Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. To Prepare  Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different. Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation. To Complete Write a 2- to 3-page paper that addresses the following: Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation. Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected. Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

My Leadership SMART Goal (graded) Your second assignment, My Leadership SMART Goal paper, is to be submitted this week. Guidelines for this assignment may be found in Doc Sharing. This assignment will be automatically submitted to Turnitin. Please see Course Resources under Course Home, and Doc Sharing for more information about Turnitin and how to interpret your results. Purpose The purpose of this assignment is to develop a SMART-formatted goal related to your professional leadership applicable to your current practice setting or future leadership aspirations. This goal is about YOUR leadership development, not those of the organization or the department where you work.  Many organizations have developed the SMART-goal framework as they strive for performance improvement.  Your goal may tie to one of the departmental or organizational SMART goals but the components of the goal are about YOUR leadership development The Institute of Medicine’s quality initiative has identified five core healthcare profession competencies. This assignment focuses on only two of those initiatives. Either Patient-Centered Care or Working in Interdisciplinary and/or Interprofessional Teams will serve as a framework for identification of YOUR leadership SMART goal. Directions Review the Institute of Medicine’s (IOM) core healthcare competencies. Select ONE of the competencies that you will work on for developing a Leadership SMART Goal.  You are to select one of the following competencies for YOUR SMART goal.    Managing Patient-Centered Care  or Working in interdisciplinary and/or interprofessional teams; 1.  Create ONE leadership goal that is in the SMART goal format. You practiced this in the Week 3 Discussion, and received valuable feedback from your instructor and peers. Please refer to this as you work on the assignment. S – Specific (Who besides YOU is involved in the goal, what is YOUR goal, where will it take place?) M – Measurable (How are YOU going to achieve the goal?) Be specific with measureable outcomes. A – Attainable (What resources and/or experts are available to assist YOU with attaining YOUR goal?) R – Realistic (Is YOUR goal something that is realistically obtainable in YOUR professional practice?) Be specific. T – Time bound (What specific dates or weeks will YOU accomplish each task related to your leadership goal?) ·  Example NOT in SMART format: I will learn how to be a manager. This goal is lofty, not measurable, and unattainable in the time allotted, probably not realistic, and not time bound. ·  Examplein SMART Format: I will learn the disciplinary process of an employee who has excessive absences, by locating the organization’s attendance policy and meeting with the unit manager, reviewing peer-reviewed articles and credible websites to obtain information on the disciplinary process by Week 4 (or specified date). Note: This particular example relates to Core Competency: Managing Patient-Centered Care. This example is a SMART goal that is Specific, Measurable, Attainable, Realistic, and Time-bound. S-Specific o  Who- Your name, or “I” Indicate others who may be involved. o  What- Learn the disciplinary process of employees who have excessive absences o  Where- Your organization M-Measurable o  How: Through locating the organization’s attendance policy and passing a quiz on the content of the policy. A-Attainable o  Resources and/or Expert: Meeting with the unit manager, reviewing peer-reviewed articles, and credible websites R-Realistic o  Realistically obtainable: Access to the organization, policies, and unit manager. Various resources are available. T-Time bound o  Specific dates: By Week 4 (or specific date) 2.  Go to the Chamberlain library (http://library.chamberlain.edu) and search the databases (under Menu tab) to locate scholarly articles related to your SMART goal. Also, search for credible websites to gain insight into how to accomplish your goal. 3.  Construct a plan of action to reach My Leadership SMART goal.  Be specific by creating a timeline of when you plan on doing each action; explain how, when, and where you plan to communicate with an expert; and identify specific resources you will use to help you achieve your goal. a.  Example Plan of Action for above mentioned example: o  Seek approval to review the organization’s policies and schedule a meeting/interview with the unit manager by _____ (fill in date). o  Review the policies on disciplinary action by _____ (fill in date). o  Review the American Nurses Association website and peer-reviewed articles in the American Journal of Nursing and Journal of Advanced Nursing by _____ (fill in date). o  Evaluate the findings from the above resources by _____ (fill in date).  Pass the quiz. 4.  Write a scholarly paper that follows APA formatting guidelines. Organize your content logically and express your thoughts clearly. Use appropriate headers to separate sections of your paper. Check for any grammar or spelling errors before submission. 5.  Submit your completed NR 447 My Leadership SMART Goal paper, which should be approximately six pages (excluding title page and references) to the Week 4 My Leadership SMART Goal Paper Dropbox. This assignment is automatically submitted to Turn It In.