Shadow health Questions – respiratory for Tina transcript results

May 30, | nursing, med, NURS, Paper

Shadow health Questions – respiratory for Tina transcript results
Shadow health Questions – respiratory for Tina transcript results
History of Present Illness
Finding:
Established chief complaint
Finding:
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Reports increased breathing problems
(Found)
Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
What brings you in today?
Finding:
Asked about reasons for seeking treatment
Finding:
Reports worry that inhaler “isn’t working like it usually does”
(Available)
Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Why did you decide to seek treatment?
Finding:
Believes breathing problems triggered by asthma exacerbation
(Available)
Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
What do you think caused your illness?
Finding:
Asked about current breathing
Finding:
Reports current breathing is normal
(Found)
Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint.
Example Question:
Are you having difficulty breathing right now?
Finding:
Asked about symptoms during asthma exacerbation
Finding:
Describes exacerbation symptoms as chest tightness and “can’t take in air”
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe what happens when her asthma acts up will indicate how her individual symptoms manifest. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
What happens when your asthma acts up?
Finding:
Reports asthma severity as “not full attack,” but worse than usual
(Available)
Pro Tip: Asthma severity might change over time for a variety of reasons. Asking Tina about the severity of her asthma will allow her to assess her condition.
Example Question:
How severe is your asthma?
Finding:
Reports audible wheeze during asthma exacerbation
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.
Example Question:
Do you wheeze during an asthma exacerbation?
Finding:
Reports audible wheeze lasting 5 minutes during asthma exacerbation
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina how long her wheezing lasts illustrates how her asthma is presenting. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
How long does your wheezing usually last?
Finding:
Reports no post nasal drainage with asthma exacerbation
(Available)
Pro Tip: Post-nasal drip can worsen already exacerbated asthma. Soliciting information about Tina’s sinuses will point to additional factors that are triggering Tina’s breathing problems.
Example Question:
Do you have postnasal drainage when you have breathing problems?
Finding:
Reports no chest pain during asthma exacerbation
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina whether she experiences chest pain during an attack will indicate how her individual symptoms manifest.
Example Question:
Are the shortness of breath episodes associated with chest pain?
Finding:
Asked about asthma management
Finding:
Reports feeling asthma is less controlled recently
(Available)
Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition.
Example Question:
How well do you feel your asthma is controlled? Shadow health Questions – respiratory for Tina transcript results.
Finding:
Reports asthma has been interfering with activities of daily life
(Available)
Pro Tip: Severe asthma can interfere with daily life. Asking Tina the degree to which asthma impacts her daily life can be illustrative of the relative severity of her asthma.
Example Question:
Is there anything you can’t do because of your asthma?
Finding:
Reports no record keeping of asthma exacerbation or shortness of breath episodes
(Available)
Pro Tip: For some patients, keeping records of asthma exacerbation allows them to monitor their conditions. Soliciting this information from Tina will show health literacy.
Example Question:
Do you use a chart to monitor your asthma?
Finding:
Reports no peak flow meter usage
(Available)
Pro Tip: A peak flow meter measures how well a patient’s lungs can expel air. By asking whether Tina uses a peak flow meter, you are asking about her health literacy and what kind of medical tools she uses to manage her asthma.
Example Question:
Do you check your peak flow regularly?
Finding:
Reports no nebulizer use
(Available)
Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she uses a nebulizer for her asthma will indicate her treatment plan and the degree to which she complies with it.
Example Question:
Do you use a nebulizer?
Finding:
Reports no vaporizer use
(Available)
Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever used a vaporizer can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.
Example Question:
Do you use a vaporizer?
Finding:
Asked about recent asthma exacerbation
Finding:
Confirms recent asthma exacerbation
(Available)
Pro Tip: Asking about how Tina is recently breathing can provide a comparative baseline for assessing Tina’s current condition and previous breathing concerns or conditions.
Example Question:
Have you had breathing problems recently?
Finding:
Reports most recent asthma exacerbation two days ago
(Available)
Pro Tip: Soliciting a shallow history of a patient’s condition can provide a baseline for comparing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.
Example Question:
When did you last have problems with your asthma?
Finding:
Reports asthma exacerbation at cousin’s house
(Available)
Pro Tip: Environmental factors can often be primary allergy triggers. Asking Tina where she was when the most recent exacerbation occurred can point to potential environmental factors.
Example Question:
Where were you when your breathing problems started?
Finding:
Reports recent asthma exacerbation triggered by cats
(Available)
Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
What started your recent asthma problems?
