Pediatric Asthma Management Assignment Example | Topics and Well Written Essays - 1000 words

Pediatric Asthma Management - Assignment Example Physical examination will be carried out to check on the general appearance, hydration, respiratory and mental status. Physical examination of the 12 y/o patient will comprise of percussion, inspection, and auscultation. Under inspection, the nurse or health professional will observe the patient’s general color and appearance. There is a possibility of cyanosis during mild exacerbations where the patient’s color may remain pink. In the presence of asthma, an audible wheeze will be felt. For a severe case, the patient may have a barrel chest and manifestation of mildly enlarging work of breathing (Ricci & Kyle, 2009). In auscultation and percussion, an exhaustive examination of the lung fields is performed. The presence of wheezing signify airway obstruction, which can be different in the lung fields. Also, the patient will be checked for the existence of coarseness. Additionally, the adequacy of aeration will be assessed. In the event the airways are severely obstructed, the movement of air becomes poor that the wheezes may not be felt during auscultation. It is worth to note that percussion may produce hyper resonance (Ricci & Kyle, 2009). It is critical to perform some diagnostic tests to determine the severity of asthma. According to ATS Clinical Practice Guidelines, FENO is employed to underpin the diagnosis of asthma. Likewise, FENO utilized to determine eosinophilic airway swelling, direct dose titration of anti-inflammatory drugs, and forecast asthma relapse. Moreover, FENO can be used to assess adherence to anti-inflammatory drugs, predict asthma exacerbation and evaluate the possible reaction to anti-inflammatory medications (Davis, Eber & Koumbourlis, 2015). Another vital test is pulmonary function test that is a peak expiratory flow rate that uses a hand-held peak flow meter. The test will be done to examine initial and post-treatment airway obstruction in the 12 y/o

Muslms and health Care Essay Example | Topics and Well Written Essays - 500 words

Muslms and health Care - Essay Example Muslims have clear ideas about their medical care due to religious beliefs. This has to be taken into consideration by non-Muslim doctors. Since there are millions of Muslims in the United States, with a growing population, their needs are significant. Many Muslims have no choice but to be treated by a non-Muslim doctor. If their needs are not met, many Muslims would rather practice their religion than get medical care. This would be a travesty. American citizens would be suffering from third world illnesses just because doctors do not meet their needs. Muslims believe in transplantation and organ donations, HIV/AIDS treatment, non-abortive contraception methods (IMANA Ethics Committee, 2005). However Muslims do not believe in assisted reproductive methods, surrogacy, abortion, morning after pill, cloning, or medicines with alcohol (IMANA Ethics Committee, 2005). Another issue is modesty and opposite gender examination. Hajabs, head coverings, must be worn in public (Abdullah, 2008). Public includes hospitals. Opposite gender examinations can be preformed if a third party witness, the same sex as the patient, is present. These rules are important to a Muslim. If a doctor understands these rules, then they can form a treatment plan the patient is more likely to follow. Muslim doctors and health personnel know what treatment plans that Muslims would be more likely to follow. However not all Muslims are treated by doctors from the Muslim faith. Not all non-Muslim doctors are familiar with Muslim religious needs. Many Americans are informed about Muslims through stereotypes on television. This needs to change. The only way to improve this issue is effective communication with the patient. Effective communication will enhance a doctor’s cultural competence in addressing Muslim needs. There two different ways to have effective communication with a patient. The first is asking a patient that walks in with a Hajab what