[Solved] week 8

Assignment Prompt & Instructions

see attachment ,

thanks

– 2 years ago

**files (1)**

– ## Week8Discussion.pdf

**## Week8Discussion.pdf**

Directions:

1. Select one of the following prompts.
2. Complete the corresponding “Differentials Table” (this week focuses on chronic conditions

commonly referred to as palliative care) – include 5 differentials (excluding the example
provided).

3. Upload your Differentials Table and answers to your chosen prompt to the Discussion Board.

Week 8 Prompts

1. Self-care is important to personal health, professional growth, and the ability to care for
others. Discuss the importance of self-care for the APRN. Provide examples with your
rationale.

2. Compassion fatigue is flourishing in our society today, due in part to the increasing demands
of managed care, and it can impair your ability to function effectively. Discuss strategies to
avoid compassion fatigue. Provide examples with your rational.

Differentials Table

Common
Diagnoses
Necessitating
Palliative Care
Referral by
Nurse
Practitioner

Signs/
Symptoms

Gold Standard
Diagnostics Gold Standard Treatment

Ex: COPD

Chronic
cough,
chronic
sputum
production,
shortness of
breath worse
with
physical
exertion,
progressive
symptoms,
barrel chest,
weight loss;
hyperresona
nce upon
percussion,
tactile
fremitus and
egophony is
decreased;
CXR may
show
hyperinflatio
n; bullae
sometimes
present;
coarse
crackles.

Refer to GOLD
Report – Global
Initiative for
Chronic
Obstructive
Lung Disease.
A diagnosis of
COPD should
be considered in
any patient who
has dyspnea,
chronic cough
or sputum
production, a
history of
recurrent lower
respiratory tract
infections and/
or a history of
exposure to risk
factors for the
disease, but
forced
spirometry
showing the
presence of a
postbronchodil
ator FEV1/
FVC < 0.7 is
mandatory to
establish the
diagnosis of
COPD.

Prevention and Maintenance Therapy:
Smoking cessation, Vaccination
(pneumonia, influenza, COVID-19,
Tdap).
Acute exacerbation: SABA (albuterol,
levalbuterol). SAMA (Ipratropium
bromide) often used in combination with
SABA. While continuation of ongoing
therapy with long-acting beta agonists
(LABAs) or LAMAs has not been
specifically studied, the Global Initiative
for Chronic Obstructive Lung Disease
(GOLD) strategy advises their
continuation. Oral Glucocorticoid
therapy: 40mg per day for 5-14 days
Antibiotic Therapy: the GOLD strategy
recommends empiric antibiotics for
patients with COPD exacerbations who
have increased sputum purulence and
either increased sputum volume or
increased dyspnea, or for patients who
require ventilatory assistance.

1.

2.

3.

4.

5.

**## Week8Discussion.pdf**

Directions:

1. Select one of the following prompts.
2. Complete the corresponding “Differentials Table” (this week focuses on chronic conditions

commonly referred to as palliative care) – include 5 differentials (excluding the example
provided).

3. Upload your Differentials Table and answers to your chosen prompt to the Discussion Board.

Week 8 Prompts

1. Self-care is important to personal health, professional growth, and the ability to care for
others. Discuss the importance of self-care for the APRN. Provide examples with your
rationale.

2. Compassion fatigue is flourishing in our society today, due in part to the increasing demands
of managed care, and it can impair your ability to function effectively. Discuss strategies to
avoid compassion fatigue. Provide examples with your rational.

Differentials Table

Common
Diagnoses
Necessitating
Palliative Care
Referral by
Nurse
Practitioner

Signs/
Symptoms

Gold Standard
Diagnostics Gold Standard Treatment

Ex: COPD

Chronic
cough,
chronic
sputum
production,
shortness of
breath worse
with
physical
exertion,
progressive
symptoms,
barrel chest,
weight loss;
hyperresona
nce upon
percussion,
tactile
fremitus and
egophony is
decreased;
CXR may
show
hyperinflatio
n; bullae
sometimes
present;
coarse
crackles.

Refer to GOLD
Report – Global
Initiative for
Chronic
Obstructive
Lung Disease.
A diagnosis of
COPD should
be considered in
any patient who
has dyspnea,
chronic cough
or sputum
production, a
history of
recurrent lower
respiratory tract
infections and/
or a history of
exposure to risk
factors for the
disease, but
forced
spirometry
showing the
presence of a
postbronchodil
ator FEV1/
FVC < 0.7 is
mandatory to
establish the
diagnosis of
COPD.

Prevention and Maintenance Therapy:
Smoking cessation, Vaccination
(pneumonia, influenza, COVID-19,
Tdap).
Acute exacerbation: SABA (albuterol,
levalbuterol). SAMA (Ipratropium
bromide) often used in combination with
SABA. While continuation of ongoing
therapy with long-acting beta agonists
(LABAs) or LAMAs has not been
specifically studied, the Global Initiative
for Chronic Obstructive Lung Disease
(GOLD) strategy advises their
continuation. Oral Glucocorticoid
therapy: 40mg per day for 5-14 days
Antibiotic Therapy: the GOLD strategy
recommends empiric antibiotics for
patients with COPD exacerbations who
have increased sputum purulence and
either increased sputum volume or
increased dyspnea, or for patients who
require ventilatory assistance.

1.

2.

3.

4.

5.