Finding:
Treated recent asthma exacerbation with rescue inhaler
(Available)
Pro Tip: Tina’s response to a question about recent asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
What treatment did you use when your asthma acted up?
Finding:
Asked about cat allergy
Finding:
Confirms cat allergy
(Available)
Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a cat allergy can reveal one such trigger.
Example Question:
Can you confirm that you are allergic to cats?
Finding:
Reports wheezing around cats
(Available)
Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina wheezes around cats can reveal one such trigger.
Example Question:
Do cats make you wheeze?
Finding:
Reports runny nose around cats
(Available)
Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina gets a runny nose around cats can reveal one such trigger.
Example Question:
How is your nose around cats?
Finding:
Reports eyes red, itchy, and swollen around cats
(Available)
Pro Tip: Asthma triggers can result in symptoms that manifest in various ways. Asking Tina how being around a known trigger will indicate what some of these symptoms might look like.
Example Question:
How does being around cats affect your eyes?
Finding:
Reports sneezing around cats
(Available)
Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina sneezes around cats can reveal one such trigger.
Example Question:
Do you sneeze around cats?
Finding:
Reports infrequent cat exposure
(Available)
Pro Tip: Environmental factors can often be primary allergy triggers. Asking how often Tina is around cats, a known trigger, will indicate how frequently she is exposed to one trigger.
Example Question:
How often are you around cats?
Finding:
Asked about asthma triggers
Finding:
Confirms knowledge of asthma triggers
(Available)
Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina what triggers her asthma will indicate, in part, Tina’s health literacy.
Example Question:
Does anything trigger your asthma?
Finding:
Reports asthma triggered by cats
(Available)
Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a cat allergy can reveal one such trigger.
Example Question:
Do cats trigger your asthma?
Finding:
Reports asthma triggered by dust
(Available)
Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a dust allergy can reveal one such trigger.
Example Question:
Does being around dust trigger your asthma?
Finding:
Reports asthma triggered by running up stairs
(Available)
Pro Tip: Shortness of breath or asthma can be exercise-induced. Asking whether climbing stairs can be a trigger for Tina might reveal a possible provocation.
Example Question:
Does climbing stairs trigger your asthma?
Finding:
Reports no seasonal triggers
(Available)
Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina whether she has seasonal triggers will indicate, in part, Tina’s health literacy.
Example Question:
Do you have seasonal asthma triggers?
Finding:
Reports changes in weather do not trigger asthma
(Available)
Pro Tip: For some patients, weather changes can be asthma irritants. Asking Tina if the weather impacts her asthma will indicate if weather is an irritant for Tina’s condition. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
Do changes in weather make your asthma worse?
Finding:
Asked any question about exacerbation onset
Finding:
Reports asthma exacerbation two days ago
(Found)
Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.
Example Question:
How long ago did your breathing problems start?
Finding:
Asked about breathing since recent asthma exacerbation
Finding:
Reports frequent shortness of breath episodes since asthma exacerbation
(Found)
Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.
Example Question:
How has your breathing been since the exacerbation?
Finding:
Reports shortness of breath episodes about every 4 hours since original asthma exacerbation
(Available)
Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition.
Example Question:
How many times have you had breathing problems in the past two days?
Finding:
Reports last shortness of breath episode was early in the morning
(Available)
Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
When did you last have trouble breathing?
Finding:
Asked any question about aggravating factors
Finding:
Reports shortness of breath slightly increased when lying flat on back
(Available)
Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. By asking Tina if lying down causes shortness of breath, you’re assessing which positions might cause exacerbation.
Example Question:
Does lying down make your asthma worse?
Finding:
Reports shortness of breath aggravated by movement
(Available)
Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. Inquiring into what activities make Tina short of breath can indicate possible triggers.
Example Question:
Is there anything you can’t do because of your asthma?
Finding:
Asked any question about associated symptoms since exacerbation
Finding:
Reports persistent cough
(Found)
Pro Tip: A shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Soliciting this information from Tina allows her to explain any recent developments with her asthma.
Example Question:
Have you been coughing?
Finding:
Reports no phlegm or sputum since exacerbation
(Available)
Pro Tip: A productive asthma cough can expel sputum from the lungs. By asking whether Tina has been coughing up phlegm or sputum you are discovering the nature of Tina’s cough since exacerbation.
Example Question:
Have you been coughing anything up?
Finding:
Reports shortness of breath is worse at night
(Available)
Pro Tip: Sometimes a condition will fluctuate during the course of the day. By asking Tina how her asthma differentially impacts her both during the day and at night, you are assessing an important change over time.
Example Question:
Is your asthma worse at night?
