This week’s graded discussion topic relates to the following Course Outcomes (COs).
- CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
- CO3 Utilize effective communication when performing a health assessment. (PO 3)
- CO4 Identify teaching/learning needs from the health history of an individual. (PO 2)
Please review the video above as it will provide you with an opportunity to immerse yourself in the role of a nurse addressing tobacco use during routine patient care. Click to review a transcript (Links to an external site.) of this recording.
While viewing, reflect on what you have learned about tobacco use and the role that nurses and other interdisciplinary team members play in helping to assist tobacco users with quitting. While viewing, it is also important to keep in mind that tobacco users move through stages of change in the process of quitting. They move from pre-contemplation to contemplation, contemplation to preparation; preparation to abstinence; abstinence to maintenance. Every stage requires a different strategy by a nurse.
After watching the video, and reflecting on the information presented, address each of the following questions.
- What are the common symptoms associated with an exacerbation of COPD?
- What assessment techniques will you use to assess Mary?
- Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
- Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
- What will you do to follow-up on Mary’s smoking cessation process?
Solution:
What are the common symptoms associated with an exacerbation of COPD?
Common symptoms associated with an exacerbation of COPD include “dyspnea, fatigue, cough, sputum production, wheezing, chest tightness, sleep disturbances, and weight loss” (Kornuski & Oji,2018).
What assessment techniques will you use to assess Mary?
To assess Mary I would first as her about her symptoms. Does she have shortness of breath? If so how often and what makes it better or worse? Has she been experiencing a cough or any sputum? I would do a full set of vital signs (HR, RR, BP, O2 saturation). I would also need to “Perform the inspection, palpation, percussion, and auscultation on the posterior and lateral thorax. Then move to face the person and repeat the four maneuvers on the anterior chest” (Jarvis, p 424).
Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
During the interview with Mary there were a few times when I could identify smoking strategies that would be appropriate in assisting Mary in quitting smoking. When Mary states….Please click the Paypal icon below to purchase full solution for only $5