Watch Freddie when it takes Albuterol

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Freddie is 5 y/o Black male. Mother states she believes Freddie may have ADHD.
Diagnosed with Asthma last year, uses an inhaler about 5 times a week when he’s outside playing. She
believes Freddie’s inhaler seems to work well but that he must be allergic to “something outside.”
States he loves playing outside and riding his dirt bike. Mother wants to know if she should get him a
note to be excused from PE, as he is about to start kindergarten this year. Wants to know what he
needs to do before he starts school. States thinks he may have “missed his last immunizations and
may need to catch up.” PMH: Asthma. Medications: Albuterol Inhaler for use prn wheezing or
shortness of breath. No known drug allergies. BMI 25.

Impression/concerns

Questions for Freddie: When your playing outside do you cough, sneeze, or have a hard
time breathing? Do your chest hurt or feels funny? How many times do you use your
inhaler in one day? Do you feel better after you use it? Is it harder to breath in the morning
or night? Do you have trouble paying attention, forget daily activities, get into trouble a
lot?

Questions for Ginger: Does Freddie have any allergies that you are aware of? Do you watch
Freddie when it takes Albuterol? Do you think he is using the medication correctly? Do you
smoke around Freddie? Do you smoke outside when Freddie is outside playing? Any
symptoms occur when you spray perfume, cleaning supplies? Any mold inside the home?
Any household pets? When does his symptoms occur? During moderate exercise or
physical activity? Has Freddie ever had to go to the ED for an asthma attack?Do you read to
Freddie? Do you practice counting numbers and singing ABCs? Does Freddie conform two simple rules regarding behavior? Is Freddie able to separate from you, after a short
transition time, for at least half a day? What ways have you been preparing Freddie for
school? How does Freddie get along with his siblings? How easily can Freddie make
friends? Is Freddie in school? Has he been diagnosed with a learning disability? If Freddie
in school how is his progress? Explain why you think Freddie may have ADHD? Does he
have impulse control problems? Aggression, defiance, anxiety, difficulties staying on tasks
or following instructions? If he has behavior concerns, have you tried verbal reprimands,
time out, loss of privileges, punishments, rewards? Is he easily distracted by extraneous
stimuli? Talking excessively, interrupts others, fidgets with hands or feet or squirms inn
seat, loses temper, often angry, resentful, deliberately annoys people? If you notice any of
these problems, at what age did they begin? Do you allow Freddie to eat whatever he
wants? Has he ever been on a diet? Does Freddie consume a lot of chips, drink, candy,
processed foods, etc.?

 

Sample Solution 

Section I: INTRODUCTION TO THE STUDY Introduction The country is encountering a basic deficiency of medical care suppliers, a lack that is supposed to increment in the following five years, similarly as the biggest populace in our country’s set of experiences arrives at the age when expanded clinical consideration is vital (Pike, 2002). Staffing of emergency clinics, facilities, and nursing homes is more basic than any time in recent memory as the huge quantities of ‘gen X-ers’ start to understand the requirement for more continuous clinical mediation and long haul care. Interest in turning into a medical caretaker has disappeared lately, likely because of the historical backdrop of the extraordinary and requesting instructive cycle, low compensation, firm and extended periods of time, and fast ‘wear out’ of those rehearsing in the calling (Wharrad, 2003).

A complex oversaw care climate in this country is restricting the dollars accessible to be spent on nursing care. Numerous wellbeing callings, particularly nursing, have the standing of ‘eating their young’ as opposed to offering compelling coaching to develop future medical services suppliers. Because of these variables, the quantity of medical attendants has diminished and businesses regard themselves as understaffed and seeking able work force. Before 2001 the decay had been apparent for a considerable length of time (Sadler, 2003). Nursing schools, public pioneers, medical services pioneers and the overall population is impacted by the absence of Registered Nurses (RNs) accessible.

As the populace ages, the assumption is that a rising number of RNs will be required essentially to keep up with the ongoing degree of medical care. Furthermore, the momentum ecological and political worries of expanding pandemic sickness, event of synthetic and catastrophic events, and expanding dangers of war, requires critical expansions in the medical services labor force (Jefferys, 2001). The public nursing lack and factors that increment the interest for expanding the nursing labor force notwithstanding public, state, and nearby debacles make the potential for a general wellbeing emergency. Nursing programs have endeavored to satisfy need for medical attendants by expanding enlistment and campaigning effectively for expansions in program subsidizing by schools and states for understudies.

Tragically, the issue of nursing understudy weakening hampers the best endeavors of nursing programs and irritates the public lack of Registered Nurses in the United States (Ofori, 2002). In 2003, the National League for Nursing revealed a positive vertical pattern in the nursing labor force supply in any case, the American College of Healthcare Executives (2006) detailed that in 2005, 85% of emergency clinic directors decided medical clinics needed more enlisted medical attendants to fulfill patient consideration needs. The United States Bureau of Labor insights showed by 2014, more than 1.2 million new and substitution nursing positions would be expected to meet the public medical services needs (Ramsburg, 2007).

Various broad endeavors to diminish weakening have been made by nursing programs including reinforcing affirmation methods and executing maintenance programs. Unfortunately, the issues of weakening keep on continuing nursing schools the nation over. Admission to a nursing program is serious and numerous potential understudies are denied confirmation every semester. Steady loss from nursing programs influences not just the particular understudy who is acknowledged to a nursing program and ineffective, yet in addition the understudy denied confirmation that might have been effective. Steady loss rates are expensive to understudies, nursing projects, and medical services the same by diminishing the quantity of likely alumni from schools of nursing and adding to the nursing lack. Many examinations feature the a lot higher than wanted whittling down rates for nursing understudies

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