Finding:
Asked any question about wheezing since exacerbation
Finding:
Reports wheezing since exacerbation
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.
Example Question:
Have you been wheezing?
Finding:
Reports increased wheezing episodes since exacerbation
(Available)
Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking if Tina’s been wheezing more frequently since exacerbation can indicate the severity of her symptoms since exacerbation. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
Have you been wheezing more than usual?
Finding:
Reports 10 wheezing episodes since exacerbation
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina how frequently she’s been wheezing will illustrate the extent of exacerbation.
Example Question:
How many times have you wheezed in the past two days?
Finding:
Asked about asthma medication
Finding:
Reports asthma treated with inhaler
(Found)
Pro Tip: Tina’s response to a question about asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
What usually works to treat your asthma?
Finding:
Asked about inhaler prescription
Finding:
Inhaler is Proventil
(Available)
Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it.
Example Question:
What is the name of the inhaler you are currently using?
Finding:
Prescribed usage is 2 puffs
(Available)
Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina how many puffs of her inhaler she’s prescribed will indicate her treatment plan and the degree to which she complies with it. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
How many puffs of your inhaler are you prescribed?
Finding:
Reports inhaler use since asthma diagnosis
(Available)
Pro Tip: Tina’s response to a question about asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
How long have you had an inhaler?
Finding:
Reports sometimes needing a third puff to resolve asthma symptoms
(Available)
Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique.
Example Question:
How many inhaler puffs do you need?
Finding:
Asked about inhaler use over past 2 days
Finding:
Reports increased inhaler usage since asthma exacerbation
(Available)
Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking if Tina’s been using her inhaler more frequently since exacerbation can indicate how she’s been treating her symptoms since exacerbation. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
How often do you use your inhaler?
Finding:
Reports using inhaler every 4 hours or so since exacerbation
(Available)
Pro Tip: After an asthma exacerbation, patients often will become more reliant on medical tools like inhalers. Asking Tina how many times she’s used her inhaler in the past two days will point to the severity of her recent exacerbation.
Example Question:
How many times have you used your inhaler in the past two days?
Finding:
Reports most recent inhaler use early in the morning
(Available)
Pro Tip: Soliciting a shallow history of a patient’s medication history can reveal recent exacerbation. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment.
Example Question:
When did you last use your inhaler?
Finding:
Asked about possible contributing factors in environment
Finding:
Reports living situation is tidy and free of dust
(Available)
Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at home might indicate a relevant factor in her recent exacerbation.
Example Question:
Have you noticed anything at home that aggravates your asthma?
Finding:
Reports very rare exposure to asthma triggers at work
(Available)
Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at work might indicate a relevant factor in her recent exacerbation. Shadow health Questions – respiratory for Tina transcript results.
Example Question:
Does anything at work make your asthma worse?
Finding:
Reports new bedding
(Available)
Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina if she regularly changes her bedding, you’re soliciting information about environmental factors that might exacerbate her condition.
Example Question:
Do you change your bedding regularly?
Finding:
Reports using hypoallergenic mattress cover
(Available)
Pro Tip: Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.
Example Question:
Do you use a hypoallergenic mattress cover?
Finding:
Reports mattress approximately 1 year old
(Available)
Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina how old her mattress is, you’re soliciting information about environmental factors that might exacerbate her condition.
Example Question:
How old is your mattress?
Finding:
Reports using hypoallergenic pillows
(Available)
Pro Tip: Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.
Example Question:
Are your pillows hypoallergenic?
Finding:
Has no pets at home
(Found)
Shadow health Questions – respiratory for Tina transcript results Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has any pets can reveal one such trigger.
Example Question:
Do you have pets at home?
Finding:
Reports no one at home smokes tobacco
(Available)
Pro Tip: Secondhand smoke can be particularly triggering for asthmatics. Asking whether anyone in Tina’s household smokes might indicate a proximate environmental trigger.
Example Question:
Does anyone in your house smoke?
Finding:
Asked follow up question about cough
Finding:
Reports cough started two days ago
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.
Example Question:
When did the cough start?
Finding:
Reports cough since exacerbation
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.
Example Question:
How long have you had a cough?
Finding:
Reports cough aggravated by movement
(Available)
Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what makes Tina’s cough worse can open up a conversation about asthma management.
Example Question:
What makes your cough worse?
Finding:
Reports cough worse at night
(Found)
Pro Tip: Sometimes a condition will change during the course of the day. By asking Tina how her cough differentially impacts her both during the day and at night, you are assessing an important change over time.
Example Question:
Is your cough worse at a certain time of day?
