Select a serious workplace hazard with which you are familiar, or use Steps 1 and 2 of the Hazard Analysis and Risk Assessment Guide on page 114 of the course textbook to help you select one. Use Steps 3-10 of the guide to evaluate the hazard and its associated risks, and then use the Unit IV Hazard Analysis/Risk Analysis Project Form and fill out the form using the “Add Text” tool. To complete the Initial Risk Assessment and Post Control Risk Assessment sections on the form, use the following codes based on the Risk Assessment Matrix in Table 11 of the textbook:

SEVERITY:

1 – Catastrophic

2 – Critical

3 – Marginal

4 – Negligible

PROBABILITY (Likelihood of Occurrence):

A – Frequent

B – Probable

C – Occasional

D – Remote

E – Improbable

RISK CODE:

H – High

S – Serious

M – Medium

L – Low

BOS 3651, Total Environmental Health and Safety Management 3

All sections of the form must be completed. Note that the Post Control Risk Assessment Measures section reflects the risk assessment AFTER applying the Additional Control Measures. In a paragraph of at least 500 words, explain the reasoning behind how you filled out each section of the form. Insert the completed form into the same Word document with your paragraph, using APA formatting for the paper format as well as for all references and in-text citations.

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 26 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.

Reference:
Briscoe, K. (2012, May 12). Thetford: mother of Bradley Wilson, who died of asthma attack, told there was nothing she could have done. East Anglian Daily Times. Retrieved fromhttp://www.eadt.co.uk/news/thetford_mother_of_bradley_wilson_who_died_of_asthma_attack_told_there_was_nothing_she_could_have_done_1_1375128

Glissman, B. (2012, May 21). Girl’s death puts focus on asthma’s broader grip. Omaha World-Herald. Retrieved fromhttp://www.omaha.com/article/20120521/LIVEWELL01/30521997
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These questions are questions from the Occupational Therapy field they just need o be answered correctly using your own words because they will be ran through a plagiarism site you can us the links provided to answer the questions below, the other question provide answers in a multiple choice format please choose the correct answer

2. How has the increased emphasis on research affected OT education? 3. What is the purpose of “practice acts”?

4. What issues of infringement are of concern to OT? What can occupational therapists do to address the issues of infringement?

5. Explain the three characteristics of the settings OT practitioners work in.

6. What effect has the Prospective Payment System (PPS) of 1983 had and continues to have on the US health care system?

7. What are the three spheres of practice and the types of health conditions/problems seen in these spheres? What types of problems are addressed by occupational therapy in each? Provide an example of the real life settings in each sphere.

8. What are the employment trends for occupational therapy practitioners? According to Occupational Outlook Handbook, what is the median salary of occupational therapists in your region of the country? http://www.bls.gov/oco/

9. Assistive technology is a media used by occupational therapist. A) How have the changes in technology affected the way people in our society engage in occupation? B) Do you feel that the increase use of technology is beneficial or detrimental to people’s engagement in occupation? Please explain.

10. What types or vehicle modifications are available for the following conditions or disabilities? a. Spinal cord injury (paraplegic or quadriplegic) b. Lower extremity amputation

What is the purpose of assistive devices in client therapy and participation?

Select one:

a. To restore abilities to engage in occupations 

b. To compensate for a limitation of the individual

c. To enable therapist to discharge clients safely

d. To decrease pain and improve client factors

What is the term used to describe the desire of more elderly people to remain in their homes?

Select one:

a. Early Intervention

b. Ergonomic Consulting

c. Aging in place

d. Community Health

What characteristic of a practice setting is an acute care hospital that provides immediate assistance to those injured or with severe illnesses?

Select one:

a. Spheres of practice

b. Level of care

c. Reimbursement structure

d. Administration

School based settings and day treatment programs best represent which sphere of practice?

Select one:

a. Medical

b. Social

c. Psychological

d. Biological

What type of settings includes the Veterans Administration Hospitals?

Select one:

a. Private not-for-profit

b. Public

c. Public

d. Private for-profit

What is the most popular setting of employment for OTA’s?

Select one:

a. Hospitals

b. Skilled nursing facilities

c. Schools

d. Day treatment centers

What type of setting provides care for clients who live at home but still need service?

Select one:

a. Rehabilitation setting

b. Acute care setting

c. Hand therapy clinic

d. Outpatient settings

Which legislation caps the annual reimbursement for occupational therapy services?

Select one:

a. Social Security Amendments of 1983 (PPS)

b. American with Disabilities Act of 1990

c. Balanced Budget Act of 1997

d. Medicare (1965)

Universal cuff and non-skid mats are examples of what type of assistive devices?

