Tag: ARDS

Does prone position improve respiratory outcomes in ventilated patients with acute respiratory distress syndrome? Why is it important to nursing?

Assignment

Write a 500- to 750-word paper addressing the following:

Select a research topic.

Define your research topic. To ensure there is ample research available, search the University Library to locate at least 3 articles related to your topic. What do the articles say about your topic? Cite your articles according to APA guidelines.

Develop a problem statement.

Develop a research problem statement to use as a foundation for your work going forward in the class.

Determine why the topic is important and identify its main concepts and considerations.

A good problem statement contains an explicit statement of the problem, background information, complications related to the problem, what is unknown, and how your study could help resolve the problem.

For example, patients with acute respiratory distress syndrome receiving mechanical ventilation have a high mortality rate. Prone positions improve ventilation/perfusion matching. It is unknown if prone position improves outcomes in patients with acute respiratory distress syndrome.

Create your research question.

Create your research question using the PICO format. A research question is a question that a research project aims to answer. In most studies, the research question is written so it outlines various aspects of the study, including the population and variables to be studied and the problem the study addresses.

For example, does prone position improve respiratory outcomes in ventilated patients with acute respiratory distress syndrome? Why is it important to nursing?

Identify variables or concepts.

Identify the dependent and independent variables in your research question, if applicable. If nonapplicable, identify the concepts. For example, oxygenation is the dependent variable and prone positioning is the independent variable.

Identify stakeholders.

Consider what audience(s) will be most interested in your research and/or have a personal stake in your topic. For example, staff nurses in the intensive care unit caring for ventilated patients with acute respiratory distress syndrome (ARDS), respiratory therapists, etc.

 

 

Discuss the specific effects of aspirating vomitus on Sammy, including the probable effects on his bronchi and lungs. Why might one lung be affected more than the other?Discuss the pathophysiologic changes causing the signs and symptoms and any tests required to clarify the effects on Sammy.

Pathophys Wk 3

The initial post must include responses to all the questions in this discussion.

Mr. J, age 42, is a construction worker in Las Vegas who lives with his daughter and grandson, Sammy. He recently noticed that a mole on his face seemed to be getting larger and darker.

At first, he did not worry because he was in the sun a lot and assumed the change may have been caused by sunburn. After a month, not only was the mole larger and darker, but it appeared to be “bumpy.” His doctor diagnosed a malignant melanoma skin cancer following biopsy of the nevus. Mr. J reports pain in his right shin that does not go away when he puts his feet up or sleeps.

Discussion Questions

Relate Mr. J’s skin changes to the warning signs for malignant melanoma.

Discuss the normal progression of this malignancy. What is the significance of the bone pain that Mr. J is experiencing?

Discuss the treatment available for this patient and the prognosis for recovery.

Discussion Questions

Mr. J is babysitting his grandson Sammy, age 3 years, who ate his dinner and then said his tummy hurt. Mr. J suggested he lie down in the adjacent room while his parents finished dinner. A few minutes later, Mr. J heard Sammy vomiting.

He rushed in to lift Sammy up. When vomiting ceased, he noticed Sammy continued to cough and seemed to be choking. He was struggling to breathe, and a wheezing sound was obvious. It appeared that he had aspirated some vomitus. Mr. J drove him to a nearby hospital for examination.

Discuss the specific effects of aspirating vomitus on Sammy, including the probable effects on his bronchi and lungs. Why might one lung be affected more than the other?

Discuss the pathophysiologic changes causing the signs and symptoms and any tests required to clarify the effects on Sammy.

Suggest some reasons for Sammy’s difficulty breathing and wheezing.

Discuss the potential complications of aspiration of vomitus.

Weekly Outcomes Weekly Objectives

Articulate alterations in structure and function of the respiratory and integumentary systems. (CO 1)

Trace the impact that alterations in the respiratory and integumentary systems have on the body. (CO 2)

Summarize the impact of alterations in the respiratory and integumentary systems on homeostasis. (CO 3)

Understand normal respiratory and integumentary system disorders.

Compare and contrast common respiratory and integumentary disorders: causes, clinical manifestations, diagnostic tests, and treatments.

Apply understanding of alterations in respiratory and integumentary systems across the lifespan to formulate care priorities.

Examine responses to aging and its impact on pathophysiologic changes in the respiratory and integumentary systems.

Describe how heredity and genetics influence pathophysiological alterations in the cardiovascular and integumentary systems.

Examine factors leading to cancers of the respiratory and integumentary systems.

Main Topics and Concepts Sub-Concepts with Exemplar

Alterations in the respiratory system: Oxygenation

Pathological processes in structures and functions

Cancers of the respiratory system

Pathophysiologic respiratory system response to aging

Genetic influences on respiratory system pathology

Alterations in the integumentary system (skin disorders)

Pathological processes of the integumentary system

Cancers of the integumentary system

Genetic influences on the integumentary system

Oxygenation: Upper (Infectious Rhinitis) respiratory condition; Lower respiratory conditions (Pneumonias); atelectasis; pneumothorax

Genetics: Cystic fibrosis and congenital heart defects/anomalies

Acid-Base Imbalance: Arterial blood gases

Acute versus Chronic conditions: Infant Respiratory Distress Syndrome (IRDS), Adult Respiratory Distress Syndrome (ARDS), and Asthma (single episode), Chronic Obstructive Pulmonary Disease (COPD)

Cellular adaptation: Lung cancer

Immunity: Inflammatory skin disorders

Infection: wounds; abscess; viral and fungal rashes

Inflammation: skin infection; skin irritation