Finding:
Reports cough slightly relieved by drinking water
(Available)
Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what relieves Tina’s cough can open up a conversation about asthma management.
Example Question:
What makes your cough better?
Finding:
Reports cough persistent but not severe
(Available)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.
Example Question:
How severe is your cough?
Finding:
Reports “small, dry” cough
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.
Example Question:
How would you describe your cough?
Finding:
Reports no cough treatments
(Available)
Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not treat this symptom Shadow health Questions – respiratory for Tina transcript results. Asking Tina how she is treating her cough might reveal her current symptom management and health literacy.
Example Question:
Have you tried to treat your cough?
Finding:
Asked follow up question about asthma at night
Finding:
Reports waking up with shortness of breath since asthma exacerbation
(Available)
Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.
Example Question:
Does your asthma wake you up at night?
Finding:
Reports waking up twice a night with asthma since exacerbation
(Available)
Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.
Example Question:
How many times in the past two nights did asthma wake you up?
Finding:
Reports wheezing at night
(Available)
Pro Tip: Wheezing might indicate a recent asthma exacerbation. Asking Tina whether she’s been wheezing in the past two nights will give you insight into her immediately recent symptoms.
Example Question:
Have you been wheezing the past two nights?
Relevant Medical History
Finding:
Asked about asthma diagnosis
Finding:
Has asthma
(Found)
Pro Tip: Asking whether Tina has asthma will elicit information regarding any previous respiratory diagnosis.
Example Question:
Can you confirm that you have asthma?
Finding:
Diagnosed with asthma in childhood
(Found)
Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.
Example Question:
How long have you had asthma?
Finding:
Diagnosed with asthma at 2 1/2 years old
(Available)
Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.
Example Question:
How old were you when you were diagnosed with asthma?
Finding:
No current asthma doctor
(Available)
Pro Tip: Seeing a specialist, like an asthma doctor, can help patients to manage symptoms. Asking whether Tina is seeing an asthma doctor will allow you to assess her current treatment plan and healthcare access.
Example Question:
Do you have an asthma doctor?
Finding:
Asked about hospitalizations for asthma
Finding:
Reports prior hospitalizations for asthma
(Available)
Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina if she’s been hospitalized, you are soliciting information about the history and severity of her condition.
Example Question:
Have you ever been hospitalized for asthma?
Finding:
Reports last hospitalization was age 16
(Available)
Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina when she was last hospitalized, you are soliciting information about the history and severity of her condition.
Example Question:
When was your last hospitalization for asthma?
Finding:
Estimates 5 total hospitalizations for asthma
(Available)
Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina the number of times she’s been hospitalized, you are soliciting information about the history and severity of her condition.
Example Question:
How many times have you been to the hospital?
Finding:
Reports she has never been intubated
(Available)
Pro Tip: Intubation for a condition, like asthma, can reveal its severity Shadow health Questions – respiratory for Tina transcript results. By asking Tina if she’s been intubated, you are soliciting information about the history and severity of her condition.
Example Question:
Have you ever been put on a breathing tube?
Finding:
Asked about relevant history
Finding:
Reports no history of eczema
(Available)
Pro Tip: Children with eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.
Example Question:
Have you had eczema?
Finding:
Reports no history of sinus problems
(Available)
Pro Tip: People with asthma are likely to also experience sinus problems. It is important to determine whether Tina has sinus problems as they can cause complicating symptoms in patients who also experience asthma.
Example Question:
Do you have a history of sinus problems?
Finding:
Reports no current tobacco use
(Found)
Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina if she currently smokes can help you to discern whether smoking was a factor in Tina’s recent asthma exacerbation.
Example Question:
Do you smoke cigarettes?
Finding:
Reports no history of tobacco use
(Available)
Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked cigarettes can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.
Example Question:
Have you ever smoked cigarettes?
Finding:
Reports no history of GERD
(Available)
Pro Tip: People with asthma are almost twice as likely to also experience GERD. It is important to determine whether Tina has GERD as GERD can cause shortness of breath in patients who also experience asthma.
Example Question:
Do you have gastroesophageal reflux disease?
Finding:
Reports no history of respiratory infection
(Available)
Pro Tip: History of respiratory illness can manifest in various conditions. Inquiring into Tina’s relevant history can reveal past diagnoses and previous conditions or concerns.
Example Question:
Have you ever had respiratory infections?
Risk Factors
Finding:
Asked about family history
Finding:
Reports younger sister only family with asthma
(Available)
Pro Tip: Soliciting a family history helps you to determine which, if any, conditions are inherited. In asking Tina whether anyone in her family has asthma, you’re ascertaining whether Tina’s condition is inherited.
