Clearly, there is growing public awareness of the threat of bioterrorism, and there is great concern among medical and public health professionals for preparedness.

Part 1: Assess the value of quarantine and isolation in controlling disease due to biological terrorism. Use a specific example to support your position.

Part 2: List some major factors that emergency managers and public health planners must consider when including quarantine and isolation in public health emergency response plans. 

Must be at least 250 word supported by two references

 Please reply from this student post. APA short answer.

Exercise 1: What leads to burnout?

Think of an organization where you have worked. If you have not yet worked in the human services field, any organization will do, even a fast-food or convenience store. Take a piece of paper and jot down some responses to the following questions. Write your responses not as gripes, but as specific behaviors and identifiable concrete problems that occurred there. As an example, instead of writing “The shift supervisor was a louse,” write “The shift supervisor never gave specific instructions on clean-up procedures as to who was to do what, and when. As a result, there was a lot of confusion, and we often flunked health inspection.” Write these down as quickly as you can. Now think about and respond to the following questions.

1. What observable stress did you see in fellow workers because of a problem?
2. What stress responses did you have behaviorally, cognitively, and affectively?
3. What do you think would have happened if management would have brought in an
4. outside consultant to deal with the workers and the organization?
5. What stumbling blocks might there have been?
6. Picture yourself as the outside consultant. How might you have handled these issues?

In a previous organization where there were workplace dysfunction and poor leadership support, employees exhibited several work-related stress symptoms. For instance, they often complained of fatigue, headache, and sleep difficulties. Consequently, they exhibited psychological symptoms such as irritability, depression, feelings of being overwhelmed by work, increased absenteeism, mood swings, decreased creativity, and lower tolerance and impatience (“Work-related stress”, 2012).

In response to work stress, I had several cognitive-behavioral and effective responses. First, I communicated my concerns about being overwhelmed by work to my human resource manager and recommended assisted tasks that I can handle effectively without feeling drained; I also made sure I remained organized by prioritizing my tasks. Consequently, I embraced relaxation exercises such as Yoga and meditation and often communicated my work problems to my family members and listened to their advice.

If an outside consultant was hired, several causes of work-related stress could have been identified. The consultant would establish that the employees were being subjected to heavy workloads and strict deadlines, which led to fatigue. There also lacked employee autonomy since the supervisors were overbearing, and the relationships between employees and superiors were strained (Scott, 2020). There was also limited equipment to facilitate job execution, with some employees not having relevant skills to execute tasks due to low staffing levels in certain departments.

Stumbling blocks that would have been experienced include lack of leadership support, low staffing levels to share the workload, and lack of collaboration between employees and supervisors.

 As a consultant, I would have called for the development of work management plans that involve the employees, addressed implied grievances, and devised a stress management policy.

References

Scott, E. (2020). 9 Tips for How You Can Better Handle Stress at Work. Retrieved 17 February 2021, from https://www.verywellmind.com/how-to-deal-with-stress-at-work-3145273

Work-related stress. (2012). Retrieved 17 February 2021, from https://www.betterhealth.vic.gov.au/health/healthyliving/work-related-stress

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice

Short Answer

• Describe the oxygen hemoglobin dissociation curve. Explain how it allows for body tissues to receive oxygen and eliminate carbon dioxide wastes.
• How are the lungs involved in maintaining normal pH of the blood?
• Describe the relationship between intrapulmonary pressure, atmospheric pressure, and air flow during normal inspiration and expiration, referring to Boyle’s law.
• Several physical factors that influence the efficiency of pulmonary ventilation are compliance, alveolar surface tension, and airway resistance. Briefly describe each factor.
• Albuterol is a selective beta-2 adrenergic agonist, which means it specifically activates beta-2 adrenergic receptors on smooth muscle in the airways. How does this improve asthma symptoms?

*Some questions adapted from Pearson’s Mastering Instructor Resources for Amerman, E. C. (2019) Human anatomy & physiology (2nd ed.).

Assignment Expectations

Length: 750-1200 words

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. Please include an introduction paragraph and a conclusion paragraph for the case study.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).