Construct a narrative document of 4-5 pages (not including cover page or reference page)
Diagnose the patient based on the above findings and provide your rationale for how you arrived at the
diagnosis.
Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
Describe community resources (using your own community) currently available in your state/city to support this
patient.
Provide a communication plan that you will use to ensure the patient is an active participant in the treatment
plan. Refer to therapeutic communication concepts.
Utilize national standards, your pharm and/or patho book, and medical or advanced practice professional
sources. Do not use patient-facing sources or general nursing texts.
Use references to support your concepts. Utilize correct APA formatting (7th edition) and mechanics of
professional communicationâ¦â¦â¦
Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about
three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another
state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms
brought her to your office today.
History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when
needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No
other acute or chronic problems. She advises you that she is up to date on all immunizations except she has
not had a flu shot (it is October).
Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive
domestic situation. She has no support network in this area and has not yet found employment. She has no
medical insurance.
HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all
day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other
complaints.
Sample Solution
ther OPEC countries such as Venezuela who do not have cash flow or political influence, and therefore, cannot feed their population as Dutch Disease has practically rotted their domestic currency, the bolivar, from the inside out. Saudi Arabia will not fall victim to this; they have made many severe economic and fiscal reforms in order to steer clear. With regard to Saudiâs domestic oil climate, M.B.S has enacted Vision 2030; a direct attempt to manufacture a complete economic overhaul through ambitious reforms in taxation, the severance of subsidies, and spending. Saudi also plans on creating the worldâs largest initial public offering (IPO)through the partial privatization of Saudi Aramco which would bring in an approximated $100 billion of non-oil revenues for Riyadh, however, this plan has been delayed multiple times already (Khan). Because of these reforms and future partial privatization, combined with investments in infrastructure, military, and education, M.B.S is hopeful that this will create an impenetrable division between Saudi Arabia and total oil dependence/Dutch Disease. One of the most intriguing aspects of Vision 2030 is the blue print for NEOM, a mega-city run on clean renewable energy that will connect Saudi Arabia to Jordan and Egypt (Ellyat). NEOM is intended to be funded through foreign direct investment (which they are aiming to increase through these kinds of attractions) as well as the partial privatization of Saudi Aramco. NEOM aims to be a new and modern technological hub that will embrace the digital era in order to become a major middle-eastern commercial location (Ellyat). The building of NEOM will produce a large amount of jobs for the citizens and create a sustainable environment in which, perhaps, new and old businesses can thrive. However, the question is will the people of Saudi Arabia take advantage of these new job o>
ther OPEC countries such as Venezuela who do not have cash flow or political influence, and therefore, cannot feed their population as Dutch Disease has practically rotted their domestic currency, the bolivar, from the inside out. Saudi Arabia will not fall victim to this; they have made many severe economic and fiscal reforms in order to steer clear. With regard to Saudiâs domestic oil climate, M.B.S has enacted Vision 2030; a direct attempt to manufacture a complete economic overhaul through ambitious reforms in taxation, the severance of subsidies, and spending. Saudi also plans on creating the worldâs largest initial public offering (IPO)through the partial privatization of Saudi Aramco which would bring in an approximated $100 billion of non-oil revenues for Riyadh, however, this plan has been delayed multiple times already (Khan). Because of these reforms and future partial privatization, combined with investments in infrastructure, military, and education, M.B.S is hopeful that this will create an impenetrable division between Saudi Arabia and total oil dependence/Dutch Disease. One of the most intriguing aspects of Vision 2030 is the blue print for NEOM, a mega-city run on clean renewable energy that will connect Saudi Arabia to Jordan and Egypt (Ellyat). NEOM is intended to be funded through foreign direct investment (which they are aiming to increase through these kinds of attractions) as well as the partial privatization of Saudi Aramco. NEOM aims to be a new and modern technological hub that will embrace the digital era in order to become a major middle-eastern commercial location (Ellyat). The building of NEOM will produce a large amount of jobs for the citizens and create a sustainable environment in which, perhaps, new and old businesses can thrive. However, the question is will the people of Saudi Arabia take advantage of these new job o>
