In 2 Paragraph Sheena Jones Vera, A 9-Year-Old Mixed African

In 2 Paragraph Sheena Jones Vera A 9 Year Old Mixed African American

Sheena Jones Vera, a 9-year-old girl of mixed African American and Caucasian descent, has a history of asthma diagnosed at age 4. Her condition may be influenced by environmental factors, such as exposure to mold, cockroaches, and dust, which commonly exacerbate asthma symptoms. If Vera lived in a newer apartment complex with fewer allergens, her asthma might be better controlled, reducing the frequency and severity of attacks. Her medical history, combined with living conditions, highlights the importance of assessing environmental influences on her respiratory health. The school nurse should review her current asthma management plan, ensure her inhaler is functioning properly, and evaluate her understanding of asthma triggers and proper inhaler use to provide effective care during asthma episodes.

During her visit with the school nurse, Sheena reports that she is experiencing an asthma attack triggered by the wind and suspects her inhaler is empty. The nurse should reassess her respiratory status by checking her breathing, pulse oximetry, and lung auscultation to determine the severity of her attack. Additionally, the nurse should verify whether Sheena has her inhaler with her and if it contains medication, and educate her on recognizing early signs of an attack, proper inhaler technique, and when to seek emergency care. Regarding her reliability as a historian, the nurse should consider Sheena’s age, understanding, and ability to accurately describe her symptoms but also corroborate her account with observation and any available medical records to ensure comprehensive assessment and appropriate intervention.

Paper For Above instruction

Sheena Jones Vera is a nine-year-old girl with a documented history of asthma since the age of four. Her lived environment significantly impacts her respiratory health, emphasizing the role environmental factors play in asthma management. In urban settings or older apartment complexes, allergens such as mold, pests like cockroaches, dust, and other irritants may be prevalent, triggering and exacerbating asthma symptoms. Conversely, residing in a modern, well-maintained apartment complex with minimal exposure to such triggers can lead to better-controlled asthma and fewer crises. This contextual understanding guides clinicians and school health personnel in assessing her current health status and environmental influences, as well as tailoring her management plan to mitigate exacerbations.

In an acute setting where Sheena reports experiencing an asthma attack, the school nurse's role involves immediate assessment and intervention. The nurse must quickly evaluate the severity of the attack by examining her respiratory rate, listening to her lung sounds, and checking her oxygen saturation levels. Since Sheena suspects her inhaler is empty, verifying the medication's presence and efficacy is essential. The nurse should also assess her understanding of her asthma management plan, her use of inhalers, and her ability to recognize early symptoms of worsening. Education about proper inhaler technique and environmental control measures is crucial for empowering Sheena to manage her condition proactively.

Regarding Sheena’s reliability as a historian, it is important to recognize her age and level of understanding. At nine years old, Sheena can generally provide valuable information about her symptoms but may lack full insight into her condition's nuances. Therefore, the nurse should corroborate her reports with observable signs and medical records. Observations such as her respiratory effort, use of accessory muscles, and peak flow readings can provide objective data. Additionally, discussing her symptoms with parents or caregivers can offer a more complete picture. Overall, a combination of her self-report, clinical assessment, and collateral information ensures an accurate understanding of her health status, leading to appropriate and timely care.

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