Activity 2 (Week 2) Review the case study below regarding Emily and her recent exacerbation of Asthma. Your task is to thoroughly analyse Emily's case study and provide 2 short responses to the questions below. You must demonstrate knowledge of the pathophysiology of asthma and its potential outcomes or complications for the patient (covered in module 2/week 2). Ensure your discussion is evidence-based and relevant, utilising a diverse range of high- quality sources to support your points. Presenting Complaint (Intro/Situation): Emily is a 22-year-old female who presents to the emergency department with increasing shortness of breath, chest pain and an audible wheeze. Over the last three months, Emily has noticed a significant increase in her asthma symptoms. She experiences more frequent episodes of wheezing, coughing, chest tightness, and shortness of breath, which are interfering with her daily activities, including attending classes and exercising. Background: Emily was diagnosed with asthma at the age of 12 and has been managing it with a salbutamol inhaler and occasional oral corticosteroids as needed. Assessment: Emily appears to be in mild respiratory distress. She has a Respiratory rate of 25 breaths per minute. She is talking in short sentences. Widespread expiratory wheeze on auscultation. Oxygen saturations are 93% on room air. Her heart rate is 120 beats per minute, which feels regular on palpation. Her blood pressure is 130/70. She has been using her salbutamol inhaler regularly (every hour for the past 8 hours). Emily states she started experimenting with vaping about six months ago, initially on social occasions and eventually becoming a regular vaper, consuming approximately one pod per week. Recommendation: Based on the clinical presentation and history, a diagnosis of acute exacerbation of asthma was made. Emily was given inhaled short-acting beta-agonists, oxygen therapy, and systemic corticosteroids. She was closely monitored for improvement in her symptoms and for potential adverse effects of the therapy provided. After treatment and approximately 4 hours in the ED, Emily's respiratory rate decreased to 18 breaths per minute, and oxygen saturation improved to 97% on room air. She is able ot talk in full sentences. Her heart rate had reduced to 95 beats per minute and her blood pressure remained stable - 122/60. On auscultation, her breath sounds became clearer and equal throughout all lung fields. Her wheezing had also improved. After 6 hours in the emergency department, Emily was discharged with a prescription for a short-term, increased dose of inhaled corticosteroids and a new asthma action plan. Part A: Critically analyse the pathophysiological mechanisms of asthma in relation to the scenario, referencing scholarly sources to support your explanation (100-150 words). Part B: Evaluate the nursing assessments, interventions and possible complications that may arise for the patient in this case study referencing scholarly sources to support your explanation (100-150 words). 5 SCU Centre for Teaching & Learning Assessment Brief V3 Activity 3 (Week 3) Review the case study below regarding Archie. Your task is to thoroughly analyse Archie's case study and provide responses to the questions below. You must demonstrate an exceptional level of knowledge about the pathophysiology of Crohn's Disease and its potential outcomes or complications for the patient (covered in Module 3/Week 3). Ensure your discussion is evidence-based and relevant, utilising a diverse range of high-quality sources to support your points. Archie, a 65-year-old Australian man, was admitted to the hospital for the management of a colostomy-related complication. He had a history of Crohn's Disease and had recently undergone surgery to create a colostomy. However, he recently developed skin breakdown around the stoma, which had become increasingly painful and infected, resulting in this hospital admission. Upon assessment, the nurse observed erythema, excoriation, and maceration of the skin surrounding the stoma site. Archie stated the site was causing him increased pain and discomfort. The nurse first focused on managing the patient's pain, which was interfering with his ability to tolerate care. The nurse recognised the need for immediate intervention to prevent further skin damage and to promote healing. The underlying cause of the skin breakdown was identified to be due to leakage from the ill- fitting stoma appliance. The specialist stoma nurse attended and assessed both the stoma site and the equipment being used, before providing education to the patient about proper stoma care techniques and instructed both the nurse and patient on how to monitor for signs of leakage. Archie admits he is a little embarrassed about his new colostomy and has been avoiding his friends lately. He would normally catch up with his friends at the local pub twice weekly to enjoy a beer or two. Part A: Critically analyse the pathophysiological mechanisms of Crohn's Disease, considering evidence-based treatment options in relation to the case study above. Ensure your analysis is supported with at least two high-quality scholarly sources (100-150 words). Part B: Based on the nursing assessment and complications identified, formulate strategies to address Archie's stoma issues, which consider his personal embarrassment. Ensure your strategies are supported with high-quality evidence (100 words)