Example Question:
Does anyone in your family have asthma?
Finding:
Reports no recent illnesses with family members at home
(Available)
Pro Tip: For people with asthma, getting sick can increase their risk for exacerbation. If Tina’s had any family members recently sick, that might have caused her recent exacerbation.
Example Question:
Has anyone at home been sick?
Finding:
Reports no family history of eczema
(Available)
Pro Tip: People with a family history of eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.
Example Question:
Does anyone in your family have eczema?
Finding:
Reports no family history of sinus problems
(Available)
Pro Tip: People with a family history of sinus problems are often at a higher risk for asthma. If Tina has a family history of sinus problems, this could suggest inherited sensitivity.
Example Question:
Do you have a family history of sinus problems?
Finding:
Asked about smoking any substances
Finding:
Reports past marijuana use
(Available)
Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.
Example Question:
Have you ever smoked marijuana?
Finding:
Reports quitting marijuana due to lack of interest and asthma exacerbation
(Available)
Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina why she quit smoking marijuana can help you to discern whether smoking exacerbated Tina’s asthma.
Example Question:
Why did you stop smoking marijuana?
Finding:
Reports stopping marijuana use at 20 or 21
(Available)
Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina when she quit smoking marijuana can help you to discern whether smoking recently exacerbated Tina’s asthma.
Example Question:
When was the last time you smoked marijuana?
Finding:
Reports smoking marijuana for 5 or 6 years Shadow health Questions – respiratory for Tina transcript results

Rough Draft Qualitative Research Critique and Ethical Considerations Examples

May 30, | nursing, med, NURS, Paper

Rough Draft Qualitative Research Critique and Ethical Considerations Examples
Rough Draft Qualitative Research Critique and Ethical Considerations Examples
Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the ”Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.
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Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
In a 1,000–1,250 word Rough Draft Qualitative Research Critique and Ethical Considerations Examples essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this Rough Draft Qualitative Research Critique and Ethical Considerations Examples assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
 
Research Critique Guidelines – Part I
Qualitative Studies
Background of Study

Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

Discuss how these two articles willbe used to answer your PICOT question.
Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

State the methods of the two articles you are comparing and describe how they are different Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

Summarize the key findings of each study in one or two comprehensive paragraphs.
What are the implications of the two studies in nursing practice?

Ethical Considerations

Discuss two ethical consideration in conducting research.
Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.

 
Rough Draft Qualitative Research Critique and Ethical Considerations Examples – 1
Introduction and Background of the Study
Individuals aged 65 years and over exhibit a greater prevalence of the problem of multi-morbidity, or sufferance from multiple chronic health conditions, that require a multiplicity of medications for purposes of managing symptoms and preventing future problems. A combination of these healthcare needs, along with age-connected pharmacokinetic and pharmacodynamic changes often increase the complexity of medical prescription in this special patient population. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
Administration of inappropriate prescriptions is a common clinical problem affecting the population of elderly persons in primary nursing care. This reality has been the focus of a significant number of qualitative clinical research studies. Upon recognition of the reality that a limited number of studies have been design to qualitatively explore the phenomenon of potentially inappropriate prescribing, Clyne et al. (2016) conducted a qualitative study to investigate this clinical problem as well as its underlying mechanisms from the viewpoints of general practitioners. Their study aimed at a qualitative exploration of general practitioners’ perspectives concerning prescribing and the problem of inappropriate prescriptions in elderly primary nursing care patients. This was their main research problem and the focus their qualitative study (Clyne et al, 2016).
Having identified the research gap and research problem, the authors established their study’s significance by highlighting the public health concerns associated with inappropriate prescribing in elderly patients. According to Clyne et al (2016), the need to study the phenomenon of potentially inappropriate prescribing arises from the commonly reported consequences of such practice in elderly persons, including a potential for an increase in the prevalence of morbidity, increased hospitalization, and lower health-linked quality of life, as well as a rise in ADEs. According to the study, patients are also likely to face the healthcare risk of polypharmacy. These drugs may also lead to elderly falls that are likely to increase healthcare problems for patients.
There are a number of possible questions explored by the study. What is the prevalence of inappropriate prescribing in elderly persons? What are the clinical ramifications or healthcare consequences of inappropriate prescribing? How best can the problem be reduced? Finally, the paper’s primary focus is: what are the clinician perspectives with respect to the phenomenon of potentially inappropriate prescriptions? Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
The purpose of Clyne et al (2016) research paper is conduct an exploration of the general practitioners’ perspectives concerning the inappropriate prescription and its impact in elderly primary care patients. There is a substantial connection between the research questions and the purpose of the study as demonstrated in their article.
