The assessment submission should include a data table that illustrates the current and desired states of the clinical issue attempting to improve through application of change strategies. Additionally, need to explain the rationale for your decisions around the chosen change strategies, as well as how the change strategies will be successfully implemented.
The bullet points below correspond to the grading criteria in the scoring guide. Be sure that the change strategy addresses all of them.
*Please use the example to see how this should be structured and the additional attachment for guidance.
Asthma And COPD
In spite of the fact that COPD and asthma are both chronic inflammatory lung illnesses, the form of the inflammation that develops is likely the most significant distinction between the two conditions. Eosinophils are primarily responsible for the inflammation that occurs in asthma, while neutrophils are implicated in COPD. This is an essential difference because the kind of inflammation influences how the body reacts to pharmacological treatments. For example, corticosteroids are efficient against inflammation caused by eosinophils, while they are mainly useless against inflammation caused by neutrophils.
It is important to note, though, that as COPD and asthma symptoms get more severe, the f inflammation patterns become quite similar to one another. In line with the growth of eosinophils, an aggravation of asthma brought on by a virus may be accompanied by an increment in the number of neutrophils. And in exacerbations of COPD there could be an increment in eosinophil numbers. This goes some way to explaining the medication therapy of corticosteroids to COPD patients in terms of managing an acute exacerbation or regular exacerbations (Murphy, 2011).
When someone has asthma, their airways become obstructed as a consequence of bronchial smooth muscle contraction, airway hyper-reactivity to allergens, as well as inflammation that is associated with elevation in eosinophils and activation of t cells. In most cases of COPD, the airway smooth muscle does not become restricted. Instead, obstruction is related mostly with mucus hypersecretion as well as mucosal infiltration by inflammatory cells. This results in cell damage and the loss of alveolar tissue. In addition, the loss of cells and structural abnormalities that accompany COPD both impede with pulmonary circulation and oxygenation.
A young child who has repeated, intermittent bouts of coughing and wheezing, which could be followed by chest tightness or breathlessness, is the prototypical early clinical manifestation of asthma. The characteristic symptom is wheezing on exhalation, while other individuals present primarily with coughing, particularly in the evening and nighttime hours. People who have a history of asthma or atopy in their families are more likely to develop asthma themselves. The development of asthma in children is also more prevalent. Usually, the severity of symptoms may worsen when the individual is exposed to allergen and triggers, like pollen, dust mites, and animal dander. In some people, asthma symptoms go away once they've finished their childhood (van der Heide, 2021).
On the other hand, children practically never suffer from COPD, and even adults below 40 years almost never do. The typical patient is an elderly former or current smoker who exhibits increasing breathlessness, maybe coughing, and increased mucus production, all while lowering their level of physical activity. This is known as the typical presentation. While a lengthy smoking history is usually often connected with COPD, asthma may affect both smokers and those who have never picked up a cigarette. Only 27% of individuals who have asthma have symptoms on a daily basis, however persons who have COPD are more prone to experience symptoms on a continual basis.
I will become familiar with the various breath sounds, ranging from normal to pathological, while working through the shadow health module in the Respiratory Concept Lab. I was able to locate breath patterns in all of the lung areas by learning where to position my stethoscope. I was able to recognize aberrant lung sounds and know that my professional development will be enhanced if I use this respiratory idea to each patient I evaluate in the future. I want to become better by applying to each and every one of my encounters with my patients. The Respiratory Modules and the Respiratory Concept Lab will be completed over the weeks. In the respiratory concept lab, students learn about auscultation and get anatomical perspectives of what is going on within the pulmonary system. The additional imagery that the idea lab offers will also be helpful.
Murphy, A. (2011). Knowing the differences between COPD and asthma is vital to good practice. Pharmaceutical Journal, 287(7673), 399.
van der Heide, I., Poureslami, I., Shum, J., Goldstein, R., Gupta, S., Aaron, S., … & Canadian Airways Health Literacy Study Group. (2021). Factors Affecting Health Literacy as Related to Asthma and COPD Management: Learning from Patient and Health Care Professional Viewpoints. HLRP: Health Literacy Research and Practice, 5(3), e179-e193.
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MSN-FPX6021 Assessment 2
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Change Strategy and Implementation assessment. You may find it useful to use this document as a pre-writing exercise, as an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.
Does your data table clearly and accurately reflect the current state of one or more clinical outcomes?
· If applicable, have you appropriately citied the source for this data?
· Is your data HIPAA compliant?
Does your data table clearly and accurately reflect the desired state of one or more clinical outcomes?
· Have you based your desired state on best practices, guidelines, or regulations?
· Have you cited the relevant sources of evidence that you used to set your desired outcome state?
· Is your data HIPAA compliant?
Are the data and outcomes in your table relevant to a specific care setting, case study, or other clearly defined condition or issue?
Are the data and the outcomes relevant and appropriate for the change strategy you will be proposing?
What change strategies do you propose implementing to help achieve your desired outcomes?
How will you implement the change strategies to help achieve your desired outcomes in the context of the care setting or case study you are using for this assessment?
· What other implementation considerations do you need to take into account to ensure that the change strategy is successful?
· What implementation challenges or hurdles might exist and how might you deal with them?
How could the efficiency and effectiveness of the care system be evaluated to see if the desired outcomes are met?
Why is each change strategy you have chosen to implement relevant and appropriate for achieving one or more of your desired outcomes?
· What evidence (literature, best practices, professional guidelines, et cetera) supports your reasoning for implementing a chosen change strategy in the context of the care setting, case study, or desired outcomes you are considering for this assessment?
· How does the evidence support your reasoning and proposed implementation? Be specific.
Which change strategy (or strategies) will most likely lead to quality improvements in the area of patient safety?
· How will it contribute to quality improvements in this area?
Which change strategy (or strategies) will most likely lead to quality improvements in the area of equitable care?
· How will it contribute to quality improvements in this area?
How might the strategy (or strategies) lead to other improvements related to the Quadruple Aim?
Which proposed change strategy (or strategies) will best leverage interprofessional considerations and strategies?
· How will it help ensure successful implementation across interprofessional or multidisciplinary teams?
· How does your change strategy address the well-being of health care professionals?
Is your data table clearly presented?
Are the links between your data table, desired outcomes, and change strategy and implementation clear and justified?
Is your writing clear and professional?
Is your writing free from errors?
Is your submission 3–5 pages (not including the title page and reference list)?
Did you use 3–5 sources in your assessment?
· Are the sources you used no more than five years old?
Are your sources cited in APA format throughout the assessment?
Have you included an attached reference list?
Did you use the APA Paper Template for the proper formatting and to include a running head and title page?
· No abstract is needed for this assessment.
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