The Use of an Incentive Spirometer - Coursework Example

The Use of an Incentive Spirometer QUESTION 1: You’re planning to educate Mrs Lucas about the use of an incentive spirometer to prevent post-operative respiratory complications following her mitral valve replacement. During your assessment of Mrs Lucas’s learning needs you use the Dunn and Dunn (1987) learning styles and identify that a number of stimuli affect Mrs Lucas’s learning including: 1) Mrs Lucas is not motivated to learn about the incentive spirometer; 2) Mrs Lucas states ‘ I don’t need a nurse to show me how to use it’ (she prefers not to be taught by an authority figure); 3 Mrs Lucas does not seem to have followed through with any of the verbal instructions you have given so far in regards to pre-operative preparation (she is not an auditory learner). Write a teaching plan for Mrs Lucas. Ensure your plan includes: learning objectives, teaching strategies (tailored to Mrs Lucas’s learning style), and your evaluation criteria. QUESTION 2: You are providing nursing care for Mr Darcy following chemotherapy treatment. Mr Darcy has been educated to conduct mouth washes with sodium bicarbonate before and after each meal and before sleep at night throughout the course of his treatment. This strategy aims to reduce the likelihood of Mr Darcy developing mouth ulcers associated with his treatment. Apply the Health Belief Model to increase the likelihood of Mr Darcy taking action to prevent mouth ulcers by answering the questions on the next page. QUESTION 3: Explain why inadequate social support can result in disparities in health between individuals and communities. QUESTION 4: Justify how the Ottawa Charter action area of creating supportive environments can reduce health inequalities due to inadequate social support. Provide 1 Australian example in your answer. QUESTION 5: Justify how the Ottawa Charter action area of Building Healthy Public Policy may reduce workplace stress. Provide 1 Australian example in your answer. QUESTION 6: Imagine you were working in a hospital when you slipped and hurt your back resulting in constant, centralised back pain and difficulty mobilising. You are physically examined by a medical officer in your workplace who determines the injury is soft tissue damage. She states that you should take oral pain relief like anti-inflammatory medication, have regular physiotherapy and return in two weeks for a review of your condition. She completes a work cover and physiotherapy referral letter. What 4 pieces of information would the medical officer provide the physiotherapist about you? QUESTION 7: Mr Collins is a fifty year old man who lives with his 48 year-old wife and 22-year-old daughter. He has chronic asthma and has been admitted to the local hospital on several occasions with exacerbations of his asthma. Following his last hospital admission Mr Collins was referred to the community health centre and has an appointment with you (the community nurse) in the community based asthma education program – You gain the following information from Mr Collins: 1) When he experiences an asthma exacerbation he has a harsh, non-productive cough, feels breathless and is very restless and unable to sleep; 2) He is prescribed both preventer and reliever inhalers to treat his asthma; 3) Mr Collins says he has been increasingly worried about his symptoms of asthma as he wakes overnight with frequent coughing and his concentration at work has been affected by his poor sleep; 4) He also reports that he gets very breathless when walking up hills and to the train on his way to work. On the basis of this information what asthma self-management plan would you suggest for Mr Collins? QUESTION 8: Explain how gender differences influence health service utilisation and outline Australian strategies that have been put in place to overcome these differences. Watch the MAGPIE DVD located on the NSB503 Blackboard site (located under the learning resources tab, in the online activity folder), and then answer the following two questions: QUESTION 9: Justify 2 key considerations that enhanced the successful transition from hospital to home for June and Michael Hood. QUESTION 10: Describe 2 examples of how the staff of the transitional rehabilitation program acts as advocates for patients in the program. Reference List Asthma and Respiratory Foundation of New Zealand, (2011). retrived on 31st October 2011, from http://www.asthmanz.co.nz/files/PDF-files/Help_Yourself_and_STay_Well_MLW.pdf Battel-Kirk, B., Barry, M.M., Taub, A., & Lysoby, L. (2009). A review of the international literature on health promotion competencies: identifying frameworks and core competencies. Global Health Promotion, 16(2): 12-20 Becker, M.H. (n.d). The Health Belief Model and Personal Health Behavior. Health Education Monographs. Vol. 2 No. 4. Bowler SD, Mitchell CA, & Armstrong JG. (1995). Corticosteroids in acute severe asthma: effectiveness of low doses. Thorax 1992; 47:582-83 Champion, V.L. (1984). Instrument development for health belief model constructs, Advances in Nursing Science, 6, 73-85 Conner, M. & Norman, P. (1996). Predicting Health Behaviour. Search and Practice with Social Cognition Models. Open University Press: Ballmore: Buckingham. Dollard J, Stewart T, Fuller J & Blue I (2001) Aboriginal health worker status in South Australia, Aboriginal and Islander Health Worker Journal 25(1), retrieved on 28th October 2011, from http://www.aihwj.com.au/ Dunn, R. (2000). Learning styles: Theory, research, and practice. National Forum of Applied Educational Research Journal, 13, (1), 3-22. Dunn, R., & Griggs, S. (1998). Learning styles: Link between teaching and learning. In Dunn, R. & Griggs, S. (Eds.), Learning styles and the nursing profession (pp. 11-23). New York: NLN Press. Eisen, M (1992). A Health Belief Model — Social Learning Theory Approach to Adolescents' Fertility Control: Findings from a Controlled Field Trial. Health Education Quarterly. Vol. 19 Franks P, & Clancy CM. (1997). Referrals of adult patients from primary care: demographic disparities and their relationship to HMO insurance. J Fam Pract; 45:47–53 Horowitz CR, Colson KA, & Hebert PL. (2002). Disparities in access to healthy foods for people with diabetes. (Abstract). J Gen Intern Med; 17(suppl 1):161 Gijsbers van Wijk CMT, Kolk AM, van den Bosch WJHM, & van den Hoogen HJM. (1992), Male and female morbidity in general practice: the nature of sex differences. Soc Sci Med; 35:665–78 Glanz, K., Marcus Lewis, F. & Rimer, B.K. (1997). Theory at a Glance: A Guide for Health Promotion Practice. National Institute of Health. Glanz, K., Rimer, B.K. & Lewis, F.M. (2002). Health Behavior and Health Education. Theory, Research and Practice. San Fransisco: Wiley & Sons. Ignacio-Garcia J & Gonzalez-Santos P. (n.d). Asthma self-management education program by home monitoring of peak flow expiratory flow. Am J Respir Care Med; 151:353-59 Longnecker MP, & Daniels JL. (2001). Environmental contaminants as etiologic factors for diabetes. Environ Health Perspect; 109(suppl6): 871–6 Maxwell AE, Hunt IF, & Bush MA. (1992). Effects of a social support group, as an adjunct to diabetes training, on metabolic control and psychosocial outcomes. Diabetes Educ; 18:303–9 Moodie Peter M. (2008), Aboriginal health, Issue 10, Australian National University Press: Michigan, 82-167 NAEPP Export Panel Report (2005). Managing asthma during pregnancy: recommendations for pharmacologic treatment – 2004 update. J Allergy Clin Immunol; 115:34-46 Takano T, & Nakamura K. (2001). An analysis of health levels and various indicators of urban environments for Healthy Cities projects. J Epidemiol Community Health; 55:263–70 Ware CA, JE, Lu JFR, & Sherbourne CD. (1994). The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care; 32:40–6 World Health Organization (2005), The Ottawa Charter for Health Promotion, First International Conference on Health Promotion, Ottawa, 21 November 1986 Read More