Method of Study
The authors used semi-structured qualitative interviews as their method in order to investigate the perspectives of general practitioners in a randomized controlled trail design geared toward decreasing the prevalence of potentially inappropriate prescription in elderly patients that would lead to the capstone project’s primary concern of elderly falls and the associated comorbidities. While their focus was on the population of patients in Ireland that were 70 years or older, their application of the quality method was appropriate because the study sought to explore the opinions of general practitioners which, by and large, is a qualitative attribute than can be more effectively explored using the qualitative method. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
The authors identified a substantial number of qualitative as well as quantitative studies from literature that were relevant to their study and the focus of the research, and which focused on the clinical issue of inappropriate prescribing and the associated consequences and potential interventions. The literature used is largely based on peer-reviewed journal articles that are accessible in public databases such as PubMed, Google Scholar, and PubMed Central Rough Draft Qualitative Research Critique and Ethical Considerations Examples. The articles used in the study are largely current, although the authors have also relied on qualitative articles that date back to 2003, which is still acceptable within the qualitative criterion of article currency. The chosen articles are notably relevant to the topic of research.
Although the authors have used a broad range of relevant peer-reviewed articles, there is limited or no indication or evaluation of the potential weaknesses of the studies used. However, the article’s literature review relied upon adequate data and information on the subject of inappropriate prescribing and its consequences on the elderly population in an effort to build their logical arguments and lay out the results of their findings.  Moreover, the authors did not explicitly make develop a particular framework from findings of their study, though their study was based on the OPTI-SCRIPT evaluation process.
Results of Study
Clyne et al. (2016) conducted seventeen semi-structure qualitative interviews involving 13 males and 4 female participants. Results from the findings of their studies identified three primary interrelated themes including complex prescription environment, paternalistic relationships between doctors and patients, and the relevance of potentially inappropriate prescribing as a concept. Patient complexity—including multi-morbidity and polypharmacy, and prescriber complexity—seen in terms of the existence of multiple prescribers, restriction in autonomy, and poor communication were identified in the study as some of the main factors creating complexity in the prescribing setting in which there is a greater chance that potentially inappropriate prescription could possibly take place.
The study is an important contributor to the nursing knowledge with respect to the topic of inappropriate prescription in elderly persons. Its use of qualitative approach was instrumental to nursing literature and body of knowledge in the sense that it enabled the exploration of the complex clinical issues of inappropriate prescribing in elderly primary care in a manner that is unavailable to most quantitative studies. The study has identified a number of interrelated variables that influence the potential occurrence of inappropriate prescribing and older patient medication, which are important to nursing intervention and practice, including the need to improve the management of multi-morbidity and polypharmacy, and to achieve a decrease in potentially inappropriate prescriptions and medications that would lead to such consequences as falling in older persons. The findings of the study are also largely applicable to nursing education in terms of informing the general practitioners and clinicians of the need to understand the concept and processes of potentially inappropriate prescribing Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
Ethical Considerations
Clyne et al (2016)’s study received ethical approval to conduct their research from the Irish College of General Practitioners’ Research Ethics Committee. The participants were provided with written information, and consented to participation into the research study. Although there is no reason to doubt it, there little information pointing to the protection of patient privacy
Conclusion
Potentially inappropriate medication is a common problem in elderly populations, and is linked to a rise in the number of injurious and sometimes fatal falls among this vulnerable patient population in primary care. Clyne et al. Rough Draft Qualitative Research Critique and Ethical Considerations Examples (2016) have conducted a clinically relevant qualitative study to identify factors that potentially influence the occurrence of this clinical problem including the prescription environment complexity, and paternalistic relationships between doctors and patients, as well as the little significance that general practitioners have attached to this growing public health concern. Thus, further research is needed to develop interventions that address the noted challenges and improve nursing care for elderly persons.
