Treatment of Chronic Obstructive Pulmonary Disease

Instructions
It is anticipated that the initial discussion post should be in the range of 450-600 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Classroom Participation
Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.
Initial Response
Scenario: You are seeing an 89-year-old male who has a history of smoking 2 packs of cigarettes a day for 69 years.
• He quit smoking cold turkey when he was 78 years old.
• He is in your office for a general health evaluation. He reports ongoing challenges with ‘belching’ but other than that he conveys that he is feeling pretty good.
• He is on no routine medications.
• During your interview with the patient you note that he utilizes pursed lip breathing. At times you note a faint ‘whistling’ sound associated with his respiratory effort.
• In conducting your review of systems he reports a cough, particularly in the mornings, productive for thick clear to white sputum.
• When queried about shortness of breath he does indicate that he gets SOB more easily than he used to.
• His breath sounds are course and diminished in the lower lobes bilaterally.
Please develop a discussion that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.
Initial Post
Utilize the information provided in the scenario to create your discussion post.
Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention]
Educational: health information clients need in order to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making
Support the interventions outlined in your ‘P’ with scholarly resources.
Please be sure to validate your opinions and ideas with citations and references in APA format.

HI GREAT WRITER-I NEED 5 PAGES

1. SUBJECTIVE. I NEED 150 WORDS
2. OBJECTIVE. I NEED 150 WORDS
3. ASSESSMENT. I NEED 150 WORDS
4. PLAN. I NEED 150 WORD
5. THERAPEUTIC. I NEED 300 WORDS
6. EDUCATIONAL. I NEED 300 WORDS
7. CONSULTATION/COLLABORATION. I NEED 300 WORDS

I OUTLINE IT AS I NEED. I DO NOT WANT A ROS(REVIEW OF SYSTEM)- DONE BECAUSE I HAD TO DELETE ALL OF THAT FROM THE PRIOR ORDERS
SUBJECTIVE. IS WHAT THE PATIENT SAYS HAPPENENING
OBJECTIVE. IS WHAT I SEE AS A PRACTITIONER
ASSESSMENT IS WHAT I CAME UP WITH FROM THE SUBJECTIVE AND OBJECTIVE DATA ETC
I NEED AN EXTENSIVE PLAN, THERAPEUTIC, EDUCATIONAL AND CONSULTATION DATA.
PLEASE DON’T GENERALIZED-WE ARE TALKING ABOUT THIS PATIENT SPECIFICALLY.

I WILL SEND TWO INSIGHTS ONE FROM MY OWN PEER SHOWING HER WEEK 2 DISCUSSION HER SPECIFIC SHE WAS.
I AM ALSO SENDING ANOTHER INSIGHT ON COPD FROM A FORMER STUDENT

APA 7TH EDITION
REFERENCES LESS THAN 5 YEARS
ENSURE NO PLAGARISM-PLEASE