nebulizer to dilate the bronchioles and make breathing easier. On the second day of hospitalization the patient began to complain of chest pain. Patient pain was assessed according to PQRST. Chest pain radiating to the right arm registered a 9 on the 1-10 scale. Based on the recent diagnosis of asthma, it was hypothesized that the chest pain was caused by labored breathing (Asthma, 2014, pp. 18). The anxiety, rapid breathing and excessive coughing had put strain on the chest muscles causing chest pain. Therefore, the patient was given 2 mg of morphine to relieve her pain. The patient relaxed for 30 minutes, after which another pain test was conducted. This indicated that the pain had dropped to a 5 on the 1-10 scale. Discuss the strengths and weaknesses of the nursing management provided. Strengths and weaknesses in the nursing management systems were noted which helped the patient's health status to improve as the two health problems - breathing and chest pain - were addressed before the patient left the medical facility. However, the analysis of healthcare management also highlighted weaknesses. In terms of strengths, the nurses were able to correctly diagnose and manage the patient's respiratory problems by conducting an effective primary assessment. Before starting the initial treatment, a physical assessment was performed to ascertain the cause of the patient's unconsciousness. Mild rating; blood tests, heart rate and respiratory rate were carried out. Most of the claims about the cause of his poor health were based on his health history. Therefore, the..
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