Good description.  Ultimately the goal of qualitative data analysis is to organize the data by theme.  This is done through reading and re-reading the transcripts to find the common themes. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
Reference
Clyne, B., Cooper, J. A., Hughes, C. M., Fahey, T., & Smith, S. M. (2016). ‘Potentially inappropriate or specifically appropriate?’ Qualitative evaluation of general practitioners views on prescribing, polypharmacy and potentially inappropriate prescribing in older people. BMC Family Practice, 17(1), 109
 
Rough Draft Qualitative Research Critique and Ethical Considerations Examples – 2
Research Critique: Compassion fatigue
Research on compassion fatigue has been completed identifying the problems faced by most oncology as well as emergency nurses. Compassion fatigue has been compared to burnout, displaced traumatization displaced traumatization, secondary disturbing stress disorder, compassion stress among other problem affecting the quality of service among nurses. Nurses experiencing compassion fatigue identified as having a contrasting view about the nursing practices and patient care. Study by Coetzee, & Klopper (2010), notes that “Nurses, self-identified as having compassion fatigue, described a change in their practice by which they began to shield and distance themselves from the suffering of patients and families.” That reduces the time that the nurses would have used to treat the patients and families. This creates a divide that affects not only the relationship between patients and nurses but also, the overall delivery of care.
Background of study
Among the problems facing the nursing practice today, compassion fatigue is the top problem affecting especially the oncology and emergency department nurses. The problem affects the overall healthcare leading to job dissatisfaction, poor quality of care and retention in nursing workforce. Different qualitative research has been completed addressing this problem and the factors contributing to the escalating cases of compassion fatigue. However, most methods used in these studies are not conclusive enough to provide results highlighting where this problem begin and which concrete measures need to be taken to solve the problem in the future of nursing practice. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
Problem statement
Given the increased cases of unproductivity in nursing practice, the study by Petleski, T. A. (2013) aimed to study the contributing factors leading to poor quality of services among nurses especially those working in emergency nurse department. Compassion fatigue, burnout, and compassion stress are identified as the leading factors affecting the nurses especially those working in busy and engaging departments. Rough Draft Qualitative Research Critique and Ethical Considerations Examples. Although efforts to address this problem has since been advocated and emphasized, little change has been experienced escalating the extents of this problem to other departments such as oncology nursing department. Increased nursing turnover, limited nursing staffs, working for long hours (overworking), lack of management are identified factors contributing to this problem.
Significance to nursing study
According to a qualitative research by Sheppard, K. (2016), “Frequently, nurses with compassion fatigue talk about sleepless nights as they worry about what they forgot to do at work or replay disturbing events in their minds.” This is just a tip of the iceberg of what the nurses experiencing compassion fatigue suffer from. Quantifying research has proven that addressing this problem not only has the potential of attracting more nurses into the workforce, but also improve patient’s outcome in the long run. Rough Draft Qualitative Research Critique and Ethical Considerations Examples The important of this study in nursing practice cannot be understated, it’s integral in the practice of nursing to solve the traumatic experiences nurses go through.
Purpose and Research questions
In a research study Compassion Fatigue and Burnout. Clinical journal of oncology nursing, a descriptive, cross-sectional study was carried out in inpatient nursing units and outpatient clinics in a cancer center in the midwestern United States. If compassion fatigue is identified before worsening, would nurse behavior change? Would patient’s outcome improve? Would the reputation of hospital health care improve? Studying how fast compassion fatigue can be identified in the nurses can appear to make the article a quantitative study, yet the study is conducted in a qualitative manner.
Discussion of method of study
The study by Maytum, Heiman, & Garwick, (2004) is a is a descriptive qualitative pilot research. The study interviewed about twenty experienced nurses working with kids affected by chronic conditions. The study sought to obtain their experiences regarding their daily work and how the work could have affected their personal lives. Compassion fatigue is mostly experienced by nurses working in engaging and busy units such as emergency nursing department and oncology department. The study however, concentrated on interviewing nurses working with children faced with chronic condition. Rough Draft Qualitative Research Critique and Ethical Considerations Examples. That would partially provide data establishing the cause and solution to the problem. Diversity of research in more than five departments is required to precisely determine a solution to this problem in today and in the future.
Data collection instrument
The research used standardized measurement tools to conduct qualitative surveys applying three regularly used assessment instruments, Professional Quality of Life Survey (ProQOL-V), The Self-Care Questionnaire, and Maslach Burnout Inventory Human Services Study (MBI-HSS) (Coetzee, & Klopper, 2010). The study employed these instruments to offer a chance for a greater sample size to provide quantifying study. The methods were well applied but most of the instruments used and their results would make this a quantitative research study. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.
Theoretical framework
Although most authors outlined different concepts, beliefs and ideas which seemed to support the research, most study diverted from the main objective. For instance, the study by Coetzee, & Klopper (2010) introduced compassion fatigue regarding the study of burnout among health care professionals, but was never explained in this setting; it has since been approved as a substitute for secondary traumatic stress disorder, which is far removed from the original meaning of the term. The research therefore only gave a definition of compassion fatigue in the practice of nursing but never completed the qualitative research highlighting how the problem could be solved among staffs.
