Discussion: Respiratory AlterationsIn clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying

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Discussion: Respiratory Alterations

In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.

Consider the following three scenarios:

Scenario 1:

Scenario 2: Writing will base on Scenario 2

Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.

Scenario 3:


To Prepare

· Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text.

· Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.

· Identify the pathophysiology of the alteration that you associated with the cough.

· Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.


Write 2 pages (APA format, double space)

· A description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario.

· Then, explain the pathophysiology of the respiratory alteration.

· Finally, explain how the factors you selected might impact the disorder.

Discussion: Respiratory AlterationsIn clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying
Discussion: Respiratory Alterations In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders. Consider the following three scenarios: Scenario 1: Scenario 2: Writing will base on Scenario 2 Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record. Scenario 3: To Prepare Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text. Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described. Identify the pathophysiology of the alteration that you associated with the cough. Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder. write A description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder. Points to follow when writing a paper: Please all bullets points, bold, red and highlighted area must be attended to. A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings. Please review all rubrics. Check APA format/setting. Your final paragraph should be a summary of the key points of your paper. Please personalized where necessary. Refrain from direct quote Class Rules Avoid public facing sites like university web pages or foundation pages (such as the American Cancer Society or the Alzheimer’s Association) and medical sites designed for consumption by the general public (such as Mayo Clinic or WebMD). you are required to cite scholarly resources including peer-review journals and current practice guidelines.   May use https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/index.html   Rules for writing (FYI) Whether writing a discussion posting or a paper, keep a few things in mind— 1) I am looking for an explanation at the cellular or molecular level (whenever possible). 2) I am not looking for pathophysiological explanations that we would give to patients (e.g. “your heart just isn’t pumping the right way). While this explanation is acceptable for patient teaching, it will not cut it in a course titled “advanced pathophysiology.” To be very specific- I am looking for you to tell me the precise aberrancies (or theorized aberrancies) which inexorably lead to disease states. Thanks. 05
Discussion: Respiratory AlterationsIn clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying
Unit 4: 300 Assignment HI 300: Classify database technologies and healthcare information systems used to manage data and information.  Interact with others in a professional manner using appropriate communication and presentation skills. AHIMA CEE Curriculum Mapping Domain Subdomain Competency Domain I. Data Content, Structure & Standards (Information Governance) Subdomain I.A. Classification Systems 1. Evaluate, implement and manage electronic applications/systems for clinical classification and coding Domain I. Data Content, Structure & Standards (Information Governance) Subdomain I.A. Classification Systems 4. Evaluate the accuracy of diagnostic and procedural coding Domain I. Data Content, Structure & Standards (Information Governance) Subdomain I.C. Data Governance 4. Advocate information operability and information exchange Domain I. Data Content, Structure & Standards (Information Governance) Subdomain I.D. Data Management 2. Evaluate health information systems and data storage design Domain I. Data Content, Structure & Standards (Information Governance) Subdomain I.D. Data Management 3. Manage clinical indices/databases/registries Domain I. Data Content, Structure & Standards (Information Governance) Subdomain I.D. Data Management 5. Evaluate data from varying sources to create meaningful presentations Assignment Requirements Please complete all parts in a Microsoft Word document. The body of your document should be at least 1200 words in length. Quoting should be less than 10% of the entire paper. Paraphrasing is necessary. Students must cite and reference at least 4 credible sources from the Library. Instructions Imagine that you are the Director of Health Information for a large hospital. As Director, you sit on various institution-wide committees which govern the organization’s policies. You have seen issues arise that cause you to propose changes in policies, procedures and operations across the hospital. Therefore, you have decided to create a proposal to the CEO and Board of Directors, which you will develop in collaboration with committee teams. Please follow the instructions below in completion of this assignment.   Part Competency Assessed Instructions   Evaluate, implement and manage electronic applications/systems for clinical classification and coding Select two (2) applications/systems for clinical classification and coding (e.g., encoders, computer assisted coding (CAC), etc.) and appraise each vendor in terms of (1) capacity to evaluate quality coding practices, (2) possible implementation considerations/issues, and (3) systems management challenges and training needs. Provide support for one system that you find as the “best option” with rationale.   Evaluate the accuracy of diagnostic and procedural coding Consider the principles and applications of classification systems (e.g., ICD-10, HCPCS) and medical record auditing used within a clinical documentation improvement (CDI) program. Appraise the value and challenges of a quality CDI program by defending the need for ongoing CDI program support and critique at least three (3) challenges in the CDI process. Make connections between auditing, accurate diagnostic and procedural coding with classification systems, and CDI programs. Your executive summary should reflect upon the need for CDI and best practices for ensuring compliance. Advocate information operability and information exchange Critique one interoperability issue that is possible within the health information exchange (HIE) (e.g., patient identity matching). Appraise at least three (3) best practices that address the issue.   Evaluate health information systems and data storage design Evaluate at least three (3) health information systems (HIS) and three (3) data storage designs (e.g., onsite, cloud). Select the best HIS and data storage design for disaster recovery purposes. Indicate your selections with rationale.   Manage clinical indices/databases/registries Evaluate three (3) managerial challenges related to clinical indices, databases, and registries from the perspective of a hospital’s health information management function. Recommend three (3) best practices or policies related to the management of secondary data sources.   Evaluate data from varying sources to create meaningful presentations With respect to data warehousing, appraise at least two (2) approaches in data warehouse design that supports quality data management from varying sources, processing/storage of data throughout the warehouse model, and meaningful output into the presentation layer. Summarize your recommendations in the executive summary.

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