info mil 2

Assignment Criteria

NOTE: See Milestone 1 Rubric for details required in each area.

Scenario for Milestone Assignment:

Scenario is clear and concise, including a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn.

50 points

Lincoln 29 years African American male who came to the clinic on 24th October 2019 complaining of difficulty in breathing sometimes. At night he was experiencing a hard time sleeping due to coughing, “sometimes I am unable to breathe, which produced a wheezing sound due to the strain.” Though all these signs did not start at ago, they began multiplying day-in-day-out. The effect at the beginning was not as severe as the cough did not last for long. “it is getting worse; I cannot even lift heavy load or exercise as it results in the too weakened body.”

Causes: Lincoln lives in a frigid environment. He is involved in farming, where they plant maize and other crops. The condition may be a result of pollen from the crops in addition to the extreme environment that he lives in (Aaron et al. 2017).

Diagnosis: The signs given by Lincoln suggested he had asthma. To diagnose, spirometry testing was done. This is where the patient breathes through a mouthpiece connected to a spirometer. The test indicated a shortage of air in the lungs, which may be due to obstruction of the airways. The patient has asthma (Aaron et al. 2017).

The attending nurse wanted to know what I can do to help the patient with the condition. She suggested various techniques of medication for the condition, but she was not sure which of them was the best. For this to be successful, we had to evaluate the patient’s willingness to get help and relieve from the illness. “I’m willing to do anything to be okay,” was he answer. Therefore, we decided to use a mhealth application with a specific inhaler.

3.Education:

Describe in detail content planned for teaching this patient in the scenario.

40 points

Education on the self-management of asthma for the patient is an important aspect that can ensure patient health condition improvement. The patient should have the capability to monitor and control the illness conditions through the use of education. The education motivates the patient to participate and take responsibility for their healthcare. For self-management with physician assistance, the patient is required to perform specific steps (Roberts, Velsor-Friedrich, & Keough, 2018).

The patient should ensure regular visits to his physician to provide time for monitoring the progress of his condition. By doing so, this ensures fewer visits to emergency departments and admissions to hospital. Improve lung functioning and measure the measurements of the flow. Ensure less medication usage and minimized the use of emergency medication.  

Considerations before delivering health education

Different factors affect ways through which patients react and take asthma education. These factors must be taken into account before delivery of the education to facilitate positive reaction from the patient.

Age of the patient. Lincoln is neither adolescence nor and older person. This may work in favor of the clinician. The education should be made available both in written and verbal. Most patients under this age-bracket prefer face-face conversation, and thus using both methods will improve the reception of the education. 

Cultural beliefs. Education should consider the ethnic culture of the patient. Lincoln is an African-American man. However, his social class allows the course of treatment that has been proposed in this diagnosis. The advantages of adhering to the treatment and medication should be made a priority to the patient to enlighten him of the dangers of not following the treatment course. 

Psychosocial factors. Patients with a family history of asthma may respond with a negative perspective; this may cause depression besides anxiety. Therefore, an educator should try to evaluate for signs of stress, anxiety, and smoking, which may worsen the patient’s condition so they can be addressed to avoid referrals.  

Management of the condition 

Lincoln will be taught how to manage his disease through various steps. Due to his environmental condition, he will ensure that proper clothing is worn in cold weather. Doing so will reduce the cold from entering his lungs. This prevents coughing, which results from obstruction in the lungs. During frigid times, such as evening and morning hours, he is supposed to cover his nose to prevent cold from entering his lungs. Where cold air enters the bronchiolitis, it causes an obstruction, which leads to strain in breathing and sometimes coughing. When this condition is uncontrolled for an elongated period, it may result in death. Therefore, the condition should be controlled at all times to prevent the worsening of the situation. When working on the farm, he will cover his mouth and nose the whole time and wash off immediately he finishes working.  

Identify the mHealth application:

Identify a mHealth app that could benefit the patient. Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it. Include a working link if it is to be downloaded from a website. Add any other information you believe would be pertinent to this situation. Make sure to add a citation for this mHealth app in APA format.

45 points

Mhealth app

The treatment will include the patient's use of the mhealth application. The suggested mhealth app for Lincoln is a propeller. This gadget is an FDA-approved device that can allow clinicians to get a better understanding of their patients (Kagen, & Garland, 2019).

A propeller is a type of modern inhaler which as an attached sensor on it. The sensor sends information to the application on the smartphone whenever the patient uses it. The app can automatically record all data in regard to where and when the patient uses the inhaler. The application can also provide humidity, air qualities, and temperatures of the patient's day daily (Anderson III et al. 2019).

The purpose of the inhaler will be to record and copy the recorded information to the physician who will use the information in monitoring the condition of his patient. The data will indicate when the condition of the patient is getting worse or has maintained. The propeller, when used in a more extended period, can establish flare-ups that are important in the patient's illness management.

The app will operate on all kinds of smartphones and laptops. The application can be downloaded from the google play store. This is an application that is found on smartphones, and thus downloading is easy.

Upon downloading the information, the patient should allow the app to link with his device and use his personal information as requested through the steps of installing the app for use.

Statement from instructor on required assignment and topic:

Accepted, Accepted with revisions needed, OR Not accepted.

*Any required revision will not alter your grade for this assignment. *

· Accepted

· Accepted with revisions

· Not accepted

NR361 Course Project Milestone 1 Template.docx 09/19 JMJ

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