Discussion of the study results
The result of the study seemed to answer the researcher’s expectations regarding the causes of compassion fatigues in nursing. The result provided different areas which were highly considered as a contributing factor to nursing burnout and compassion. These areas included the leadership, management, understaffing, communication and coordination environmental and lifestyle and awareness (Coetzee, & Klopper, 2010). The qualitative study completed indicated the failing areas leading to compassion fatigue but never indicated a solution to each that could enhance the nursing field to overcome this problem in the future. Understaffing, lack of communication and coordination are among the leading factors leading to overworked nurses. Also, based on the results of the study, burnout nurses not only recognized as having a developed risk of stress but, also showed clinically significantly minor levels of mental QoL and clinically significantly higher levels of physical QoL (Coetzee, & Klopper, 2010).  Rough Draft Qualitative Research Critique and Ethical Considerations Examples. Additionally, 43.6% of nurses experienced <6 hours of sleep per night and thus may be identified as sleep deprived clinicians. Addressing these problems especially in busy and engaging units such as oncology and emergency nursing department is required to address the problem affecting large number of nurses in the country. Findings and implications for nursing practice The findings of the study can be described by increased levels of depression identified in clinicians experiencing compassion fatigue. Understaffing and lack of interdisciplinary coordination are identified as the leading factors escalating the levels of compassion fatigue among health care professionals. Most of these professionals are similarly never compensated for the time they overwork in their department. If the problem is not solved it has high potential affecting the future of nursing practice, yet, the study by Coetzee, & Klopper (2010), offered very few and almost obvious recommendations which are required to overcome this problem. More detailed research and recommendations to the problem are required if the problem is to be completely solved in the future of nursing. Ethical considerations In agreement with FDA regulations, “an IRB are authorized to support, recommend changes in (to secure support), or disapprove biomedical research.” (The U.S. Food and Drug Administration, 2017). Rough Draft Qualitative Research Critique and Ethical Considerations Examples.  However, the provided research studies do not mention any approval by IRB and the repudiation provided gave the views that don’t essentially indicate the policy of the United States government. The research did not provide evidence of the persons who were interviewed and the associations with certain healthcare organizations such as the Department of Veterans Affairs, was general statistics. Therefore, because of the unspecified and qualitative nature of the research used there is no concern for the ethical considerations of the participants used in the study. Conclusion Compassion fatigue and burnout is an existing problem that affect not only the nurses but, also patient’s outcomes and overall reputation of healthcare. There are different identified factors contributing and perpetuating this problem in the nursing practice. The qualitative research highlighted the problem and general solution required to overcome this problem. However, despite the effort invested in these studies, compassion fatigue remains a challenging problem facing the nursing practice today. More research addressing the problem is required to explicitly provide solution to the problem facing the nurses today. Rough Draft Qualitative Research Critique and Ethical Considerations Examples. References Coetzee, S. K., & Klopper, H. C. (2010). Compassion fatigue within nursing practice: A concept analysis. Nursing & health sciences, 12(2), 235-243. Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of emergency nursing, 36(5), 420-427. Maytum, J. C., Heiman, M. B., & Garwick, A. W. (2004). Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. Journal of Pediatric Health Care, 18(4), 171-179 Rough Draft Qualitative Research Critique and Ethical Considerations Examples. Nancy Aycock, R. N., & Deborah Boyle, R. N. (2009). Interventions to manage compassion fatigue in oncology nursing. Clinical journal of oncology nursing, 13(2), 183. Petleski, T. A. (2013). Compassion fatigue among emergency department nurses. Gardner-Webb University. Potter, P., Deshields, T., Divanbeigi, J., Berger, J., Cipriano, D., Norris, L., & Olsen, S. (2010). Compassion Fatigue and Burnout. Clinical journal of oncology nursing, 14(5). Rough Draft Qualitative Research Critique and Ethical Considerations Examples. Ray, S. L., Wong, C., White, D., & Heaslip, K. (2013). Compassion satisfaction, compassion fatigue, work life conditions, and burnout among frontline mental health care professionals. Traumatology, 19(4), 255-267. Sheppard, K. (2016). Compassion fatigue: are you at risk? American Nurse Today, 11(1), 53-55. The U.S. Food and Drug Administration (2017). IDE Institutional Review Boards (IRB). Retrieved from https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/HowtoMarketYourDevice/InvestigationalDeviceExemptionIDE/ucm046745.htm Yoder, E. A. (2010). Compassion fatigue in nurses. Applied Nursing Research, 23(4), 191-197. Rough Draft Qualitative Research Critique and Ethical Considerations Examples.