Person with Asthma OR breathing issues. Note: You will use the same scenario you developed and same mHealth app you identified in Week 2

Required Assigned Topic for the focus of your paper.

• Person with Asthma OR breathing issues. Note: You will use the same scenario you developed and same mHealth app you identified in Week 2.

Requirements and Guidelines
Download the required Milestone 2 Template. (Links to an external site.) Save it to your computer with the file name: Your Last Name NR361 Milestone 2.docx.
Briefly state the patient scenario from the Milestone 1 assignment.
Include revisions, if required by Milestone 1 faculty feedback.
Identify (3) teaching areas to improve patient outcomes.
Information to be taught to patient should include information about the mHealth app, safety, guidelines, and how to interpret and act on the information that is provided.
Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app.
Remember to cite when appropriate
You are required to complete the form using the productivity tools required , which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)
Carefully review the grading rubric criteria for Milestone 2 and type directly on your saved Milestone 2 Template.
Complete all rubric areas for a superior Milestone 2.
Use instructor feedback from Milestone 1 to improve your statements regarding the patient scenario in Milestone 2.

 

 

NR361 Milestone 2NR361 Milestone 2CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeDefine: Approved Patient Scenario from Milestone 1Brief statement of the patient scenario from the Milestone 1 assignment, including revisions if required by Milestone 1 faculty feedback.30.0 ptsDefines (states) the brief patient scenario approved from Milestone 1 including excellent details in revisions (if required by Milestone 1 instructor feedback).26.0 ptsDefines (states) the brief patient scenario from Milestone 1 including good details in revisions (if required by Milestone 1 instructor feedback).24.0 ptsDefines (states) the brief patient scenario approved from Milestone 1 including fair details in revisions (if required by Milestone 1 instructor feedback).12.0 ptsDefinition of brief patient scenario is poorly done and/or revisions did not adhere to feedback from instructor on Milestone 10.0 ptsDoes not define (state) the nursing issue.30.0 pts
This criterion is linked to a Learning OutcomeTeach:Identify (3) teaching areas to improve patient outcomes. Information to be taught to patient should include information about the mHealth app, safety guidelines, and how to interpret and act on the information that is provided. Remember to use bullet points.75.0 ptsIdentifies 3 teaching areas to improve patient outcomes. Excellent details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points.66.0 pts

Identifies 3 teaching areas to improve patient outcomes. Good details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points.60.0 ptsIdentifies 2 or 3 teaching areas to improve patient outcomes. Fair data includes information about the mHealth app, safety guidelines for mHealth application, and/or how to interpret and act on the information of the mHealth application. Does not use bullet points or information is not clear.29.0 ptsIdentifies 1-2 teaching areas to improve patient outcomes. Poor data includes information about the mHealth app, safety guidelines for mHealth application, OR how to interpret and act on the information of the mHealth application. Does not use bullet points AND information is not clear.0.0 ptsDid not identify teaching measures to improve patient outcomes.75.0 pts
This criterion is linked to a Learning OutcomeEvaluate:Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app. Cite when appropriate. Remember to use bullet points.75.0 ptsDescribe in excellent detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points.66.0 ptsDescribes in good detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points.60.0 ptsDescribes in fair detail 2-3 ways to determine and evaluate the success of the patient’s use of the mHealth app. May not use bullet points or information is not clear.29.0 ptsDescribes in poor detail 1-2 ways to determine and evaluate the success of the patient’s use of the mHealth app. Does not use bullet points AND information is not clear.0.0 ptsDid not identify ways to evaluate the success of the patient’s use of the mHealth app.75.0 pts
This criterion is linked to a Learning OutcomeCitations and References:Include citations and references for the mHealth application in APA format and a scholarly peer-reviewed journal article related to the patient scenario published within the past 5 years.30.0 ptsExcellent citations and references in APA format for both the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old26.0 ptsGood citations and references with minor errors in APA format for both/either the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old24.0 ptsCitations and references with some errors in APA format for both/either the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old12.0 ptsCitations and references with numerous errors in APA format for the mHealth application and the scholarly peer-reviewed journal.0.0 ptsDid not cite or reference in APA format.30.0 pts
This criterion is linked to a Learning OutcomeWritingcontains no spelling or grammatical errors. Reading level is appropriate for patient described.15.0 ptsGrammar, punctuation, and spelling are correct; Reading level appropriate for patient.13.0 ptsGood mechanics considering the elements listed in the first column12.0 ptsFair mechanics considering the elements listed in the first column.6.0 ptsPoor mechanics considering the elements listed in the first column0.0 ptsVery poor mechanics such that assignment is difficult to read.15.0 pts
This criterion is linked to a Learning OutcomeCorrect Topic and correct Template Use0.0 pts0 points deductedCorrect topic and correct template used for the assignment0.0 pts22.5 points deducted (10%)Incorrect topic OR incorrect/no template used results in a 22.5 point deduction (10%).0.0 pts

Chamberlain College of Nursing NR361

Course Project Milestone 2 Template

Directions: Prior to completing this template, carefully review Course Project Milestone 2 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 4 by 11:59 p.m. Mountain Time.

Name: __________________________

Assignment Criteria

NOTE: See Milestone 2 Rubric for details required in each area.

Define: Approved Patient Scenario from Milestone 1:

Brief statement of the patient scenario from the Milestone 1 assignment. Include revisions, if required by Milestone 1 faculty feedback.

30 points

Teach: Identify (3) teaching areas to improve patient outcomes. Information to be taught to patient should include information about the mHealth app, safety guidelines, and how to interpret and act on the information that is provided. (Cite when appropriate). Remember to use bullet points.

75 points

1. Information about the mHealth application:

2. Safety guidelines for mHealth application:

3. How to interpret and act on the information in the mHealth application:

Evaluate (3):

Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app. (Cite when appropriate). Remember to use bullet points.

75 points

Evaluation #1:

Evaluation #2

Evaluation #3:

Citations and References:

Should include:

In this assignment, please include citations in APA format. Remember to cite information that isn’t your information.

Section 1: mHealth application in APA format.

Section 2:

A scholarly peer-reviewed journal article related to the patient scenario. This is in APA format. This scholarly journal article needs to be within the last five years.

30 points

1. mHealth application APA reference:

2. Scholarly journal APA reference:

NR361 Course Project Milestone 2 Template.docx 07/19 JMJ

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Chamberlain College of Nursing NR361

Course Project Milestone 1 Template

Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 2 by 11:59 p.m. Mountain Time.

Name: ___

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

References

Aaron, S. D., Vandemheen, K. L., FitzGerald, J. M., Ainslie, M., Gupta, S., Lemière, C., … & Mulpuru, S. (2017). Reevaluation of diagnosis in adults with physician-diagnosed asthma. Jama, 317(3), 269-279.

Anderson III, W. C., Gondalia, R., Hoch, H. E., Kaye, L., Barrett, M., Szefler, S. J., & Stempel, D. A. (2019). Assessing asthma control: Comparison of electronic-recorded short-acting beta-agonist rescue use and self-reported use utilizing the Asthma Control Test. Journal of Asthma, (just-accepted), 1-8.

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). NY: Pearson.

Kagen, S., & Garland, A. (2019). Asthma and allergy mobile apps in 2018. Current allergy and asthma reports, 19(1), 6.

Roberts, E., Velsor-Friedrich, B., & Keough, V. (2018). Implementation of an Asthma Self- Management Education Guideline in the Emergency Department. Advanced emergency nursing journal, 40(1), 45-58.

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

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As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body.