It is a great leap to state that the patient’s asthma is because she missed her flu shot. Since you can only evaluate the patient sitting in front of you, you cannot diagnose something when she has no current symptoms. There is no indication that the patient has an infectious process and needs antiviral drugs.
Asthma is correct, but no staging is noted.
You state that the patient should receive nebulized albuterol 3x a day. This will require expensive in-home equipment. Why did you not prescribe an albuterol inhaler for home use? With the albuterol, the patient’s constriction is addressed. What is the pathophysiology of asthma? How will you treat the second component, inflammation? Please see the attached rubric
The patient has not received a flu immunization which should be provided at this visit.
Communication plan – Your statement regarding whether the patient chooses to keep the baby is concerning. There is no indication that this decision is part of the case study. Therapeutic communication techniques are not applied in order to assist the patient in being part of the treatment plan. Errors in APA formatting
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