This week’s topic  is :  The case of  “I can’t catch my breath”

John, a healthy twenty-eight year old electrical engineer, was driving home from work one evening when he experienced sudden stabbing pain in his right pectoral and right lateral axillary regions. He began to feel out of breath and both his respiratory rate and heart rate increased dramatically. As luck would have it, John passed a hospital each day on his way home and was able to get himself to the hospital’s emergency room. The emergency room physician listened to John’s breathing with a stethoscope and requested blood gas analysis and a chest x-ray. John answered a few of the doctor’s questions. The doctor noted that John had no history of respiratory problems but was a heavy smoker.

After viewing the chest radiograph, the doctor informed John that he had experienced a spontaneous pneumothorax, or what is commonly called a collapsed lung. The doctor explained that a hole had opened in John’s right lung and that this hole had allowed air to leak into the cavity surrounding the lung. Then, as a result of the lung’s own elastic nature, the lung had collapsed. The doctor said he could not be certain of the cause of thepneumothorax, but smoking cigarettes had certainly increased the likelihood of it happening. He told John he was fortunate the pneumothorax was small, which meant that relatively little air had escaped from the lung into the surrounding cavity, and it should heal on its own. He instructed John to quit smoking, avoid high altitudes, flying innon pressurized aircraft, and scuba diving. He also had John make an appointment for a re-check and another chest x-ray.

Case Background

Spontaneous pneumothorax occurs when a blister on the surface of the lung opens, allowing air from the lung to move into the pleural cavity. This occurs because alveolar pressure is normally greater than the pressure in the pleural cavity. As air escapes from the lung, the lung tissues will recoil, and the lung will begin to collapse. The lung will continue to collapse until the difference between the alveolar pressure and pleural pressure disappears or until the collapsing of the lung causes the opening to seal.

The pneumothorax decreases the efficiency of the respiratory system, which in turn results in decreased blood oxygen concentration, increased respiratory rate, and increased heart rate. If the pneumothorax is small, the air that escapes into the pleural cavity can be reabsorbed into the lung once the opening has sealed shut. If thepneumothorax is large, a needle or chest tube may have to be inserted into the pleural cavity to draw the air out and allow for the re expansion of the lung.

Utilizing the med terms you learned this week answer the following questions

Why was John instructed to avoid high altitudes and flying in non pressurized aircrafts?

That is, what are the effects of high altitudes and or decreased air pressures on the respiratory system.

Here are the discussion board requirements.

• The initial discussion post must be at least 250 words of content, referencing the reading of the week, and include a scholarly source.
• classmates.
• Plagiarism of any kind will result in a “0”

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the evaluation table (1 slide)
  • An explanation about what you learned from completing the levels of evidence table (1 slide)
  • An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Choose an organization within the following categories and research it:

• Government or other agency, such as The Joint Commission (JCAHO), that regulates the health care industry or a particular segment of the industry
• Government agency that regulates prison health care

Complete the Regulatory Agency chart.

Cite 2 peer-reviewed, scholarly, or similar references to support your paper.

Explain how existing laws or regulations could affect your advocacy efforts. Be sure to cite and reference the laws and regulations using primary sources.

Developing an Advocacy Campaign
SEE PART 1 ASSN BELOW: DONE!!!

Introduction

When someone has a body mass index (BI) of 30 or higher, they are considered to be obese (Centers for Disease Control and Prevention (CDC), 2016). According to the CDC (2011), obesity is the second highest health issue among adult Latinos. From the United States Census Bureau (2015), Hispanics represented 17.6% of the United States population. In 2003 to 2006, 30% of Mexican American women were more likely to be obese than non-Hispanic white women (National Hispanic Caucus of State Legislators, 2010).

In 2003, Surgeon Richard Carmina described the nation’s obesity epidemic as a national crisis (National Hispanic Caucus of State Legislators, 2010). In 2009, two in every three adults and one in every three children was obese (National Hispanic Caucus of State Legislators, 2010). This was worse for Latino communities who reported staggering proportions of obesity across the states (National Hispanic Caucus of State Legislators, 2010).

According to the CDC (2011), obesity related diseases increase death rate among Latino communities. From the reports, at least half of the deaths contributing factors in the Latino community are obesity related. Some of the morbidity associated with obesity include coronary heart disease, stroke, hypertension and certain types of cancer. These are in conjunction with other secondary medical conditions like gallbladder disorders, sleep neap, and respiratory problems. Obesity is also affected by low self-esteem, mood disorders, and depression.

The National Hispanic Caucus of State Legislators (2010) has also documented from various research findings that the issue of obesity is affecting the economy of the country as a whole. With obesity comes discrimination, lack of employment or less productivity at workplaces. This means that the economy as a whole is affected by the drop in income generated per year by these individuals as compared to non-obese individuals. From the National Bureau of Economic Research, 17% of national medical costs are attributed to obesity in the year 2010 (National Hispanic Caucus of State Legislators, 2010). This has been on the rise over the years. The statistics also indicate that over 80% of obese people spent a lot of money on medication (National Hispanic Caucus of State Legislators, 2010).

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A brief description of the plans that your health care facility has for implementing the National Health
Care IT Plan

In this part of the course project you will find out what plans your health care facility has for implementing the plans of the ONC.

The strategic goals of the National Health Care IT Plan are to:
Achieve adoption and information exchange through meaningful use of Health IT.
Improve care and population health and reduce health care costs through the use of Health IT.
Inspire confidence and trust in Health IT.
Empower individuals within Health IT to improve the health care system.
Achieve rapid learning and technological advancement.
Write a report in a 3- to 4-page Microsoft Word document that includes the following information:

A brief description of the mission and vision statements of your health care facility

A brief description of the plans that your health care facility has for implementing the National Health
Care IT Plan

Recommendations on ways to achieve the National Health Care IT Plan

A brief description of how the identified technology solution in W2: Assignment 2 relates to the ONC plans

The strategic planning process for the implementation of your chosen solution

For example, if you chose a technology solution that is currently used at your health care facility, make a case for the manner in which the solution is contributing to meet one or more of the strategic goals for the National Health Care IT Plan mentioned above. If the technology that you have chosen is a new one, describe how the solution will potentially contribute to meeting one or more of the strategic goals of the National Health Care IT Plan.

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