Select one:

a. Augmentative

b. High technology

c. Low Technology

d. Environmental controls

Which setting emerged with the closing of institutions?

Select one:

a. Long-term care facilities

b. Home health agencies

c. Community mental health centers

d. Hospitals

What gives the legal definition of a profession and defines its domain of practice?

Select one:

a. Practice act

b. Accreditation

c. Code of ethics

d. Certification

Which of the following is an emerging area of practice among children and youth?

Select one:

a. Ergonomics

b. Obesity 

c. Homelessness

d. Driver assessments

Which trend is reflected in the centennial vision for occupational therapy?

Select one:

a. Emphasis on occupation-based practice

b. Limiting the diversity of the workforce

c. Revitalize the use of arts and crafts

d. Need to strengthen physical rehabilitation

What is an orthopedic device used to immobilize or support any part of the body especially the upper extremities called?

Select one:

a. Brace

b. PAM

c. Splint

d. Positioning device

The use of electronic records helps facilitate communication among all the health care providers involved with care provision. ERs are not widely used outside of a core medical practice or organization. ERs would allow for extra organizational and provider communication. Health care is not at this point yet. Class: Please, explain the importance of the use of ERs in healthcare. How do they contribute to communication? Can ERs be used in healthcare marketing? If so, how. Please, explain and share specific examples to demonstrate your point of view. Thank you.Please, explain, what are the benefits and challenges of technology-based communication for the consumer, the provider, and health care costs? Please, demonstrate your reasoning with supportive evidence. Thank you.Please, explain, how are patients most likely to access health care? Why? Please, demonstrate your reasoning with the use of researched evidence. Thank you. Please, explain, what are the advantages and disadvantages in using social media in health care? Please, support your reasoning with researched evidence. Thank you.It is believed (and supported by research) that positive relationships between healthcare team members and a patient’s capacity to follow through with medical recommendations (including self-management of a chronic medical condition, preventive healthcare) are strongly influenced by the effective communication. Effective communication strategies need to account for several factors ( targeted audience, communication channels, the message to be delivered….and et cetera). Please, conduct research and review our course readings. What are important steps of the effective communication plan? Please, list the steps of this process and comment on each. Thank you.please cite. May be 150-200 words each

Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY.There is a large push for evidence-based practice to become the main foundation of all clinicalpractices and clinical decision making. In order to provide the best up to date quality careevidence-based practice must be used. By the year 2020 90% of clinical decisions will besupported by accurate timely and up-to-date clinical information and will reflect the bestavailable evidence (Boswell& Cannon 2017). Though it is ideal to have evidence-base practicedriving health care practices there are many obstacles in the way of changing the culture ofhealth care practices. There are many obstacles to change such as resistance to change fromstaff available resources to support changes lack of support and training from mentors andresearch findings incompatible with the realities of their practice (Johnston Coole Feakes Whitworth Tyrell & Hardy 2016 p. 392).Working at Shands Hospital in Gainesville Florida there is most definitely a strong push forthe best quality of care through evidence-based practice. Each unit throughout the hospital hasa clinical leader. The units clinical leaders main job description is to assure the unit is clinicallyusing practices that are evidence-based. The main obstacle that I have found on my unit hasbeen research findings incompatible with the realities of their practice (Johnston et al. 2016 p.392 ). Working on such a high acuity unit in the cardiovascular intensive care unit a lot ofevidence-based hospital driven policies and practices have had to be adjusted specially to fit ourunit. Hospital wide practices have had to be adapted because certain practices do not apply tothe realities and acuity of our unit. One main example is the MEWS assessment. The modifiedearly warning score (MEWS) is an example of a physiological track and trigger system designedto identify patients at risk of clinical deterioration in order to provide a timely response torequest appropriately-trained nursing or medical staff to assess the patient and provide anyinterventions required (Harris 2013 p.432). MEWS is an extremely useful tool on floor units but on my particular unit a majority of our patient population have such a high baseline MEWScore. If following our hospital protocol for our patients MEWS we would be constantly callingphysicians and bringing them to the bedside. Our patients have extremely high acuity which isone of the reasons they are in the intensive care unit. Our physicians are aware of the acuity ofour patients and therefore the hospital wide MEW score does not really apply to our unit. Wehad to adjust the triggers of the MEW Scores of when to notify a physician. On the floor aMEWS of 4 a physician is notified and needs to come assess the patient but in the CICU thescore for when a physician has to come to bedside was adjusted to a 6. MEWS is just one ofthe many obstacles present in implementing evidence-based practices on our unit. There aremany obstacles to implementing evidence-based practices in our clinical practices but it isimperative that we adjust or policies and practices to reflect the research found in order toprovide the best quality care.Answer rating (rated one time)