Ø Identify three priority nursing diagnoses that would address a child

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Introduction:
As a medical professor, it is crucial to educate and train students on various medical conditions, their management and the care of patients. In this context, we will discuss three priority nursing diagnoses for a child with Cystic Fibrosis (CF), medication templates, complete systems templates for CF and Asthma and the formulation of an educational plan for a patient with asthma and their family.

1. Identify three priority nursing diagnoses that would address a child with Cystic Fibrosis: one diagnosis related to discharge planning, one to address an in-patient issue, and one to address a community-based issue.

a. Discharge Planning: Risk for ineffective self-health management related to lack of knowledge of home care and medication administration.
b. In-Patient Issue: Ineffective Airway Clearance related to mucus build-up and history of respiratory infections.
c. Community-Based Issue: Social Isolation related to a chronic illness and the need for frequent hospitalizations and isolation precautions.

2. Medication Templates:
a. Albuterol- A bronchodilator used to treat wheezing and breathing difficulties.
b. Pancrease- An enzyme replacement used to treat pancreatic insufficiency in CF.
c. Dornase Alfa- A mucolytic medication used to break up thick, sticky mucus in the lungs of CF patients.
d. Azithromycin- An antibiotic used to prevent respiratory infections in CF patients.
e. Multivitamin- Used to supplement the diet of patients with CF, who often have malabsorption issues.
f. Vitamin E- Used to prevent oxidative damage, which is common in CF patients.

3. Complete Systems template for both CF and Asthma:
A complete systems template for CF would include assessment and monitoring of respiratory, gastrointestinal, and musculoskeletal systems, as well as nutrition and growth. For asthma, the template should consist of respiratory assessment and management, monitoring and recording of peak flow rates, assessment of medication effectiveness, and the management of co-morbid conditions.

4. Formulate an educational plan for a patient with Asthma and the family. Include nutrition, medications, disease process, respiratory therapies, physical activity, and the use of a peak-flow meter.

The educational plan for a patient with asthma and their family should consist of the following components:

a. Nutrition: The patient should be advised to maintain a healthy diet, including a variety of fruits, vegetables, whole grains, and lean protein sources. They should also be encouraged to limit their intake of high-fat, high-sugar foods, as they can increase inflammation in the airways.
b. Medications: The patient and their family should be educated on the proper use of asthma medications – including inhalers, nebulizers, and oral treatments. They should also be advised on potential side effects and how to manage them.
c. Disease Process: The patient and their family should have a good understanding of the pathophysiology of asthma, including the role of inflammation and triggers. This understanding will help them identify triggers, avoid them, and manage symptoms effectively.
d. Respiratory Therapies: The patient should be educated on how to manage their symptoms and control their asthma through respiratory therapies, including breathing exercises and inhalation techniques.
e. Physical Activity: Patients with asthma should be encouraged to engage in regular physical activity, as it can improve lung function and reduce the risk of asthma attacks. They should also be advised to avoid activities that may trigger symptoms, such as exposure to allergens or extremes in temperature.
f. The use of a Peak-flow meter: The patient and their family should be educated on the use of a peak flow meter to monitor lung function and help identify changes in asthma control. They should be advised to track their readings regularly and report any changes to their healthcare provider.

In conclusion, it is essential to educate medical students on the management and care of patients with various medical conditions like Cystic Fibrosis and Asthma. As discussed, identifying priority nursing diagnoses and creating comprehensive educational plans can help improve patient outcomes and increase patient and family satisfaction.

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